Health Assessment - Exam I quiz
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- What is the purpose of a health history?
- To gather subjective data about a patient.
- To obtain a genetic history to determine susceptibility to disease.
- To gather past and current objective and subjective data about a patient.
- To obtain a geneologic record of familial diseases.
- No correct answer.
- The health history is a subjective/objective record of patient's current/past health.
- Which of the following are part of the "critical characteristics"?
- Aggravating factors, Location, Timing, and Color.
- Location, Palpation, Setting, and Perception.
- Quantity, Timing, Aggravating Factors, and Quality.
- Severity, Timing, Perception, Genetic Susceptibility.
- * facors are: Location, quality, quatity (severity), timing (frequency), setting, aggravating/relieving factors, and patient's perception.
- A patient is in your office complaining of a sharp pain in his wrist. The patients complaint best describes which element of the health assessment?
- Past History
- ROS
- Functional Pattern of Living
- Reason For Seaking Care.
- The pain is the reason the patient is in your office, so it is the reason for seeking care.
- A health history is...
- Strictly subjective.
- Only looks for information about physical health.
- Is to gather information on the mind, body and spirit.
- Is solely concerned with the patients mental history.
- The health history is holistic: mind, body and spirit.
- PQRSTU stands for what?
- Patient, Quality, Respect, Sanitation, Touch, Under Estimate
- Provoke, Quality, Region, Severity, Timing, Understanding Perception.
- Palliative, Quantity, Radiation, Severity, Temperature, Understanding.
- Palpate, Question, Relax, Symptoms, Timing, Understanding
- You are taking a health history on a patient and notice their eyes seem a bit yellow and their skin seems Jaundiced, what word/phrase best describes this type of objective observation?
- A sign.
- A symptom.
- An emergency.
- A complication of treatment.
- This type of observation is a sign of a possible condition.
- What is the purpose of a genogram?
- To obtain a complete family history.
- To rule out any diseases.
- For the physician to record the patients genetic history.
- To test for genetic disorders.
- To musically deliver the results of genetic testing...he he "Geno-Gram"
- It's a chart used to obtain a complete family history of illness/disease/health.
- An assessment of the past/present condition of each body system is what part of the sequence in a health history?
- Biographical Data.
- Chief Complaint.
- ROS.
- Functional Assessment.
- An assessment of body systems is the "Review of Systems" or ROS.
- Which is an example of health promotion?
- Suggesting the patient take aspirin on a daily basis to avoid high-blood pressure.
- Giving the patient an anti-inflammatory for arthritis.
- Explaining the dietary changes a patient should make after a diagnosis of DM has been presented by the physician.
- Telling a post-op CV patient he should begin a weight training program immediately.
- To promote a patients health you would suggest improvements they can implement on their own without the need for physician observation.
- What factors should you take into consideration for the setting?
- Peacefulness, privacy, accessibility.
- Privacy, appearance, patience.
- Physical Environment, appearance, soothing music/sounds.
- Privacy, physical appearance, notes.
- PIPAN - Privacy, Interruptions, Physical Environment, Appearance, Notes.
- What is the most important part of communication?
- Listening
- Being assertive.
- Speaking clearly and directly.
- Giving ample time for your patient to respond.
- Slide 11 states "Listening is the most important part of communication".
- Which phrase would not be appropriate to say during a patient interview?
- You should be on birth control because you're sexually active.
- I understand you're nervous about surgery, tell me what concerns you.
- Though this procedure is done under local anesthetic, you may feel some slight pressure.
- I am not sure if the symptoms will be completely alleviated but the medication is meant to help with your condition.
- You never give unwanted advice to a patient.
- What is included in a functional assessment?
- Listing a patients allergies.
- Getting a history of any past surgeries.
- Knowing which immunizations a patient has.
- Getting a profile of the patients daily exercise habits.
- The functional assessment imeasures a person's daily self-care ability. All of the other options are points from past health history.
- When reviewing a medical record you see the patient stated "I have had a cough for the last 10 days and now my chest feels very tight." What is this an example of?
- Functional assessment
- ROS
- CC (chief complaint)
- Past History
- The patient is seeking care for the cough and chest pain.
- The patient doesn't seem to be giving reliable information, what should you do?
- Continue to ask the same questions intermittently but rephrase them.
- Call the family member listed on their intake chart.
- Review their previous health records if available.
- Have the patient fill out their own printed health history.
- Rephrasing a question may eliminate any prior communication barriers and have the patient divulge more precise information.
- A patient with chronic IBS tells you that their favorite food is chili, but when they eat it they wind up with massive abdominal cramps and explosive diarrhea. This is an example of:
- The severity of the problem.
- Chief Complaint
- Aggravating/Relieving Factors.
- The frequency of the problem.
- Stupidity.
- The patient already knows they have an intestinal issue, the information concerning the chili is an example of an aggravating factor.
- Which of the following is the best/proper recording of a patients reason for seeking care?
- Angina Pectoris, duration 3 hrs.
- "grabbing" chest pain for 2hr
- Pleurisy, 2 days duration
- Substernal pain lasting 2 days
- Use of quotation marks is the proper way to record a patients complaint "from the horse's mouth".
- Which of the following is an example of subjective data?
- The patient presents with shaky hands.
- The patient has a pulse of 79.
- The patient tells you her migraines have gotten worse since beginning nursing school.
- The patient has a BP of 110/40.
- subjective data is data the patient gives you not what you observe.
- In a functional assessment how do we refer to the decline in functionality due to disease in an older adult?
- Disease Burden
- Instrumental Functionality Impairment
- Interpersonal Relationship Assessment
- Physical Activity Decline.
- I made up 2 of the answers :)
- Tobacco use is recorded in pack years. How do we calculate pack years?
- # of packs per week * 12
- # packs per day * years a person has smoked.
- # packs per day * 12
- # packs per week * the number of years a person has smoked.
- This was given in the book on pg. 58
