Health Assessment Flashcards

0
Q

What kind of information is collected during an interview?

A

subective

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1
Q

SBAR

A

Situation
Background
Assessment
Recommendation

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2
Q

What should the distance be between you and your patient during the interview?

A

4-5 ft

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3
Q

Open-ended questions

A

used when you want a narrative response, used to introduce a new section

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4
Q

9 types of verbal responses

A

facilitation, silence, reflection, empathy, clarification, confrontation, interpretation, explanation, summary

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5
Q

What is an example of interpretation?

A

an inference made about the patients condition, you could be wrong but the patient will correct you

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6
Q

What is said about touch in an interview?

A

Do not touch during the interview unless you know the person well enough and know how it will be interpreted.

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7
Q

When interviewing for an infant, how would you communicate with the infant?

A

nonverbal cues

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8
Q

When interviewing an adolescent what areas of verbal response should be avoided?

A

Silence and Reflective

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9
Q

How might you help the older patient handle the long interview process?

A

Let him take some questions home, break up the interview process into more that one visit

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10
Q

What is a poly-drug user?

A

Uses more than one drug

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11
Q

What is a database?

A

history combined with objective data from the physical examination and lab studies

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12
Q

What is biographic data?

A

name, address, DOB, etc.

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13
Q

What 3 questions do you ask about the source of history?

A
  1. Who provided the information?
  2. How reliable was the source?
  3. Any special circumstances?
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14
Q

What is the “reason for seeking care?”

A

In the patients own words a description of the reason they are visiting (state one or two symptoms or signs)

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15
Q

How do you document present health or history of present illness in an ill person?

A

A chronologic record of the reason for seeking care, from the first time the first symptom appeared until now.

16
Q

P,Q,R,S,T,U

A

provocative or palliative, quality or quantity, region or radiation, severity scale, timing, understand patients perception.

17
Q

How would you ask about the general health in an older adult vs a younger adult?

A

Only need to know that past 5 years in an older adult

18
Q

What is a mental disorder?

A

when a persons response is much greater than the expected reaction to the traumatic event

19
Q

SOAP

A

subjective, objective, assessment, plan

20
Q

Organic disorder

A

A brain disease with a known specific caused

21
Q

What is an example of a psychiatric mental illness?

A

anxiety, schizophrenia

22
Q

4 main headings of mental status assessment

A

Appearance, Behavior, Cognition, Thought Process

23
Q

Aphasia

A

the impairment of language ability due to brain damage

24
Q

Dysphonia

A

abnormal voice/ pitch due to laryngeal disease. Voice sounds hoarse or whispered but the articulation and language are intact

25
Q

Dysarthia

A

distorted speech. misuses words- an articulation disorder