Module 1 Patient Interview

Question 1

What is the distance for the intimate space?

How much eye contact should be used?

Answer 1

0-18 inches

minimal eye contact

Question 2

What actions should be taken before going into a patient’s room?

Answer 2

Read the chart and identify key information

Question 3

You suspect that the patient has been exposed to TB. But the patient says no to travel and no to exposure to dirt. These “no” are a ____ negative.

Answer 3

A pertinent negative

Question 4

“when did your cough start” or “how long did the pain last” are examples of ____ questions

Answer 4

Closed

Question 5

Your patient’s rectal temperature varies from early morning and late afternoon, which temp would be higher, and is it afebrile?

Answer 5

The later afternoon temperature

Afebrile- temperature is in the normal range of 37 ish

Question 6

A world champion marathoner has an HR of 50. What follow up questions should you ask to determine if the patient’s normal average

Answer 6

Extreme fitness athletes have slow heart rate because of the efficiency.

Questions to ascertain if it is not “normal” are are they cold? what medications are they on?

Question 7

increased capillary refill time is caused by __________.

Compartment syndrome is ______

Answer 7

low cardiac output

Compartment syndrome is caused by abdominal pressure greater than 20 mmHg

Question 8

Where is the point of maximal impulse?

Answer 8

5th intercostal space, midclavicular line

Question 9

Difference between pneumothorax and Atelectasis?

Answer 9

Complete lumb collapse
vs.
partial collapse of the lung/ lobe of the lung.
-it happens when the alveoli within the lungs deflate or fill with fluid.

Question 10

The sternum is made up of 3 parts. what are they? hint think tie.

Answer 10

Manubrium (knot)
Gladiolus (length)
Xiphoid (bottom)

Question 11

What are the main components of SBAR reporting?

What is not an advantage?
- Improved Patient Safety
-Enabled a Shared Mental Model
-Deepens Interprofessional Hierarchies
-Format is clear and to the point

Answer 11

Situation, Background, Assessment. Recommendation ( extra- what are the parts in each)

Hierarchy

Question 12

Is “patient is sitting in a chair, dazed with a normal heartbeat and normal breath” a good example of charting? What would be a better way to describe this

Answer 12

Nope too general

the patient is sitting in semi-fowler, appears confused when asked questions, HR 80, RR 14.

Question 13

What do you do after setting patient on oxygen

Answer 13

Determine duration of flow.

_____psi x (conversion factor) = _______L / (flow rate) = minutes until empty

Question 14

What are the 4 most common respiratory sounds?

Answer 14

Wheezing - High-pitched sounds produced by narrowed airways. They are most often heard when a person breathes out (exhales). Wheezing and other abnormal sounds can sometimes be heard without a stethoscope.

Stridor - Sounds that resemble snoring. They occur when air is blocked or air flow becomes rough through the large airways.

Rales - Small clicking, bubbling, or rattling sounds in the lungs. They are heard when a person breathes in (inhales).

Rhonchi - Sounds that resemble snoring. They occur when air is blocked or air flow becomes rough through the large airways.

Question 15

What are the 5 phases of the patient clinician interaction?

Answer 15

1. Pre-interaction
2. Introduction
3. Initial Assessment
4. Treatment and Monitoring
5. Follow-up

Question 16

What is the Pre-interaction phase?

Answer 16

What you do before seeing the patient:
-Get background info on the patient.
-Check the chief complaint

Don’t forget, this is where you also check physician orders/progress notes.

Question 17

What is does during the introduction phase?

Answer 17

Establish rapport and observe the patients condition (via question and response)

note identification of the patient via armband is also done here.

Question 18

What is does during the initial assessment?

Answer 18

Overlaps with intro phase.

Allows you to decide whether the prescribed treatment is appropriate at the current time.

Things to check: visual signs/appearance as well as perform a physical examination.

Question 19

What is the treatment and follow up phase?

Answer 19

Administer intervention and monitor effectiveness of said treatment.

Make changes if needed and make sure patient is informed/kept in the loop.

Question 20

What is the follow up phase?

Answer 20

Inform patient the therapy is done.

Access the effectiveness and any changes in patient symptomology.

Make sure they’re comfortable and answer any questions within your scope of practice.

Tell patient if and when you will be returning + why.

Question 21

What are the 3 spaces?

Answer 21

Intimate space
Personal space
Social space

Question 22

Patient history is objective, detailed, and chronological. It helps provides info for a accurate diagnosis. What is a complete record of health history?

Answer 22

A complete health history contains:
-demographic data
-date and source of history
-patient condition at time of history
-Chief complaint/concern

Question 23

What should you ask when understanding illness?

Answer 23

Chronological history:
-The onset
-frequency and duration
-location and radiation
-severity and quantity
-aggravating/alleviating factors
-associated manifestations

Question 24

What should you ask when understanding medical history?

Answer 24

Childhood diseases + development

Hospitalizations

Medications/therapies

Immunizations

Habits

General health

Question 25

Why might a patient give a inaccurate patient history?

Answer 25

Level of Consciousness (LOC)
Age
Language barrier
Emotional state
SOB
Too sick

Question 26

Who might be alternate historians for a patient?

Answer 26

Family
Friends
Interpreters
old charts
family physicians

Question 27

https://quizlet.com/ca/628712608/module-1-patient-interview-flash-cards/

Answer 27

Refer and add later.

https://quizlet.com/179274988/interviewing-basics-flash-cards/

This is secondary info^^