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Health Assessment > Foundations of Health Assessment > Flashcards

Foundations of Health Assessment Flashcards

1
Q

Spiritual, physical, emotional, social, environmental, creative, career, financial, and intellectual are…

A

The nine dimensions of wellness

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2
Q

Consistently implementing EBP results in the highest quality of care, improved population health outcomes, decreased costs, and clinician empowerment. This is known as…

A

The quadruple aim in healthcare

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3
Q

What is a reliable, informative source for clinicians to find EBP?

A

USPSTF

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4
Q

What is often the most important aspect of the patient visit to help with diagnostic decision-making?

A

History taking

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5
Q

Difficulties occurring in all three areas of functioning: impairments, activity limitations, and participation restrictions are defined as

A

Disability

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6
Q

Why are functional assessments important in the elderly?

A

Changes can be an early indicator of mental or physical decline which can decrease their independence

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7
Q

Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Timing
Severity

A

OLDCARTS

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8
Q

When did it start?

A

Onset

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9
Q

Where is it located?

A

Location

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10
Q

How long does it last?

A

Duration

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11
Q

Describe in your own words the quality of the symptoms: sharp, dull, stabbing, burning, crushing, throbbing, nauseating, shooting, twisting, or stretching

A

Characteristics

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12
Q

What makes it worse? What symptoms are associated with the symptom?

A

Aggravating factors

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13
Q

What makes it better?

A

Relieving factors

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14
Q

When did the symptom start? How long does it last? Is it constant, intermittent, sudden, etc.?

A

Timing

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15
Q

How severe is the symptom on a scale of 0-10?

A

Severity

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16
Q

OLDCARTS is used to ellicit…

A

The HPI in relation to the CC

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17
Q

What are subjective pieces of information?

A

CC, HPI, PMH, FH, SH, ROS

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18
Q

What are objective pieces of information?

A

PE, VS, Diagnostics/results, interventions during exam

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19
Q

What is documented in the assessment portion of the note?

A

Diagnosis or diagnostic assessment with rationale

20
Q

What is documented in the plan?

A

Non-pharmacologic and pharmacologic interventions, patient education, follow-up instructions

21
Q

What is the first thing assessed with every encounter?

A

Environment you are assessing in for safety

22
Q

What are the ABCDE’s of assessment?

A

Airway
Breathing
Circulation
Disability
Exposure

23
Q

Where is a pulse assessed in children <2 y/o?

A

Apical pulse

24
Q

Which age group has poor insulation and a harder time regulating body temperature?

A

Infants

25
Q

If a baby less than 6 weeks comes in with a fever, what is a MNM diagnosis?

A

Sepsis

26
Q

What rhythm is common in infants and children?

A

Sinus arrhythmia

27
Q

Is fever a good indicator of infection in the older adult?

A

No, they are less likely to develop fevers making this a poor indicator

28
Q

Where is the body temperature regulated?

A

Hypothalamus

29
Q

Vitamins A, D, E, K are ____-soluble

A

fat

30
Q

Vitamins C, B6, B12, thiamin, riboflavin, niacin, choline, and folate are ______-soluble

A

water

31
Q

Energy expenditure = energy intake makes for….

A

healthy body weight maintenance

32
Q

Waist circumference is used when patients are/have:

A

BMI >35
Height <5ft (in a grown adult)

33
Q

18.5-24.9kg/m

A

normal BMI

34
Q

When is head circumference assessed?

A

Every visit from birth-2 y/o

35
Q

Are there changes in lab values during periods of malnutrition?

A

Not normally, they often remain the same. Changes in lab values are a very late sign

36
Q

Deficiencies of excesses or imbalances in a person’s intake of energy and/or nutrients

A

Malnutrition

37
Q

A 20-year-old patient presents to the office for a wellness exam. The clinician assess the patient’s use of seat belts. Which component of the wellness exam is assessed?

A

Anticipatory guidance

38
Q

Which of the following is NOT an element of history taking?
a. Chief concern
b. Family history
c. Physical exam
d. History of present illness

A

c. Physical exam

39
Q

Patient presents to the office with shoulder pain for 1 week. Pain is constant, burning, and reported at night. During the patient interview, the clinician asks the patient “Can you tell me what you have been doing for your shoulder pain?” The clinician is asking information about…

A

Modifying factors

40
Q

What is the difference between an open-ended and a closed-ended question?

A

Open-ended provides more details whereas the close-ended at Y/N answers

41
Q

True/False: An established patient presents for a follow-up visit for her stable HTN. During this visit, the clinician can update the ROS, PMH, FH, SH by simply stating the information was reviewed and updated from the previous patient encounter.

A

True

42
Q

A 70 y/o patient presents for his wellness exam. That patient’s last vaccines were over 40 years ago. Patient states “I don’t believe in all those shots. I already had chicken pox when I was a kid. My kids made me come today since I haven’t been to see a clinician in 30 years.” Which vaccines would you recommend the patient receive today?

A

Flu, Tdap, PNA, zoster

43
Q

When considering history collection during a wellness exam, which statement below is NOT correct?
a. Wellness exams do not require a chief concern
b. Wellness exams are age/gender appropriate
c. Wellness exams include counseling and anticipatory guidance
d. Wellness exams are based on a presenting problem

A

d. Wellness exams are based on a presenting problem

44
Q

Which is TRUE about the use of screening tools to assess depression?

A

Screening tools like the PHQ-2 and PHQ-9 are recommended and evidence based.

45
Q

Weight obtained during a patient’s chronic care management follow-up for HTN finds the patient’s weight was increased 10lbs over the past year and that her BMI is now in the morbidly obese category. During this visit, the clinician should place greater emphasis on…

A

Lifestyle modifications

Health Assessment (15 decks)

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