Health Assesment and PE

Question 1

systematic method of collecting SUBJECTIVE and OBJECTIVE data to establish a patient’s overall level of functioning in order to make a professional clinical judgement

Answer 1

health assesment

Question 2

to determine patient’s current and ongoing health status, predict risks to health, and identify health promoting activities

Answer 2

health assesment

Question 3

• detect during examination, lab info and test data
  -directly or indirectly observed through measurement

Answer 3

objective

Question 4

What the patient tells you
- verified by client
- client interview

Answer 4

subjective

Question 5

symptoms and history from Chief Complaint through Review of Systems

Answer 5

subjective

Question 6

physical examination findings or signs

Answer 6

objective

Question 7

clinician should have a basic knowledge of what when doing health assesments

Answer 7

• anaphy
• interviewing skills
• types and operations of equipment needed for a particular examination
• preparation of the setting, oneself and the patient for the PE
• Performance of : inspectionm, plapation, percussion, and auscultation

Question 8

usually done when patient has no record

Answer 8

comprehensive adult health history

Question 9

• age, gender, occupation, martial status, birthday and address
• source of history
• source of referral
• reliability

Answer 9

identifying data and source of the history

Question 10

one or more symptoms causing the client to seek care

Answer 10

chief complaints

Question 11

• complete, clear, and chronologic account of the problems prompting the patient to seek care
• amplifies the chief complaint: describes how each symptom developed
  -includes the problem’s onset, setting and its manifestations and any treatments

Answer 11

present illness

Question 12

includes health maintenance practices such as immunizations, screening tests, lifestyle issues and home safety

Answer 12

past health history

Question 13

dates of onset, info about hospitalizations with dates, number and gender of sexual partners: risky sexual practices

Answer 13

medical

Question 14

dates, indicationws and type of operation

Answer 14

surgical

Question 15

obstetric history, menstrual history, birth control, and sexual function

Answer 15

obstetric

Question 16

illness and time frame, diagnoses, hospitalizations and treatments

Answer 16

psychiatric

Question 17

reviewing conditions whether present or absent in the familly

Answer 17

family history

Question 18

documents presence or absence of common symptoms related to each of the major body systems

Answer 18

review of systems

Question 19

sources of data

Answer 19

primary and secondary

Question 20

client, unless confused, too young or too ill to partricipate in an interview

Answer 20

primary

Question 21

family members, caretakers, and support individuals as well as previous medical or health records and laboratory and diagnostic data

Answer 21

secondary

Question 22

organized, systematic process of collecting objective data about the client’s health based upon the head to toe general system

Answer 22

physical examination

Question 23

before the PE, what to do to make a patient more comfortable

Answer 23

offer patient to empty his or her bladder

Question 24

use of vision to distinguish normal from abnormal findings

Answer 24

inspection

Question 25

sitting upright provides full expansion of lungs and better visualization of symmetry of upper body parts

Answer 25

sitting

Question 26

most normally relaxed position for easy access to pulse sites

Answer 26

supine

Question 27

for abdominal assessment because it promotes relaxation of abdominal muscles

Answer 27

dorsal recumbent

Question 28

provides maximal exposure of genitalia and lacilitates insertion of vaginal speculum

Answer 28

lithotomy

Question 29

flexion of hip and knee improves exposure of rectal area

Answer 29

sims

Question 30

for assesing extension of hip, joint, skin and buttocks

Answer 30

prone

Question 31

helps to detect murmurs

Answer 31

lateral recumbent

Question 32

provides maimal exposure of rectal area

Answer 32

knee chest

Question 33

involve the use of the hands to touch body parts and make sensitive assesments

Answer 33

palpation

Question 34

in palpation how many quarters of the abdomen to assess

Answer 34

4 quarters

Question 35

depresses the skin 1 to 2 cm

Answer 35

light

Question 36

about 5 to 8 cm

Answer 36

deep

Question 37

involves tapping the client’s skin to assess underlying structures and to determine vibrations and sounds

Answer 37

percussion

Question 38

involves listening to sounds produced by the body, such as heart, lung, or bowel sounds

Answer 38

auscultation

Question 39

unaided ears

Answer 39

direct

Question 40

use of stethoscope

Answer 40

indirect