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Advanced Health Assessment Midterm Study Right answer Material 2024
Typology: Exams
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S O A P note - Right answer a method of documentation employed by health care providers to write out notes in a patient's chart Subjective, Objective, Assessment and Plan A B C D skin lesion assessment - Right answer Asymmetry Border irregularity Color isn't uniform Diameter >6cm (pencil eraser) Evolving size, shape and color Preferred qualities of a first impression - Right answer honesty, candor, openness, flexibility, eager, explanatory, open to questions patient centered care - Right answer providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions 4 C's of effective communication - Right answer courtesy comfort connection confirmation Open ended questions goal - Right answer patient's description of answer direct question goal - Right answer seeking specific information
Leading question goal - Right answer Limiting information to one focus / subject Reasons patients avoid the full story of the illness - Right answer dementia, alcoholism, illness, sexual uncertainties, domestic violence, child abuse Potential Barriers to Communication - Right answer - Curiosity about you
Functional Assessment - Right answer screens the safety of independent living and ability to perform ADLs, the need for home health services, and quality of life Functional assessment questions - Right answer mobility, upper extremity function, housework, instrumental ADLs pediatric triad - Right answer practitioner, parent & child Consent by proxy - Right answer process by which people with legal right to consent to a medical treatment for themselves or for a minor/ward delegates that right to another person developmental milestone examples - Right answer holds head erect, stands alone, rolls over, walks alone, sits alone, uses words, talks in sentences, dresses self, age of potty training, dentition, pubertal development HEEADSSS TOOL - Right answer Home Education and employment Eating Activities Drugs Sexuality Suicide and depression Safety **adolescent screening tool PACES TOOL - Right answer parents / peers accidents cigarettes emotional issues school / sexuality **adolescent screening tool
fraility - Right answer >80 y/o;; ^ loss of physical function & independence, decreased physical reserve diagnostics - Right answer tests that need performed or ordered to develop a plan of care PAMI list - Right answer Patient's medical problems Allergies with reaction Medications with doses Instructions of how administered / immunizations OLD CARTS - Right answer Onset Location Duration Characteristics Aggravating and Alleviating Factors Related Symptoms Temporal factors -- frequency & occurance Severity Sensitive Patient health information - Right answer HIV status substance abuse mental health conditions Terms to describe current condition status - Right answer stable uncontrolled resovled cranial nerves - Right answer 12 pairs of nerves that carry messages to and from the brain Cranial Nerve 1 - Right answer Olfactory (smell) Cranial Nerve 2 - Right answer Optic nerve (visual acuity)
How to write a plan of care - Right answer additional studies referrals / consultations pharm management nonpharm management pt education IPPA - Right answer Inspection Palpation Percussion Auscultation how to approach a visually impaired patient - Right answer identify yourself inform pt if leaving room environmental orientation how to approach a hearing impaired patient - Right answer pt's choice of communication method face the patient not the interpreter Autonomic hyperreflexia (dysreflexia) - Right answer Massive, uncompensated cardiovascular response to stimulation of the sympathetic nervous system Stimulation of the sensory receptors below the level of the cord lesion Snellen chart - Right answer chart containing symbols that is used in the testing of visual acuity HOTV test - Right answer the child is given a board containing a large H, O, V, T. the examiner points to a letter on the wall chart, and the child matches the correct letter on the board held in his or her hand
Tumbling E chart - Right answer should be used with those children who cannot identify alphabet letters 100% of the time, but who can correctly indicate the direction of the "E" 100% of the time after training. They must know the concepts of matching and direction to play the "E" game transillunination - Right answer strong light focused through a body cavity to identify abnormalities Goniometer - Right answer instrument used to measure joint angles Wood's lamp - Right answer Filtered black light that is used to illuminate skin disorders, fungi, bacterial disorders, and pigmentation. dermascope - Right answer An elaborate magnifying mirror/light that incorporates a black light; also called a skin scope Monofilament - Right answer single strand of material; used to test for loss of protective sensation especially on plantar surface of the foot Where do you perform the monofilament test? - Right answer great toe, heel, ball of foot BMI formula - Right answer Weight (in Pounds) / Height (in inches) Squared x 703 BMI in adults - Right answer <15 severe level, indicative of anorexia <19 underweight 19-24.9 Optimal weight 25-29.9 Overweight
