Health Assessment

Question 1

What is the current accepted concept of health in Canada and which two concepts did it succeed?

Answer 1

The Socioenvironmental approach (current), Behavioural approach (1970s), Biomedical approach (most of 20th century)

Question 2

What is the biomedical approach to health?

Answer 2

Health = absence of disease

Question 3

What is the behavioural approach to health?

Answer 3

Pushed the behavioural aspects of health promotion and prevention. Characterized by the Lalonde report. Involved social campaigning to get people thinking about healthy choices, placing them as responsible for their own health.

Question 4

What is the socioenvironmental approach to health?

Answer 4

Established in the mid 80’s and expanded off the Lalonde report. Realized that targeted lifestyle changes could only be implemented by the wealthy/educated. Believed health is closely tied to socioenvironmental context in which you live. Ottawa charter.

Question 5

What is the Ottawa charter?

Answer 5

The worlds first conference on public health, recognized health as a fundamental human right. 9 prerequisites to health: peace, chelter, education, food, income, stable ecosystem, sustainable resources, equity

Question 6

What is health assessment?

Answer 6

The collection of data about an individuals health state (subjective + objective)

Question 7

What are the 4 types of health assessments?

Answer 7

1. Complete health assessment (ex. yearly check-up)
2. Episodic or problem based (ex. focused on one area, ie. cardiac)
3. Follow-up (ex. revisit problems post-intervention)
4. Emergency (ex. rapid collection of data at same time as procedure)

Question 8

Why is health assessment important?

Answer 8

Assessment data gathered is used to pass clinical judgments.

Question 9

You enter a patients room who is a new client to hospital what is your first step in the gathering of complete health history?

a) gather biographical data
b) ask reason for seeking care
c) introduce yourself

Answer 9

c) introduce yourself

Question 10

What are the main components you must document in the subjective portion of complete health history?

Answer 10

1. biographical data
2. source of history
3. reason for seeking care
4. history of current illness + PQRSTU-AAA
5. past health
6. family history
7. review of systems
8. functional assessment (DONT FORGET SLEEP)

Question 11

Which of the following is NOT part of the functional subjective complete health assessment?

a) self-esteem
b) preferred pronouns
c) sleep/rest
d) substance use (vaping too)

Answer 11

b) preferred pronouns
this is part of the subjective health assessment, however it it not part of the functional assessment but rather should be inquired during introductions.

Question 12

What are the main components you must document in the objective portion of complete health history?

Answer 12

1. vital signs
2. measurements
3. IPPA (inspection- compare side2side , palpation, percussion, auscultation)

Question 13

You notice a staff nurse palpating around a lesion with her fingertips, what are they assessing for?

a) temperature
b) consistency
c) shape
d) texture

Answer 13

d) texture

tips of the fingers are best for fine discrimination

Question 14

What are a few things you are palpating for in IPPA?

Answer 14

• texture
• temperature
• moisture
• organ size/location
• vibrations
• lumps
• tenderness

Question 15

Define inspection?

Answer 15

Concentrated watching

Question 16

Which part of the hand is best for assessing thrills?

a) ulnar surface
b) back of hand
c) fingertips
d) thumbs

Answer 16

a) ulnar surface

Question 17

What is percussion and when would it be used?

Answer 17

Percussion is a method of tapping on a surface to determine the density of the underlying structures. It is used to map out size and location of an organ, provide information as to density, detecting a mass, eliciting pain, tendon reflexes

Question 18

What is the general health survey?

Answer 18

A survey of the overall impression of appearance of the client.

Question 19

What are the 4 components of a general health survey?

Answer 19

1. Physical appearance
2. Body structure
3. Mobility
4. Behaviour

Question 20

A client comes in for a scheduled appointment and you notice their face looks scruffy and they smell less than ideal, when they usually come clean shaven and with no noticeable odour. What aspect of the general survey are they noticing?

a) physical appearence
b) body structure
c) mobility
d) behaviour

Answer 20

d) behaviour

Physical appearence- refers to LOC, skin condition, facial features, acute signs of distress

Body structure- refers to symmetry, posture, position

Mobility- gait, ROM

Behaviour- facial expressions, mood/affect, speech, dress, personal hygiene

Question 21

Mental health is a person’s _______ and ______ well being.

Answer 21

emotional, cognitive

Question 22

Mental illness is a disorder that affects a person’s _____, ______, and ______. It can cause distress and impair on’e ability to function in everyday life.

Answer 22

mood, thinking, behaviour

Question 23

What acronym is used for mental health assessment?

a) ABCT
b) ADPIE
c) PQRSTU-AAA
d) ABCs

Answer 23

a) ABCT
Appearence: general behaviour
Behaviour: speech, mood
Cognition: LOC, orientation, attention/concentration, memory, comprehension/reasoning
Thinking: process, judgment, content, perception