Assessment, General Survey & Physical Exam.

Front 1

01. purpose of assessment is to form a ...

Back 1

database about the Pts perceived needs, health problems, and responses to problems

Front 2

02. there are two approaches to a comprehensive assessment ______________ and __________________.

Back 2

gordon's model of 11 functional health patterns and problem-oriented approach

Front 3

03. describe the purpose of the general survey

Back 3

provides info about characteristics of an illness, Pts ability to function independently, body image, emotional state, weight change, and developmental staus

Front 4

04. list the components of the general survey

Back 4

assess for: general appearance & behavior, vital signs, and height and weight

Front 5

05. what do you review when assessing appearance & behavior?

Back 5

gender/race, age, signs of distress, body type, posture, gait, body movements, hygiene/grooming, dress, body odor, affect/mood, speech, signs of abuse, and substance abuse

Front 6

06. how do Hx and physical exam. relate to each other

Back 6

allows for comparison of current health status vs. Hx to distinguish variations, patterns and improvement/deterioration

Front 7

07. the physical exam of a child focuses on ...

Back 7

growth and development, sensory screening, dental exam., and behavioral assessment

Front 8

08. the physical exam. of an older adult focuses on ...

Back 8

physical data, developmental stage, family relationships, religious and occupational pursuits, Pts cognitive, affective, and social level, and ability to perform ADLs

Front 9

09. what are the 4 techniques of the physical examination?

Back 9

inspection, palpation, percussion, and auscultation

Front 10

10. inspection

Back 10

look, listen, and smell to distinguish normal from abnormal

Front 11

11. palpation

Back 11

using the sense of touch to gather info

Front 12

12. percussion

Back 12

tapping the skin w/fingertips and listening to the sound

Front 13

13. auscultation

Back 13

listening to sounds the body makes to detect abnormalities

Front 14

14. how to prepare a pt for a Hx

Back 14

start with open-ended questions, use attentive listening skills, use therapeutic communication, observe verbal cues, and stay focused, orderly, and don't rush

Front 15

15. how to prepare a Pt for a physical examination

Back 15

ensure Pts comfort needs are met, allow for elimination, maintain privacy, provide climate control, and position the Pt properly

Front 16

16. list the 8 positions for a physical exam.

Back 16

sitting, supine, dorsal recumbent, lithotomy, sims', prone, lateral recumbent, and knee-chest

Front 17

17. sitting allows for assessment of ...

Back 17

head, neck, back, posterior/anterior thorax and lungs, breasts, axillae, heart, VS, and upper extremities

Front 18

18. supine allows for assessment of ...

Back 18

head/neck, anterior thorax/lungs, breasts, axillae, heart, abd, extremeties, an pulses

Front 19

19. dorsal recumbent allow assessment of ..

Back 19

head/neck, anterior thorax/lungs, breasts, axillae, heart, and abd.

Front 20

20. lithotomy allows assessment of ...

Back 20

female genitalia and genital tract

Front 21

21. sims' allows assessment of ...

Back 21

rectum and vagina

Front 22

23. lateral recumbent allows assessment of ...

Back 22

heart; murmurs

Front 23

24. knee-chest allows assessment of ...

Back 23

rectum

Front 24

24. what does baseline mean?

Back 24

it's a Pt functional abilities used to measure changes against