E1

Question 1

what does obtaining a history entail

Answer 1

performing a system review
selecting/administering tests and measures to gather data about the patient/client

Question 2

what does examination entail

Answer 2

comprehensive screening and condition-specific testing

Question 3

what does examination allow for

Answer 3

diagnostic classification for the condition affecting the patient and possible outcomes (prognosis)

Question 4

what are the main questions to ask yourself when going through patient interviews

Answer 4

why do we need particular information?

what will this information help our assessment?

what is the most appropriate way to collect the information?

Question 5

what are aspects of body language

Answer 5

facial expressions
posture
visual contact
clothing

Question 6

how much of the perceived meaning of conversation does body language account for?

Answer 6

55%

Question 7

what are aspects of tone of voice

Answer 7

conversation vs interrogation
portrayal of genuine interest in understanding the things affecting the patient
avoiding terms like “i know how you feel”

Question 8

how much perceived meaning does tone of voice hold in a conversation

Answer 8

38%

Question 9

what are aspects of words spoken

Answer 9

avoidance of medical jargon
health literacy is low, be simple

Question 10

how much perceived meaning does words spoken hold in a conversation

Answer 10

7%

Question 11

what are the expressive components of patient interviews

Answer 11

body language
tone of voice
words spoken

Question 12

what are aspects of the “act of listening”

Answer 12

hearing spoken words vs actively listening

focus on tone, emotion, expressions and changes in patient’s body language

Question 13

how does the patient perceive you after the “act of listening”

Answer 13

valued, greater satisfaction
improves efficiency

Question 14

what do you start with during the patient interview?

Answer 14

greeting the patient
introducing yourself
acknowledge the condition
mention purpose of the interview
ask for consent

Question 15

after introduction, what needs to be checked

Answer 15

mental status
alertness, attention and cooperation

Question 16

what is “arousal”

Answer 16

physiological readiness of a person for activity
usually refers to levels of consciousness

Question 17

what is the progression of mental alertness from most to least

Answer 17

alert
lethargic
obtunded
stupor
coma

Question 18

what is lethargic mental status

Answer 18

minimal responses, sluggish, slowed or apathetic

Question 19

what is obtunded mental status

Answer 19

slow response to stimulus, disinterest in the environment, dulled

Question 20

what is stupor mental status

Answer 20

general unresponsiveness
aroused by vigorous stimuli

Question 21

what is coma mental status

Answer 21

unresponsive

Question 22

what is “orientation”

Answer 22

an awareness of time, person, place and situation

Question 23

what is considered normal orientation

Answer 23

A/Ox4

Question 24

when a patient is lethargic or selectively aware/responsive of the environment and stimuli what could a clinician do

Answer 24

ask patient to spell a short word backwards
count months forward and backward
count backwards by 3

Question 25

when asking orientation, what is the therapist assessing

Answer 25

memory attention language

Question 26

following orientation, what would the therapist ask

Answer 26

the history of the current problem

Question 27

what is included in the history of current problem

Answer 27

when was the onset / occurrence of pain how did it start / how did it occur mechanism of injury

Question 28

if a person has had the "current problem" in the past, how would that information be valuable

Answer 28

understanding what made it better, what was done for it, how long that lasted or how long the problem was around previously

Question 29

what is included under "history of pain"

Answer 29

location of pain quantity of pain quality of pain variation of pain modifiers of pain

Question 30

if a patient describes their pain as _____ what may that indicate? sharp or dull throbbing shooting

Answer 30

sharp/dull = musculoskeletal throbbing = inflammation process shooting = nerve

Question 31

what is important to remember when obtaining demographic information in regards to diagnosis and prognosis?

Answer 31

different diagnoses may present differently in individuals depending upon age, sex, race/ ethnicity prognosis may also be different for specific disorders based upon age, sex, race/ethnicity

Question 32

what falls under demographics

Answer 32

age sex race/ethnicity primary language socio-economic status level of education

Question 33

what falls under anthropometric data

Answer 33

height weight dominant side

Question 34

when asking about prior level of funcitoning, what are we looking to gain

Answer 34

information about their mobility ability to complete selfcare - ADL ability to do the things they want - IADL work / occupation recreational behaviors

Question 35

when asking about social history, what is included

Answer 35

social support - family structure, emotional support, economic support cultural beliefs

Question 36

what does occupational history help us understand

Answer 36

physical / cognitive demands of the patient on a daily basis

Question 37

what does living environment include

Answer 37

community characteristics structural characteristics physical environment devices and equipment

Question 38

what is community characteristics defined as

Answer 38

safety, resources, and/or public transportation

Question 39

what do structural / physical environment characteristics include

Answer 39

accessibility safety stairs / handrails lighting floor surface grab bars and assistive devices

Question 40

what is the thing we're trying to ask when talking about health beahviors

Answer 40

depression

Question 41

what are the 3 health behavior questions

Answer 41

“During the past month, have you often been bothered by feeling down, depressed, or hopeless?” “During the past month, have you often been bothered by little interest or pleasure in doing things?” “Is this something with which you would like help?” with three possible options: Yes, Yes but not today, or No

Question 42

when do you ask the third health behaviors question

Answer 42

of the first, second, or both questions are answered with a "yes" considered a positive and the third is asked

Question 43

what are key things to remember when interviewing older adults

Answer 43

address them by their last name setting up the environment with no distractions accurate prior level of functioning understanding support at home

Question 44

what can be asked during the conclusion?

Answer 44

what the patient's goals are for therapy

Question 45

what is the presenting condition aspect of chart review

Answer 45

reason for admission chief complaint course of signs/symptoms prior what prompted admission

Question 46

what is the review of systems

Answer 46

screening of systems, looking for signs/symptoms present that are associated with serious undiagnosed conditions

Question 47

what is the review of systems comprised of

Answer 47

closed ended questions specific to each system

Question 48

what are the systems asked about in review of systems

Answer 48

general health cardiovascular pulmonary gastrointestinal urinary reproductive endocrine depression

Question 49

what is the difference between universal and standard precaution

Answer 49

uni - protection of everything stand - relevance to each individual patient

Question 50

what are precautions found in chart review

Answer 50

PPE allergies unstable vitals situations that would require a need to check vitals mobility related precautions pending imaging/lab results pending physician consult

Question 51

what falls under health status in chart review

Answer 51

past medical / surgical history list of medications pending procedures/exams social history

Question 52

who conducts the physical exams

Answer 52

hospitalist or physicians

Question 53

what is included in the physical exam

Answer 53

appearance vital signs mood/participation cognition and speech

Question 54

what is systems review

Answer 54

examination of anatomical/physiological status of cardiovascular/pulmonary integumentary musculoskeletal neuromuscular systems

Question 55

what two medical professionals can discharge a patient

Answer 55

doctor and pt doc - medical readiness pt - functional readiness

Question 56

what can be done when correlating initial impression of a patient to subsequent exam findings

Answer 56

understanding of symptoms and the level of severity ie - masking or exaggerating symptoms