Holistic Health Assessment Midterm 1 exam with answers

Holistic Health Assessment Midterm 1 \| \| \| \| \|




exam with answers \| \|




Before starting assessment - CORRECT ANSWERS ✔✔-Have all equipment
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ready

-Clean/sterilize your equipment \| \|




-Routine precautions \|




Tangential lighting - CORRECT ANSWERS ✔✔a source of illumination
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directed from an angle to the side of what is being examined; used to make a
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raised lesion cast a shadow, for example
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Oblique/indirect lighting - CORRECT ANSWERS ✔✔-45 degrees \| \| \| \| \| \|




*jugular pulsation \|




Inspection - CORRECT ANSWERS ✔✔-Compare right and left sides
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(symmetrical)

-Use good lighting
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>Otoscope

>Ophthalmoscope

>Specula: vaginal, nasal \| \|




>Penlight

,Palpation - CORRECT ANSWERS ✔✔-Slow and systemic
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-Light versus deep palpation
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-Intermittent pressure \|




-Bimanual palpation \|




Percussion - CORRECT ANSWERS ✔✔-Tapping: short, sharp strokes
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-Assess underlying structures
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Characteristic sounds: \|




>Resonant

>Hyperresonant

>Tympany

>Dull

>Flat



Auscultation - CORRECT ANSWERS ✔✔-Sounds produced by heart, lungs,
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BVs, and abdomen
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-Normal sounds vs abnormal and extra sounds
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Health history - CORRECT ANSWERS ✔✔-Focuses on patient concerns
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-Establish a trusting relationship
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-Gather info \|




-Assessment in nursing process \| \| \|




-medications

,-allergies



Primary data source - CORRECT ANSWERS ✔✔patient
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Secondary data source - CORRECT ANSWERS ✔✔Patient's family and chart
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>is the patient a reliable historian or inaccurate historian
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>Document who provides info \| \| \|




Objective data - CORRECT ANSWERS ✔✔-What you see during an exam
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-What you measure\| \|




-A "sign"
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Subjective data - CORRECT ANSWERS ✔✔-What the client tells you
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-What the client says
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-A "symptom"
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Components of nonverbal communication - CORRECT ANSWERS ✔✔-
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Physical appearance \|




-Facial expression \|




-Posture and positioning \| \|




-Gestures

-Eye contact\|




-Use of touch
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, -Personal touch \|




Sex vs gender - CORRECT ANSWERS ✔✔sex is biological; gender is the
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predetermined roles for men and women in the community \| \| \| \| \| \| \| \|




History - CORRECT ANSWERS ✔✔-Chief concern- reason for seeking care
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-Try to put it in the patients own words
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-i.e. "the patient says my stomach hurts
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Past history (health history) - CORRECT ANSWERS ✔✔-Childhood illnesses
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with potentially lasting effects: polio, varicella
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Immunizations

-Medical conditions (e.g. cardiac, respiratory, kidney, liver, etc.) & treatments
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received

-Surgical interventions & outcomes \| \| \|




-Injuries

-For female pts note last menstrual period (LMP) and whether she could be
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pregnant

-Include dates of initial diagnoses or surgeries
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Family history - CORRECT ANSWERS ✔✔-any significant illnesses that run
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in the patient's family
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-relevant Qs to patients concern \| \| \| \|




-any immediate family?
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