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Physical Assessment > Test 1 > Flashcards

Test 1 Flashcards

0
Q

When do you collect when doing a full health history

A 
Bio graphical data
Reasons for seeking care
Current health or history of current illness
Past health
Family history
Review of systems
Functional assessment and ado'so
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1
Q

What is subjective data

A

What the patient says about himself or herself

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2
Q

What are the phases of noxious stimuli

A

Transduction
Transmission
Perception
Modulation

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3
Q

What is somatic pain?

A

Superficial from skin and subQ tissue

Caused by joints tendons muscles or bone

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4
Q

What is visceral pain?

A

From direct injury or stretching of interior organs

Result of tumor ischemia distention or contraction

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5
Q

What is neuropathic pain

A

Caused by lesion or disease affecting somatic sensory nervous system
Result from damaged nerve pathway

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6
Q

What are the causes of neuropathic pain

A

Caused by nerve trauma infection metabolic problems maybe drug-induced

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7
Q

What does PQRSTU stand for

A 
Provocative or palliative
Quality of pain
Region of the body
Severity
Timing in onset of pain
Understanding of pain
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8
Q

According to the biomedical model a narrow definition of health is

A

The absence of disease

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9
Q

A medical diagnosis is used to evaluate

A

The cause of disease

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10
Q 
Examples of subjective data is
A.decreased range of motion
B. Crepitation in the left knee joint
C.Left knee has been swollen and hot for the past three days
C.arthritis
A

C. Left knee has been swollen for the past three days

Subjective data is when a person says about himself or herself during history taking

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11
Q

Whatever database is most appropriate for an individual who is been admitted to a long term carefacility

A

Complete database
because it includes a complete health history and a full physical examination it describes the current and past how state and forms a baseline against which All future changes can be measured

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12
Q 
Which of the following is considered objective data
A.alert and oriented
B.dizziness
C.an earache 
D. Sore throat
A

Alert and oriented

It is what the health professional observes

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13
Q

An example of objective data is

A

Capitation in the left knee joint
Objective data is when the hell professional observed by inspecting for percussing palpating during the physical examination

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14
Q

A nursing diagnosis is best described as

A

Concise statement of actual or potential health concerns or level of wellness

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15
Q

Before determining whether cultural practices are helpful harmful or neutral nurses must first understand
A.The logic of traditional beliefs systems
B.The believes of the patient’s family
C.Their personal belief model
D. The risk of the disease in the patient ethnic group

A

A.The logic of traditional beliefs systems

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16
Q

Spirituality is defined as

A

Personal effort to find meaning and purpose in life

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17
Q

What is the ying/yang theory of health

A

Health exists when all aspects of the person are in the perfect balance

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18
Q

Which theory has been expanded and attempt to study the degree to which person’s lifestyle reflects his or her traditional heritage

A

Heritage consistency

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19
Q

Symptom is greatly influenced by persons cultural heritage

A

Pain

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20
Q

Parents or caregivers a company children to the healthcare setting starting at ____ years of age the interviewer asked the child directly about his or her presenting systems

A

7

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21
Q

The use of euphemisms avoid reality or to hide feelings is known as

A

Avoidance language
Are used to avoid reality or to hide feelings
using direct language is the best way to deal with frightening topics instead of using avoidance language

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22
Q

Nonverbal communication is the primary form of communication for which group of individuals

A

Infants

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23
Q

Viewing the world from another person’s inner frame of reference is called

A

Empathy

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24
Q

Which of the following is included in documenting and history source

A

Reliability of information

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25
Q

The cage test is screening questionnaire that helps to identify

A

Excessive or uncontrolled drinking

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26
Q

The review of systems in the health history is

A

An evaluation of past and present health state of each body systems

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27
Q

When recording info for the review of the systems the interviewer must document
A. Physical findings
B. “Negative” under the system heading
C. The presence or absence of all symptoms under the system heading
D. Objective data that supports the history of present illness

A

C. The presence or absence of all symptoms under the system heading

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28
Q

Assessment of self-esteem and self concept is part of the functional assessment. Areas covered under the self-Esteem and self concept include:

A

Education, financial status, and value belief systems

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29
Q

PQRSTU helps the clinician to remember to address characteristics specific to:

A

Symptoms

The 8 critical characteristics of any symptoms reported in the history of the present illness

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30
Q

What info is included in greater detail when taking a health history on an infant?

A

Nutritional data

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31
Q

A full mental status examination should be completed if the patient

A

Has a change in behaviour and the family is concerned

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32
Q

Aphasia is best described as

A

A language disturbance in speaking writing or understanding

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33
Q 
A patients who was recently diagnosed with a seizure disorder plans to continue a career as a pilot. At this time in the interview, the nurse begins to question the patients 
A. Thought process
B. Judgement 
C. Perception 
D. Intellect
A

Judgement

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34
Q

A major characteristic of dementia is:

A

Impaired short term and long term memory

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35
Q

Mental status assessment documents:

A

Emotional and cognitive functioning

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36
Q

Which of the following statements that mental health status testing of children is correct

A

Abnormal findings are usually related to not achieving an expected developmental milestones

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37
Q 
Which of the following best abnormality of thought process
A.liability
B. Blocking
C.compulsion
D. Aphasia
A

B. Blocking
Thought process is defined as the way a person thinks or as the logical train of thought locking is a sudden interruption in training thought

