Health & Physical Examination - Unit 1 Flashcards

1
Q

The Health History Interview - obtains ___ date, must be ___ without being ___, starts with a relaxed, __ setting, and assures ___.

A

objective.
orderly/rigid.
private.
confidentiality.

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2
Q

The Interview Process - what are the 3 phases?

A

Introductory Phase - ask open ended questions.
Working phase - data gathering.
Termination or closing phase.

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3
Q

If asking sensitive questions, just ask…don’t ask for permission. T/F?

A

False!

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4
Q

Chief complaint - what is it?

A

Reasons for seeking health care, recorded in direct quotes, and is a sign or symptom.

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5
Q

History of Present Illness - chronological account of client’s chief complaint…T/F?

A

True!

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6
Q

Present Health Status =

A

current health promotion activities, client’s perceived level of health, current meds/vitamins etc.

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7
Q

Past Medical History - what?

A

Allergies, childhood illnesses, hospital admissions, last exams, etc.

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8
Q

Family history - what?

A

Records of hx of blood relatives, spouse, etc.

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9
Q

With family history, how far do we go back?

A

2 generations.

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10
Q

Two methods of history are Systems Approach or Head to toe approach. T/F?

A

True!

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11
Q

A method which combines the Systems Approach and the Head to toe approach is not preferred. T/F?

A

False- it is preferred!

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12
Q

Inspection - def

A

observations, developing “new eyes.”

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13
Q

Palpation - def

A

using touch to detect variations in normal & investigate abnormalities.

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14
Q

Sense of touch - means?

A

fingertips (for fine tactile discrimination), dorsa of hands (temperature detection), base of fingers or ulnar surface of hands (vibration.)

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15
Q

It’s important to have long nails and cold hands. T/F?

A

False - you need short nails and warm hands!

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16
Q

Percussion - def

A

To determine tissue density & the presence of air, fluids, or solids.
(Some tones are resonance, flatness, dullness, tympany, hyperressonance.)

17
Q

Tympany - def

A

musical and drum like - in the stomach!

18
Q

Resonance - def

A

clear, hollow - lung.

19
Q

Dullness - def

A

muffled thud - liver.

20
Q

Flatness - def

A

dead stop - bone.

21
Q

Auscultation - use stethoscope to amplify sound. T/F?

A

True!

22
Q

General Survey - what?

A

Physical appearance, body structure, mobility, behavior, etc.

23
Q

Physical Appearance - what?

A

Age, age group, gender, level of consciousness, race, facial features, signs of acute distress.

24
Q

Mobility - what two things?

A

GAIT and ROM

25
Q

Body Structure - what does it include?

A

Body build, stature, nutrition, symmetry, posture and position, obvious deformities.

26
Q

Behavior - what?

A

Facial expression, mood and affect, speech, dress, personal hygiene.