COMPREHENSIVE QUESTIONS WITH ACCURATE ANSWERS
correct answer What do color, temperature, and moisture variations of the skin
demonstrate
- guarding protective behavior
-facial expression masking of pain
-vocalizations of pain
-body movements (inability to keep still)
-changes in vital signs
-pallor and diaphorsesis
-pupil dilation
-dry mouth
-decreased attention span, confusion, irritability
-different descriptions of pain indicate the location of pain correct answer
Describe pain responses and nonverbal signs of pain?
-all entries are dated and timed
-errors are crossed out with one line, initialed and dated, and corrected
-chart when it happens
-if it wasn't charted, it wasn't done
-use an outline form
-don't use prohibited abbreviations
-use direct patient's quotes
-document what you observe
, -document objective data correct answer What are the legal requirements and
general recommendations for documentation?
-ask if unsure about some rituals/habits
-avoid stereotypes
-consider the individual
-adapt to the unique needs of the patient
-display genuine curiosity about their beliefs and values correct answer What
cultural considerations should be made regarding patient assessment?
-avoidance of subject
-bruises, twisted/spiral fractures
-physical signs of injury
-perception of being safe in the relationship
-cigarette burns, contusions shaped like a closed horseshoe, burns on perineum,
thighs, legs, and feet
-sexual history correct answer What are the symptoms of abuse in patients?
-brief statemeny about why the patient is seeking care
-direct quotes
-duration of the problem
-why the patient is seeking care correct answer what is included in the chief
complaint section of the history?
-calibrate scale to zero
-place a paper towel on platform before patient steps on