person XO instead of XX, or part of one X chromosome is deleted. hydrocephalus - Right answer abnormal accumulation of fluid (CSF) in the brain Failure to Thrive (FTT) - Right answer physical and developmental retardation of infants or children resulting from physical or emotional neglect, below 3-5 percentile growth hormone deficiency - Right answer absence or deficiency of growth hormone produced by the pituitary gland to stimulate the body to grow percocious puberty - Right answer Early Puberty
Resting energy expenditure (REE) - Right answer the amount of energy required to maintain basic body functions basal metabolic rate (BMR) - Right answer the rate at which the body burns energy when the organism is resting Anthropometrics - Right answer The measurement of the size, proportions, and range of motion of the human body. Fat soluble vitamins - Right answer Vitamins A, D, E, K water soluble vitamins - Right answer B vitamins and vitamin C Vitamin A function - Right answer integrity of the skin, vision in dim light, wound healing Vitamin D function - Right answer -promotes bone mineralization (makes calcium and phosphorus available to blood that bathes bones) -assists in immune function Vitamin E function - Right answer antioxidant that protects erythrocytes and membranes from damage (E for Erythrocytes) Vitamin K function - Right answer blood clotting and bone formation Vitamin C function - Right answer -production and maintenance of collagen -enhances immune response -does not prevent colds -assists in iron absorption -antioxidant
Magnesium functions - Right answer Nerve & heart function, assists enzymatic reactions and provides rigidity to bones Sodium functions - Right answer -Regulating fluid balance -Regulating blood pressure -Transmitting nerve impulses -Contracting muscles -Helping nutrient transport Potassium functions - Right answer fluid balance, transmission of nerve impulses, muscle contraction Iron function - Right answer Helps carry oxygen to the blood and helps cells use oxygen. Iodine function - Right answer thyroid hormone synthesis Fluoride function - Right answer part of bones and teeth formation and resistance to decay Copper functions - Right answer Helps with the use of iron. Helps with respiration. Selenium function - Right answer cell growth & development, fat metabolism Zinc function - Right answer -used with proteins for enzymes -vision -immune function -wound healing -taste perception -normal growth normal hemoglobin levels - Right answer 12-18 g/dL
normal hematocrit levels - Right answer 40-50% normal protein level - Right answer 3.4-5. normal serum cholesterol - Right answer <200 mg/dL Normal triglyceride level - Right answer <150 mg/dL Normal HDL levels - Right answer >40 mg/dL Normal LDL levels - Right answer <130mg/dL normal serum glucose level - Right answer 75- Normal HgbA1c - Right answer 4-6% risk factors for skin cancer - Right answer H - history of previous melanoma A - age over 50 R - regular dermatologist absent M - mole changing M - male gender Skin types - Right answer Classification that describes a person's genetic skin type. 1-3 more likely to get skin cancer ABCD rule - Right answer asymmetry, border irregularity, color, diameter >6mm (pencil eraser), evolving size shape or color Sunscreen Rules - Right answer SPF 30 or higher apply 15-20 mins before exposure reapply after swimming reapply every 2-3 hours
Collateral - group goals more important than individual goals, relationships with peers emphasized Beneficence (Definition) - Right answer "do good" ; Duty to promote the patients welfare. Serve the patient and public-at- large. Competent and timely delivery of care within the bound of clinical circumstances presented by the patient. Ethical Decision Making Process - Right answer 1. Identify the ethical dilemma
Palpation -capillary refill -texture -firmness -adherence to nailbed Thyroid exam - Right answer locate/inspect trachea feel for deviation locate thyroid just below cricoid cartilage observe patient swallow displace trachea to rt/left and ask to swallow note shape, size, consistency abnormal nails - Right answer white spots - zinc deficiency spoon shaped nails - iron deficiency splinter hemorrhage - injury to brittle nail Psoriasis characteristics - Right answer 1. Thickened patches of inflamed, red skin, frequently covered by silvery scales
Sinus exam - Right answer percuss sinuses (frontal, maxillary) tuning fork test - Right answer evaluation of sound conduction using a vibrating tuning fork Cranial Nerve Mnemonic - Right answer Oh Once One Takes The Anatomy Final Very Good Vacations Are Heavenly Cranial Nerve Exam - Right answer major section of the neurological exam that assesses sensory and motor functions of the cranial nerves and their associated central and peripheral structures eye exam - Right answer -Test central visual acuity
Throat Exam - Right answer Inspect palate and uvula: "yawn" or "say ah" Note if uvula is midline and check gag reflex if needed (neuro exam) Use tongue blade to assist in viewing Tonsil enlargement is rated 1-4+, erythema, exudates GI organs - Right answer 1. mouth (oral cavity)