Head and Neck Assessment

Question 1

PREPARING THE CLIENT
__________ the client to remove any wig, hat, hair ornaments, pins, rubber bands, jewelry and head or neck scarves.

Answer 1

Instruct

Question 2

PREPARING THE CLIENT
__________ cultural norms for touch when assessing the head.

Answer 2

Consider

Question 3

PERPARING THE CLIENT
__________ the client to sit in an upright position with the back and shoulders held back and straight.

Answer 3

Ask

Question 4

PREPARING THE CLIENT
__________ that the client may be requested to move and bend the neck

Answer 4

Explain

Question 5

PREPARING THE CLIENT
__________ that some clients may be anxious as the lymph nodes in the neck are palpated

Answer 5

Be aware

Question 6

PREPARING THE CLIENT
__________ the client what you are doing and share your assessment findings

Answer 6

Tell

Question 7

EQUIPMENT NEEDED FOR HEAD AND NECK ASSESSMENT

Answer 7

Gloves
Small cup of water
Stethoscope

Question 8

INSPECT THE HEAD FOR:
(1) __________
(2) __________
(3) __________

Answer 8

• (1) shape and symmetry
• (2) size, shape and configuration
• (3) involuntary movement

Question 9

HEAD AND FACE
– Head size and shape vary, especially in accord with (1) __________.
– Head is (2) __________.
– No (3) __________ are visible.
– (4) __________

Answer 9

(1) ethnicity
(2) symmetric, round, erect and in midline
(3) lesions
(4) Still and upright

Question 10

HEAD AND FACE
- Palpate the head for (1) __________
N: hard and smooth without lesions

• Inspect the face for (2) __________
  N: symmetric with a round, oval, elongated or square appearance

Answer 10

(1) consistency
(2) symmetry, features, movement, expression, and skin condition

Question 11

HEAD AND FACE
Palpate the (1) __________.
N: elastic and not tender
Abn. – temporal arteritis

Palpate the (2) __________.
N: No swelling, tenderness or crepitation with movement.
- Mouth opens and closes fully (3-6 cm between upper and lower teeth).
- Lower jaw moves laterally 1-2cm in each direction.
Abn. – limited ROM, swelling, tenderness, crepitation

Answer 11

(1) temporal artery
(2) temporomandibular joint (TMJ)

Question 12

NECK
- Inspect the (1) __________.
N: symmetric with head centered and without bulging masses

• Inspect movement of neck structures.
  N: Thyroid & cricoid cartilages, (2) _________ move upward as patient swallows.

Answer 12

(1) neck
(2) thyroid gland

Question 13

NECK
- Inspect the cervical vertebrae
N: (1) __________ is usually visible and palpable.

• Inspect ROM
  N: smooth and controlled neck movement with (2) ______ degree flexion, ______ degree extension, ______ degree lateral abduction and ______ degree rotation.

Answer 13

(1) C7
(2) 45, 55, 40, 70

Question 14

NECK
• Palpate the __________.
N: __________ is midline.

Answer 14

trachea

Question 15

NECK
- Palpation of the Thyroid Gland - __________

Answer 15

posterior approach

Question 16

NECK
- Palpate the Thyroid Gland
– Landmarks are positioned (1) _______.
– The (2) _______ may be palpated at the midline.
– If the thyroid can be palpated, the (3) _______ are smooth, firm and nontender.
– The right lobe is often (4) _______ larger than the left lobe.
– (5) _______ may be felt rising underneath your fingers.
– Lobes should feel smooth, rubbery and free of (6) _______.

Answer 16

(1) midline
(2) isthmus
(3) lobes
(4) 25%
(5) Glandular thyroid tissue
(6) nodules

Question 17

The Neck
• Auscultate the thyroid gland.
– Done only if there is (1) _________
N: No (2) _______ are auscultated.

Answer 17

(1) thyroid enlargement
(2) bruits

Question 18

• Health-Seeking Behavior: Requests information on how to quit smoking

Answer 18

Wellness Diagnosis

Question 19

• Risk for Injury to head and neck related to poor posture

Answer 19

Risk Diagnosis

Question 20

• Impaired swallowing related to mechanical obstruction of the head and neck secondary to tissue swelling, tracheostomy, or abnormal growth.

• Impaired physical mobility of head and neck related to cervical injury.

Answer 20

Actual Diagnoses