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38
Q

The mental status examination is

A

Assesses mental health drinks and coping skills and screens for any dysfunction

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39
Q

The palpation is used for

A

Identifying abdominal content

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40
Q

Amplitude is

A

The intensity softer loud sound

41
Q

The dorsa of the hand is used to determine

A

Temperature

42
Q

Find tactile discrimination is best achieved with the

A

Fingertips

43
Q 
Funduscopic examination is an examination of the
A.inner ear
B. Pharynx
C.internal structure of the day
D.nasal
A

C. Internal structure of the Eye

44
Q

Performing percussion the examiner

A

Strikes the stationary finger at the distal interphalangeal joint

45
Q

At the end of it examination examiner should

A

You the findings with the patient

46
Q

When should the examiner use handwashing instead of an alcohol-based hand rub

A

If the patient has infection with clostridium difficult

47
Q

General survey consists of four distinct areas of these areas include

A

Physical parents body structure mobility and behavior
The general survey is the study of the whole person covering the general health state and any obvious physical care of sticks

48
Q

A common blood pressure measurement includes

A

Waiting less than 1 to 2 minutes before repeating the blood pressure reading on the same arm

49
Q

The Doppler technique is

A

Augments korotkoff during blood pressure measurement
the Doppler technique maybe use to locate peripheral pull sites and for blood pressure measurements to argument Korotkoff sounds

50
Q

The tympanic membrane thermometer

A

In accurate measurement of core body temperature

51
Q

Endogenous obesity is

A

Caused by excessive adrenocorticotropin production of the pituitary gland

52
Q

To perform an accurate assessment of respiratory examiner should

A

Him for 30 seconds after completing a post assessment and multiply by two

53
Q

Physical parents include statement second pair appearance with

A

Stated age

54
Q

And adults patient’s pulse is 46 bpm the term used to describe this rate is

A

Bradycardia

55
Q 
The nurse records of the patient's pulse is 3+ or full and bounding which of the following could be the cause
A.dehydration
B.shock
C.bleeding
D.anxiety
A

D. Anxiety

56
Q

When taking health history the patient complains of pruitus.what is the common cause of the symptoms

A

Drug reactions

Common causes include dry skin aging drug reactions allergy obstructed jaundice and lice

57
Q

A flat macular hemorrhages called

A

PurpurA

58
Q

Risk factors that may lead to skin disease and breakdown include

A

A lifetime of environmental trauma

59
Q

What term refers to a linear skin lesion that runs along a nerve route?

A

Zosteriform

60
Q

An example of a primary lesion is an

A

Urticaria

61
Q 
A scooped out shallow depression in the skin is called an 
Ulcer 
Excoriation 
Fissure
Erosion
A

Erosion

An erosion is a scooped out shallow depression in the skin

62
Q

Bleeding into the periosteum during birth is know as

A

Cephalhematoma

63
Q

Craniosynostosis is a severe deformity caused by

A

Premature closure of the structures resulting in a long narrow head

64
Q

What disease is characterized by a flat expressionless or mask-like face, a staring gaze, oily skin, and elevated

A

Parkinson’s Disease

65
Q

The number of lobes within the breasts ranges between

A

15-20

66
Q

The most common site of cancerous breast tumours are in the

A

Upper outer quadrant

67
Q

Stridor is a high pitched, inspiratory crowing sound commonly associated with

A

Upper airway obstruction

68
Q

Percussion of the chest is

A

Helpful only in identifying surface alterations of lung tissues

69
Q

The first heart sound is produced by

A

Closure of the av valve

70
Q

Palpable inguinal lymph nodes are

A

Normal if small, movable and no tender

71
Q

The cervical nodes drainage the

A

Head and neck

72
Q

The patient has severe bilateral lower extremity edema is most likely caused by

A

Heart failure

73
Q

The organ I’m the right upper quadrant of the abdomen is the

A

Liver

74
Q

Pyrosis s

A

Burning sensation in the upper abdomen

75
Q

Pain signals are carried to the CNS by

A

Afferent fibres

76
Q

What occurs during transduction

A

Pain signals move from the site of origin to the spinal cord

77
Q

What is the source of deep somatic pain

A

Bones and joints

78
Q

Specialized nerve endings that are designed to detect painful sensations are

A

Nociceptors

79
Q

What is a negus?

A

A mole

80
Q

To access for jaundice you will assess

A

Sclera and hard palate

81
Q

You examine nail beds for clubbing the normal angle between nail base and the nail is how many degrees

A

160 degrees

82
Q

During tithe otoscopic examination of a child younger than 3 years of age the examiner

A

Pulls the pinna down

83
Q

Examining an adult ear you

A

Up and back

84
Q

The Manubriosternal angle is

A

It he articulation of the Manubriosternal and the body of the sternum

85
Q

In order to use the technique of egophony ask the patient to

A

Say eee each time the stethoscope is moved

86
Q

The pulse oximeter measures

A

Arterial oxygen measures

87
Q

Where would you fine the apex of the lungs

A

3-4 cm above the inner third clavicle

88
Q

Where would you find the base of the lung

A

Rests on the diaphram

89
Q

Where would you find the lateral left lung

A

6th rib, mid clavicular line

90
Q

Where would you locate the lateral right lung

A

Fifth intercostal

91
Q

Where would you locate the posterior apex

A

c7

92
Q

To listen to the pulmonic valve area you would listen with your stethoscope where

A

Second left interspace

93
Q

When auscultating the heart your first step is to

A

Identify s1 and s2

94
Q

In order to screen for deep vein thrombosis you would

A

Measure the widest point with tape measure

95
Q

Right upper quad tenderness may indicate pathology in the

A

Liver pancreas or gallbladder

96
Q

The a sense of bowel sounds establish after listening for

A

5 full minutes

97
Q

Auscultating of the abdomen begin in the right lower quad because

A

Bowel sounds are always heard here

98
Q

Tenderness during abdominal palpation is expecting when palpating

A

The sigmoid process

99
Q

Murphys sign is best described as

A

Pain felt when taking a deep breath when the examiners fingers are on the approx location of the inflamed gallbladder

Physical Assessment (1 decks)

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