physical assessment exam 2 south
college nursing
What is anxiety disorder? - CORRECT ANSWER-anxiety is a feeling of uneasiness or
discomfort from mild anxiety to panic. unlike fear anxiety has no specific source of
response.
Four levels of anxiety - CORRECT ANSWER-1. Mild
2. Moderate
3. Severe
4. Panic
What is major depression? - CORRECT ANSWER-an abnormal mood state
characterized by sense of sadness, hopelessness, helplessness, worthlessness, or
despair from loss or tragedy.
What is bipolor disorder? - CORRECT ANSWER-bipolar disorder characterized by
episodes of mania, depression, or mixed moods. mood switches may be rapid or
gradual
What is schizophrenia? - CORRECT ANSWER-A psychotic disorder characterized by
disorientation and disorganized patterns of thinking.
mild to moderate alcohol withdraw - CORRECT ANSWER-◦Fine tremors
◦Increased heart rate and blood pressure
◦Nausea and vomiting
◦Anxiety
◦Irritability
mild anxiety - CORRECT ANSWER-This first level of anxiety occurs in the normal
experience of everyday living and allows people to perceive reality in sharp focus.
moderate anxiety - CORRECT ANSWER-- The pt's perceptual field narrows, but with
assistance the pt is able to cope
severe anxiety - CORRECT ANSWER-an increased level of anxiety when more
primitive survival skills take over, defensive responses ensue, and cognitive skills
decrease significantly; person with severe anxiety has trouble thinking and reasoning
,Panic anxiety - CORRECT ANSWER-distorted perception, loss of rational thought,
immobility
What is obsessive compulsive disorder? - CORRECT ANSWER-anxiety due to intrusive
thoughts or symptoms
Fat soluble vitamins - CORRECT ANSWER-A, D, E, K
vitamin D - CORRECT ANSWER-for bones
vitamin A - CORRECT ANSWER-for eyes; carrots
vitamin K - CORRECT ANSWER-blood clotting, large intestine
vitamin E - CORRECT ANSWER-Helps protect the skin from the harmful effects of the
sun's UV light;
Macro nutrients - CORRECT ANSWER-carbohydrates, proteins, and fats
Micro nutrients - CORRECT ANSWER-vitamins, minerals, water
Protein - CORRECT ANSWER-growth and repair of body tissues
water - CORRECT ANSWER-we do not store water.
water is 60%-70% of body weight;
what causes loss of fluid? - CORRECT ANSWER-anything that increases matabolism
figner nial angles - CORRECT ANSWER-greater than 160- clubbing (chronic hypoxia)
sweat glands - CORRECT ANSWER-
skin a&P (slide 12-13) - CORRECT ANSWER-
Early signs of melanoma - CORRECT ANSWER-A- asymmetry
B- border
C- color
D- diameter
E- elevation
F- feeling
pressure ulcer - CORRECT ANSWER-erosion of the skin caused by prolonged
pressure, often occurring in bedridden patients
Stages of pressure ulcers - CORRECT ANSWER-Stage I: non-blanchable erythema of
intact skin; not broken
, Stage II: partial-thickness skin loss; still in dermis
Stage III: full-thickness skin loss; not involving underlying fascia; subcutaneous layer
Stage IV: full-thickness skin loss with extensive destruction; exposed muscle of bone
Unstageable: base of ulcer covered by slough and/or eschar in wound bed
types of yeast (teniea) infections - CORRECT ANSWER-
sensory proceseption - CORRECT ANSWER-
ears are divided into three sections - CORRECT ANSWER-external, middle,inner
Sternocleidomastoid - CORRECT ANSWER-Contraction of one side: laterally flexes
neck, rotates head to opposite side; Contraction of both sides together: flexes neck
inflamed lymph nodes - CORRECT ANSWER-Enlarged
Soft to firm
Tender
Discrete
Mobile, but may be slightly reduced
nitro-glycerin - CORRECT ANSWER-vasodilator, wear gloves; check blood pressure
and put in iv before giving nitro.
Present Health or History of Present Illness - CORRECT ANSWER-present health
status;
chronic conditions;
other chronic conditions;
medications;
past medical history - CORRECT ANSWER-ever had a pst injury, past surgeries in the
past, chronic infections, when did it occur and how was it treated, family history,
Personal and Psychosocial History - CORRECT ANSWER-last routine,
corrective devices,
daily practices to maintain health,
occupational or recreational risks,
use of nicotine or alcohol
problem based history - CORRECT ANSWER-headache
dizziness
difficulty with vision
hearing loss
ringing in the ears
earache
nasal discharge
sore throat
college nursing
What is anxiety disorder? - CORRECT ANSWER-anxiety is a feeling of uneasiness or
discomfort from mild anxiety to panic. unlike fear anxiety has no specific source of
response.
