Health Assessment

Question 1

Subjective vs Objective

Answer 1

Subjective - what the client tells you
Objective - observable/measureable

Question 2

SOLER

Answer 2

Sit
Open posture
Lean toward client
Eye contact
Relax

Question 3

Levels of conciousness

Answer 3

Verbal
Tactile
Painful

Question 4

Orientation

Answer 4

Person
Place
Time
(Reason for visit)

Question 5

NCAT (normocephalic and atraumatic)

Answer 5

Head is in normal shape/size

There are no visible signs of any head trauma/injuries

Question 6

Speech Assessment

Answer 6

Clear vs slurred
Good intonation vs ‘flat’ intonation
Speed
Appropriate vs inappropriate

Question 7

Rinne test

Answer 7

compares air conduction with bones conduction

Question 8

Weber test

Answer 8

compares hearing in left and right ears

Question 9

Bronchial breath sounds (normal)

Answer 9

loud, high-pitched sounds heard over the trachea

Question 10

Bronchovesicular (normal)

Answer 10

blowing sounds heard over mainstream bronchi

Question 11

Vesicular (normal)

Answer 11

soft, breezy, low-pitched sounds heard over lung periphery

Question 12

Crackles (abnormal)

Answer 12

Coarse - loud, bubbly sounds heard at beginning of inspiration

Fine - intermittent crackling sound heard at end of inspiration

Question 13

Wheezes (abnormal)

Answer 13

high-pitched, continuous musical sound heard during inspiration or expiration

Question 14

Rhonchi (abnormal)

Answer 14

loud, low-pitched rumbling sounds heard during inspiration or expiration

Question 15

Kussmaul Respirations

Answer 15

Rapid, deep blowing respirations. May be 60 bpm

Question 16

Cheyenne-Stokes Respirations

Answer 16

Period of apnea followed by gradual increase in rate and depth of respirations and the gradual decrease leading to another period of apnea

Question 17

Pitting Edema Scale

Answer 17

+1 - 2mm; lasts a few seconds
+2 - 4mm
+3 - 6mm
+4 - 8mm; lasts for minutes