Physical Assessment- Mental Health, GCS, Skin Flashcards

1
Q

What is Infection control in physical assessment?

A

hand hygiene,
standard/additional precautions,
cleaning of equipment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Correct environment for physical assessment?

A

privacy & dignity,
warm, quiet, lighting, equipment
clean, working and available
e.g. Stethescope, blanket etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A Patient- (physical & psychological) before physical assessment?

A
explain in appropriate terminology (therapeutic interaction), 
informed consent, appropriate 
dress, empty bladder 
(abdominal), assess for pain, 
correct position.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does IPPA stand for?

A

I-Inspection (sight, sound, smell)
P-Palpation (touch)
P-Percussion (touch, sound)
A-Auscultation (sound via stethoscope)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is inspection in physical assessment?

A
• Look: 
– collecting objective data 
• Inspection: 
– concentrated observation 
– Careful scrutiny 
– Comparing 
– Counting 
– Measuring 
– Smelling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is palpation?

A

The act of touching a patient in a therapeutic manner to elicit specific information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What tools do you need for palpation?

A

Tools: Hands
– Clean
– Short nails
– Warm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the purpose for palpation?

A
  • Locate organs and assess size of organs
    – Assess texture/temperature/moisture/lumps
    – Measure, pulsations, rigidity, swelling, tenderness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the technique used for palpation?

A

– Informative
– Slow
– Systematic
– Gentle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When do you use your fingertips for palpation?

A

fine tactile discrimination eg. Palpate pulses & breast examination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When do you use the Dorsum of the hand in palpation?

A

Temperature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When do you use the Palmar pads of the metacarpal

phalangeal joints in palpation?

A
for vibration (use palmar pads for thrills or vibration 
of the precordium)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When do you use the Palmar pads or ulnar surface in palpation?

A

of the hand, also for vibration (use for tactile fremitus over the thorax)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Fingertips in palpation?

A

grasp the skin over the sternum to assess turgor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is percussion?

A

The technique of striking one object against another that

produces sound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Guidelines for percussion?

A

Short finger nails

17
Q

What is the technique used in percussion?

A
o Firm, rapid, sharp strikes 
o Wrist only, forearm still 
o Remove striking finger after 
strike 
o Tapping sound 
o Indirect, mediate percussion
18
Q

What is auscultation?

A

The act of listening to sounds produced by the body
 Direct Auscultation: listening with unaided ear
 Indirect auscultation: listening with amplification or mechanical
device

19
Q

What is the diaphragm of a stethoscope used for?

A

flat edge, for high pitch sounds: breath, bowel, normal heart sounds

20
Q

What is the bell of a stethoscope used for?

A

the end piece, deep hollow cup shape, low pitch, heart murmurs, extra heart sounds

21
Q

What is and how to use a Doppler ultrasonic stethoscope?

A
Gel is placed on the body part being 
assessed then the doppler placed 
directly.. 
This device amplifies sounds, and 
tones that are unpalpable: pulses
22
Q

What can interfere when auscultating?

A

– Hair
– Shivering
– Clothing

23
Q

What is the purpose of a mental health assessment?

A

Assess capacity to think, sense, perceive and move

24
Q

What does a mental health assessment include?

A
Mental and emotional status 
Appearance 
Behaviour 
Cognition 
Thought process 
Sensation and perception 
Motor function
25
Q

What is a past health history in mental health assessment?

A

Previous problems, substance abuse
medical hx, surgical hx, medications, communicable diseases,
injuries and accidents

26
Q

What is family history in mental health assessment?

A

Headaches, epilepsy, Alzheimer’s disease,

Huntington’s chorea, muscular dystrophies, mental illness

27
Q

What is environmental hx in mental health assessment?

A

exposure to chemicals, travel hx

28
Q

What is psychological in mental health assessment?

A

self-esteem and stress caused by mental or
neurological illness, support system, spouse, children, friends,
coping mechanism, recent loss, grief

29
Q

What should you do before you begin a mental health assessment?

A

ensure privacy, consider influencing factors,

enable eye contact, ideally sit at same level

30
Q

What does a integument assessment include?

A

Skin, hair, nails

31
Q

What are the functions of the skin?

A
→Protect 
→Prevent 
→Sense 
→Regulate 
→Secrete 
→Promote
32
Q

What is past health history in integument assessment?

A

thorough, any past skin issues, piercings,

alopecia, hair distribution

33
Q

What is family health history in integument assessment?

A

any skin, hair or nail conditions in the family

34
Q

What is social history in integument assessment?

A

includes alcohol, smoking, environment, products used

35
Q

What equipment do you need for integument assessment?

A

– Magnifying glass
– Lighting: natural light & pen light
– Gloves
– Ruler

36
Q

What do you inspect for examination of the skin?

A
Colour 
– Bleeding 
– Ecchymosis 
– Vascularity 
– Lesions 
– Moisture 
– Temperature 
– Texture 
– Turgor 
– Oedema
37
Q

What do you palpate in the examination of the skin?

A
– Moisture 
– Temperature 
– Tenderness 
– Texture: finger pads 
– Turgor (elasticity): pinch 
– Oedema
38
Q

How do you inspect and palpate the hair?

A
• Colour 
• Distribution: 
– Alopecia 
– Hirsutism. 
• Scalp lesions 
• Palpate texture
39
Q

What do you inspect and palpate for the nail?

A
Function of nail
Cleanliness
Color
Texture
Capillary refill