Four levels of anxiety - CORRECT ANSWER-1. Mild
2. Moderate
3. Severe
4. Panic
What is major depression? - CORRECT ANSWER-an abnormal mood state
characterized by sense of sadness, hopelessness, helplessness, worthlessness, or
despair from loss or tragedy.
What is bipolor disorder? - CORRECT ANSWER-bipolar disorder characterized by
episodes of mania, depression, or mixed moods. mood switches may be rapid or
gradual
What is schizophrenia? - CORRECT ANSWER-A psychotic disorder characterized by
disorientation and disorganized patterns of thinking.
mild to moderate alcohol withdraw - CORRECT ANSWER-◦Fine tremors
◦Increased heart rate and blood pressure
◦Nausea and vomiting
◦Anxiety
◦Irritability
mild anxiety - CORRECT ANSWER-This first level of anxiety occurs in the normal
experience of everyday living and allows people to perceive reality in sharp focus.
moderate anxiety - CORRECT ANSWER-- The pt's perceptual field narrows, but with
assistance the pt is able to cope
severe anxiety - CORRECT ANSWER-an increased level of anxiety when more
primitive survival skills take over, defensive responses ensue, and cognitive skills
decrease significantly; person with severe anxiety has trouble thinking and reasoning
,Panic anxiety - CORRECT ANSWER-distorted perception, loss of rational thought,
immobility
What is obsessive compulsive disorder? - CORRECT ANSWER-anxiety due to intrusive
thoughts or symptoms
Fat soluble vitamins - CORRECT ANSWER-A, D, E, K
vitamin D - CORRECT ANSWER-for bones
vitamin A - CORRECT ANSWER-for eyes; carrots
vitamin K - CORRECT ANSWER-blood clotting, large intestine
vitamin E - CORRECT ANSWER-Helps protect the skin from the harmful effects of the
sun's UV light;
Macro nutrients - CORRECT ANSWER-carbohydrates, proteins, and fats
Micro nutrients - CORRECT ANSWER-vitamins, minerals, water
Protein - CORRECT ANSWER-growth and repair of body tissues
water - CORRECT ANSWER-we do not store water.
water is 60%-70% of body weight;
what causes loss of fluid? - CORRECT ANSWER-anything that increases matabolism
figner nial angles - CORRECT ANSWER-greater than 160- clubbing (chronic hypoxia)
sweat glands - CORRECT ANSWER-
skin a&P (slide 12-13) - CORRECT ANSWER-
Early signs of melanoma - CORRECT ANSWER-A- asymmetry
B- border
C- color
D- diameter
E- elevation
F- feeling
pressure ulcer - CORRECT ANSWER-erosion of the skin caused by prolonged
pressure, often occurring in bedridden patients
Stages of pressure ulcers - CORRECT ANSWER-Stage I: non-blanchable erythema of
intact skin; not broken
, Stage II: partial-thickness skin loss; still in dermis
Stage III: full-thickness skin loss; not involving underlying fascia; subcutaneous layer
Stage IV: full-thickness skin loss with extensive destruction; exposed muscle of bone
Unstageable: base of ulcer covered by slough and/or eschar in wound bed
types of yeast (teniea) infections - CORRECT ANSWER-
sensory proceseption - CORRECT ANSWER-
ears are divided into three sections - CORRECT ANSWER-external, middle,inner
Sternocleidomastoid - CORRECT ANSWER-Contraction of one side: laterally flexes
neck, rotates head to opposite side; Contraction of both sides together: flexes neck
inflamed lymph nodes - CORRECT ANSWER-Enlarged
Soft to firm
Tender
Discrete
Mobile, but may be slightly reduced
nitro-glycerin - CORRECT ANSWER-vasodilator, wear gloves; check blood pressure
and put in iv before giving nitro.
Present Health or History of Present Illness - CORRECT ANSWER-present health
status;
chronic conditions;
other chronic conditions;
medications;
past medical history - CORRECT ANSWER-ever had a pst injury, past surgeries in the
past, chronic infections, when did it occur and how was it treated, family history,
Personal and Psychosocial History - CORRECT ANSWER-last routine,
corrective devices,
daily practices to maintain health,
occupational or recreational risks,
use of nicotine or alcohol
problem based history - CORRECT ANSWER-headache
dizziness
difficulty with vision
hearing loss
ringing in the ears
earache
nasal discharge
sore throat
