Health Assessment Test #1 - UTMB Exam
With Verified Solutions
What are the 5 vital signs that are normally taken?
Temperature, Pulse, Respirations, Blood pressure, and pain.
General Survey
physical appearance, body structure, mobility, behavior
physical appearance
Age: Appears to be stated age
Sex: sexual development appropriate for age
Level of Consciousness: Awake and alert, Oriented to PERSON, PLACE, TIME, AND SITUATION
Skin color: color is even, pigment varying from genetic background, skin intact, no obvious lesions
Facial Features: symmetric with movement
Overall Appearance: No signs of acute distress
How do we write orientation? What do they need to be oriented to?
Person, Place, Time, & Situation
AAOx4
If not oriented to all 4, specify which ones they are oriented to
Body Structure
Stature
Nutrition,
Symmetry
Posture
Position
Body build
Contour
Obvious physical defomities
tripod position
-Leaning forward with the arms braced against on chair arms, or against a bed.
- Chronic Pulmonary Disease
Mobility
Gait: Feet approx. shoulder-width apart, foot placement accurate, the walk is smooth and even,
maintain balance without assistance. Also, have symmetric Arm Swing.
Range of motion: Note full mobility for each joint and that movement is deliberate, accurate, and
smooth.
behavior
facial expression:
mood and affect:
speech, dress:
personal hygiene:
When repeated weights are needed.....
, aim for approximately the same time of day and same type of clothing worn each time
Unexplained weight loss
Short term illness, chronic illness
Unexplained weight Gain
May indicate Fluid retention (heart failure)
Underweight (BMI)
<18.5 kg/m2
Normal Weight (BMI)
18.5-24.9 kg/m2
Overweight (BMI)
25-29.9 kg/m2
Obesity Class 1 (BMI)
30-34.9 kg/m2
obesity class 2 (BMI)
35-39.9 kg/m2
Obesity Class 3 (BMI)
>/= 40 Kg/m2
waist circumference
Tape should be around waist at level of iliac crest
If most weight is carried around waist instead of hips, the person has a higher risk for heart disease &
type 2 disease
Waist Cicufrance risk factors
WC 35in women and 40in men increases risk for type 2 diabetes, dyslipidemia,hypertension, and
cardiovascular disease w/ people with a BMI between 25 and 35.
Dyslipidemia
Abnormally elevated cholesterol or fats (lipids) in the blood.
The Aging Adult (general survey & Measurement)
Physical Appearance: 8th and 9th-decade body contour is sharper and more angular facial features
Posture: General flexion by 8th and 9th decade
Gait: Wider base to compensate for diminished balance, steps uneven and short, arms held out for
balance
Height: 80's and 90's= shorter due to thinning of the vertebral disk, shortening of individual vertebrae,
kyphosis, and slight flexion of knees.
With Verified Solutions
What are the 5 vital signs that are normally taken?
Temperature, Pulse, Respirations, Blood pressure, and pain.
General Survey
physical appearance, body structure, mobility, behavior
physical appearance
Age: Appears to be stated age
Sex: sexual development appropriate for age
Level of Consciousness: Awake and alert, Oriented to PERSON, PLACE, TIME, AND SITUATION
Skin color: color is even, pigment varying from genetic background, skin intact, no obvious lesions
Facial Features: symmetric with movement
Overall Appearance: No signs of acute distress
How do we write orientation? What do they need to be oriented to?
Person, Place, Time, & Situation
AAOx4
If not oriented to all 4, specify which ones they are oriented to
Body Structure
Stature
Nutrition,
Symmetry
Posture
Position
Body build
Contour
Obvious physical defomities
tripod position
-Leaning forward with the arms braced against on chair arms, or against a bed.
- Chronic Pulmonary Disease
Mobility
Gait: Feet approx. shoulder-width apart, foot placement accurate, the walk is smooth and even,
maintain balance without assistance. Also, have symmetric Arm Swing.
Range of motion: Note full mobility for each joint and that movement is deliberate, accurate, and
smooth.
behavior
facial expression:
mood and affect:
speech, dress:
personal hygiene:
When repeated weights are needed.....
, aim for approximately the same time of day and same type of clothing worn each time
Unexplained weight loss
Short term illness, chronic illness
Unexplained weight Gain
May indicate Fluid retention (heart failure)
Underweight (BMI)
<18.5 kg/m2
Normal Weight (BMI)
18.5-24.9 kg/m2
Overweight (BMI)
25-29.9 kg/m2
Obesity Class 1 (BMI)
30-34.9 kg/m2
obesity class 2 (BMI)
35-39.9 kg/m2
Obesity Class 3 (BMI)
>/= 40 Kg/m2
waist circumference
Tape should be around waist at level of iliac crest
If most weight is carried around waist instead of hips, the person has a higher risk for heart disease &
type 2 disease
Waist Cicufrance risk factors
WC 35in women and 40in men increases risk for type 2 diabetes, dyslipidemia,hypertension, and
cardiovascular disease w/ people with a BMI between 25 and 35.
Dyslipidemia
Abnormally elevated cholesterol or fats (lipids) in the blood.
The Aging Adult (general survey & Measurement)
Physical Appearance: 8th and 9th-decade body contour is sharper and more angular facial features
Posture: General flexion by 8th and 9th decade
Gait: Wider base to compensate for diminished balance, steps uneven and short, arms held out for
balance
Height: 80's and 90's= shorter due to thinning of the vertebral disk, shortening of individual vertebrae,
kyphosis, and slight flexion of knees.
