INTRODUCTION Flashcards

1
Q

explain what is health assessment

A

An evaluation of the health status of an individual by performing a physical examination after obtaining a health history.

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2
Q

give the components of health history

A
  1. BIOGRAPHICAL DATA
  2. REASON FOR SEEKING CARE:
    CHIEF COMPLAINTS
  3. CURRENT HEALTH STATUS
  4. PAST HEALTH HISTORY
  5. FAMILY HISTORY
  6. PSYCHOSOCIAL PROFILE
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3
Q

TYPES of Health history

A

complete health history and focused health history

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4
Q

3 TYPES of PHYSICAL EXAMINATION:

A

Complete assessment
examination of the body
examination of a body area

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5
Q

the two aspects of health assessment are?

A

the physical examination and the Nursing health history

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6
Q

what are the four basic types of assessment?

A

Initial comprehensive assessment

Ongoing or partial assessment

Focused or problem-oriented health assessment

Emergency assessment

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7
Q

identify the four(4) assessment processes.

A

Collecting data

Organizing data

Validating data

Documenting data

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8
Q

It is a comprehensive orderly manner of examining a client.

A

physical assessment

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9
Q

PRINCIPAL METHODS USED TO COLLECT DATA

A

observing and interviewing

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10
Q

what is the purpose of performing a physical examination?

A

Gather baseline data about the client’s health.

Supplement, confirm or refute data obtained in the nursing history

Confirm and identify nursing diagnoses
Make clinical judgments about a client’s changing health status and management.

Identify area of health promotion and disease prevention.

Evaluate physiologic outcomes of health care.

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11
Q

PREPARATION GUIDELINES IN PHYSICAL ASSESSMENT

A

Preparing Physical Setting or Environment
Preparing Oneself
Preparing Equipment
Approaching and preparing the client

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12
Q

Comfortable room temperature
Door /curtain should be closed: free of interruptions

A

Preparing Physical Setting or Environment

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13
Q

Quiet area: free of distractions

A

Preparing Physical Setting or Environment

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14
Q

Adequate Lighting
Firm and adjustable examination table
Bedside table tray

A

Preparing Physical Setting or Environment

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15
Q

Assess your own feelings and anxieties
Wash hands before and after examination
Wear mask or gloves if necessary

A

Preparing oneself

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16
Q

List equipments necessary for each part of the exam.
Equip yourself on how to use each equipment.
Gather necessary equipment

A

preparing equipment

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17
Q

Approaching and preparing the client

A

Psychological Preparation
Physical Preparation
Positioning

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18
Q

Psychological Preparation
Physical Preparation
Positioning

A

Approaching and preparing the client

19
Q

what are the different physical assessment techniques?

A

IPPA(inspection, palpation, percussion, auscultation)

IAPP(inspection, auscultation, palpation, percussion)

20
Q
A
21
Q

4 types of palpation

A

Light palpation
Moderate palpation
Deep palpation
Bi manual palpation

22
Q

palpations that are usef for vibratios, thrills, and fremitus

A

Ulnar/palmar :

23
Q

palpation to check the temperature

A

dorsal

24
Q

Involves tapping the body parts.
Assess underlying structures

A

percussion

25
Q

three types of percussion

A

direct percussion
indirect percussion
blunt percussion

26
Q

the types of POSITIONING A PATIENT FOR EXAMINATION OR TREATMENT

A

a. Horizontal Recumbent Position.
b. Fowler’s Position.
c. Dorsal Recumbent Position.
d. Dorsal lithotomy Position.
e. lithotomy Position.
f. Prone Position.
g. Knee-Chest Position.
h. Sim’s Position.

27
Q

Why should the patient should be draped?

A

a. To provide comfort and privacy during examination.

b. To prevent unnecessary exposure of the patient’s body.

c. To help the patient relax—a patient who is embarrassed will be tense and less cooperative.

d. To prevent chilling — the drapes will provide warmth.

28
Q

What are the important things to remember when draping?

A

Draping vary with :
patient’s condition,
the position of client,
the examination and
temperature.
Draping should be loose

29
Q

what does coldspa stands for?

A

character
onset
location
duration
severity
pattern
associated factors

30
Q

how does it feel, look, sound, smell?

A

character

31
Q

when did it begin?

A

onset

32
Q

where is it? Does it radiate?

A

Location

33
Q

how long does it last? Does it recur?

A

duration

34
Q

how bad is it?

A

severity

35
Q

what makes it better? What makes it worse?

A

pattern

36
Q

what other symptoms that occur with it?

A

associated factors

37
Q

what is the meaning of PQRST

A

Precipitating / Palliative Factors
Quality/ Quantity
Region/ Radiation/ Related Symptoms
Severity
Timing

38
Q

palpation using the fingerpads

A

Strength of pulses,
texture,
size,
shape
Crepitus

39
Q

It requires the use of stethoscope to:
Listen to heart sounds
Movement of blood
Movement of bowel
Movement of air

A

auscultation

40
Q

Assess for the :
Intensity
Pitch
Duration
Quality

A

auscultation

41
Q

Involves senses to detect abnormal findings

A

inspection

42
Q

Starts from the time you meet the client and continues through out the examination.

A

inspection

43
Q

Proper exposure of body part inspected

A

inspection