HEENT HEALTH ASSESSMENT
EXAM QUESTIONS WITH 100%
COMPLETE SOLVED SOLUTIONS
Health promotin - Answer--screening based on age
-preventative measures
-use of assistive devices
-promoting meaningful stimuli
How to promote meaningful stimuli - Answer--Vision- large print, magnifying glass,
sunglasses to reduce glare
-hearing- amplify phone and TV sound
-taste and smell- good oral hygiene, well seasoned foods, room deodorizers
-touch- hair brushing, therapeutic touch
Visual loss - Answer-avoid driving at night, highway driving, only drive in familiar areas;
home safety- flooring is good, stairwells with securely fastened handles
Reduced hearing - Answer-doorbells and alarm clocks need to be amplified or changed
to lower pitched buzzer like sound
Reduced olfaction - Answer-check food expiration dates, date leftovers, use smoke
detectors
Reduced tactile sensation - Answer-Label hot and cold on water faucets, home water
heater no higher than 48.4 C or 120 F
Orientation to the enviroment - Answer-reorient as needed- make sure nametag is
visible, address client by name, explain where they are
offer short simple repeated explanations
communication - Answer--initially establish very basic communication- explain situations
and treatments, refer to speech therapy
-clients with artificial airway- give client time to express needs, use communication
boards or electronic devices
controlling sensory stimuli - Answer-cluster care, plan rest periods, quiet at night
Head and neck subjective cues - Answer--headaches
-head injury or trauma to the head
, -dizziness
-neck pain or limited ROM
-lumps or swelling in the neck
-Hx of head or neck surgery
inspection and palpation of the head - Answer--inspect- note the position, size, shape,
and contour
-note- facial features looking at eyelids, eyebrows, nasolabial folds, and mouth
-examine- shape and contour of the skill; palpate for nodules or masses, check for
tracheal deviation
-Palpate- palpate temporomandibular joint space bilaterally as client opens their mouth-
should be smooth, may hear clicking
Inspection and palpation of the neck - Answer--symmetry and ROM of the neck
muscles; want to flex chin to chest then hyperextend and go side to side
-inspect lymph nodes, lower neck and thyroid area, and trachea
eyes subjective cues - Answer-vision difficulty or changes, pain, strabismus or diplopia,
erythema, edema, watering or discharge, glasses/contacts, self care behaviors
recognizing cues for the eyes - Answer--position and alignment- assess in relation to
each other, should b e parallel; exophthalmos (bulging) usually indicates
hyperthyroidism
-eyebrows- size, extension, texture of hair, alignment and movement
-eyelids- position, color, condition of the surface, direction of the eyelashes, ability to
open close and blink; ptosis- abnormal dropping usually caused by edema or
impairment of CN III
Pupils and irises - Answer--size, shape, equality, accommodations, reaction to light
-equal in size
-cloudily pupils indicate cataracts
-dilated pupils could mean glaucoma, trauma, neuro disordered, eye medication, or
withdraw from opioids
-constricted pupils- cocaine, morphine, pilocarpine
-pinpoint- opioid intoxication
eye cues - Answer--lacrimal apparatus- inspect for edema or erythma; palpate the gland
gently to detect tenderness normally tenderness cannot be felt
-conjunctivae and sclerae- bulbar conjunctivae is white porcelain in clients with light skin
and can be light yellow in darker skinned pts; sclerae can be jaundiced if clients has
cirrhosis or liver disease
-corneas- transparent, colorless, and covers the pupil and iris, inspect for clarity and
texture while shinning a pin light; in older adults it looses its luster
snellen eye chart - Answer-measures visual acutiy, eye level 20 feet from client, one
eye at a time, top number will never change
EXAM QUESTIONS WITH 100%
COMPLETE SOLVED SOLUTIONS
Health promotin - Answer--screening based on age
-preventative measures
-use of assistive devices
-promoting meaningful stimuli
How to promote meaningful stimuli - Answer--Vision- large print, magnifying glass,
sunglasses to reduce glare
-hearing- amplify phone and TV sound
-taste and smell- good oral hygiene, well seasoned foods, room deodorizers
-touch- hair brushing, therapeutic touch
Visual loss - Answer-avoid driving at night, highway driving, only drive in familiar areas;
home safety- flooring is good, stairwells with securely fastened handles
Reduced hearing - Answer-doorbells and alarm clocks need to be amplified or changed
to lower pitched buzzer like sound
Reduced olfaction - Answer-check food expiration dates, date leftovers, use smoke
detectors
Reduced tactile sensation - Answer-Label hot and cold on water faucets, home water
heater no higher than 48.4 C or 120 F
Orientation to the enviroment - Answer-reorient as needed- make sure nametag is
visible, address client by name, explain where they are
offer short simple repeated explanations
communication - Answer--initially establish very basic communication- explain situations
and treatments, refer to speech therapy
-clients with artificial airway- give client time to express needs, use communication
boards or electronic devices
controlling sensory stimuli - Answer-cluster care, plan rest periods, quiet at night
Head and neck subjective cues - Answer--headaches
-head injury or trauma to the head
, -dizziness
-neck pain or limited ROM
-lumps or swelling in the neck
-Hx of head or neck surgery
inspection and palpation of the head - Answer--inspect- note the position, size, shape,
and contour
-note- facial features looking at eyelids, eyebrows, nasolabial folds, and mouth
-examine- shape and contour of the skill; palpate for nodules or masses, check for
tracheal deviation
-Palpate- palpate temporomandibular joint space bilaterally as client opens their mouth-
should be smooth, may hear clicking
Inspection and palpation of the neck - Answer--symmetry and ROM of the neck
muscles; want to flex chin to chest then hyperextend and go side to side
-inspect lymph nodes, lower neck and thyroid area, and trachea
eyes subjective cues - Answer-vision difficulty or changes, pain, strabismus or diplopia,
erythema, edema, watering or discharge, glasses/contacts, self care behaviors
recognizing cues for the eyes - Answer--position and alignment- assess in relation to
each other, should b e parallel; exophthalmos (bulging) usually indicates
hyperthyroidism
-eyebrows- size, extension, texture of hair, alignment and movement
-eyelids- position, color, condition of the surface, direction of the eyelashes, ability to
open close and blink; ptosis- abnormal dropping usually caused by edema or
impairment of CN III
Pupils and irises - Answer--size, shape, equality, accommodations, reaction to light
-equal in size
-cloudily pupils indicate cataracts
-dilated pupils could mean glaucoma, trauma, neuro disordered, eye medication, or
withdraw from opioids
-constricted pupils- cocaine, morphine, pilocarpine
-pinpoint- opioid intoxication
eye cues - Answer--lacrimal apparatus- inspect for edema or erythma; palpate the gland
gently to detect tenderness normally tenderness cannot be felt
-conjunctivae and sclerae- bulbar conjunctivae is white porcelain in clients with light skin
and can be light yellow in darker skinned pts; sclerae can be jaundiced if clients has
cirrhosis or liver disease
-corneas- transparent, colorless, and covers the pupil and iris, inspect for clarity and
texture while shinning a pin light; in older adults it looses its luster
snellen eye chart - Answer-measures visual acutiy, eye level 20 feet from client, one
eye at a time, top number will never change
