NHA CCMA Study Guide with correct answers

NHA CCMA Study Guide 2023 Chief Complaint Definition - correct answer The reason why the patient came to see the physician. Chief Complaint Abbreviation - correct answer CC History of Present Illness Abbreviation - correct answer HPI History of Present Illness Definition - correct answer This is an explanation of the CC to determine the onset of the illness; associated symptoms; what the patient has done to treat the condition, etc. Past, Family and Social History Abbreviation - correct answer PFSH Past Medical History Definition - correct answer Includes all health problems, major illnesses, surgeries the patient has had, current medications complete with reasons for taking them, and allergies. Family History Definition - correct answer Summary of health problems of siblings, parents, and other blood relatives that could alert the physician to hereditary and/or familial disease. Social History Definition - correct answer Includes marital status, occupation, educational attainment, hobbies, use of alcohol, tobacco, drugs, and lifestyles. Review of Systems Abbreviation - correct answer ROS Review of Systems Definition - correct answer This is an orderly and systematic check of each organ and system of the body by questions. Both positive and pertinent negative findings are documented. 3 Body Processes Necessary for life are: - correct answer Body Temperature, Respiration, Heart Function 4 Vital Signs of Body Function are: - correct answer Temperature, Pulse, Respiration, Blood Pressure Define Body Temperature - correct answer Is a balance between heart production and heart loss in conjunction with each other, maintained and regulated by the hypothalamus. Thermometers - correct answer Are used to measure temperature using the Fahrenheit and Centigrade or Celsius scale. Temperature Sites - correct answer Mouth, Rectum, Ear (Tympanic Membrane), and the axilla (underarm). Normal Temperature Range for Rectal - correct answer 98.6F to 100.6F 37.0C to 38.1C Normal Temperature Range for Oral - correct answer 97.6F to 99.6F 36.5C to 37.5C Normal Temperature Range for Axillary - correct answer 96.6F to 98.6F 35.9C to 37.0C Normal Temperature Range for Tympanic Membrane - correct answer 98.6 F 37 C Define Febrile - correct answer Presence of Fever Define Afebrile - correct answer Absence of Fever Define Fever - correct answer Elevated body temperature beyond normal range. Intermittent Fever - correct answer Fluctuating fever that returns to or below baseline then rises again. Remittent Fever - correct answer Fluctuating fever that remains elevated; it does not return to baseline temperature. Continuous Fever - correct answer A fever that remains constant above the baseline; it does not fluctuate. Oral Temperature - correct answer Is the most common method of measurement. Oral Temperature is not taken from what patients: - correct answer -infants and children less than six years old -patients who has had surgery or facial, neck, nose, or mouth injury -those receiving oxygen -those with nasogastric tubes -patients with convulsive seizure -hemiplegic patients -patients with altered mental status How long after a patient eats, smokes or drinks do you wait to take an oral temperature? - correct answer 30 minutes When taking an oral temperature how long do you leave the thermometer in the patient's mouth? - correct answer 3-5 minutes Rectal Temperature - correct answer Is taken when oral temperature is not feasible. Rectal Temperature is not taken from what patients: - correct answer -patient's with heart disease -patients with rectal disease or disorder or has had rectal surgery -patients with diarrhea Axillary Temperature - correct answer Is the least accurate and is taken only when no other temperature site can be used. When taking an axillary temperature how long should the thermometer be held in place? - correct answer 5-10 minutes Tympanic Temperature - correct answer Is useful for children and confused patients because of the speed of operation. Tympanic Temperature is not taken from what patients: - correct answer -patients with an ear disorder or ear drainage When taking a Tympanic Temperature: - correct answer A covered probe is gently inserted into the ear canal and temperature is measured with seconds (1-3 seconds). What is the normal range for an adult pulse: - correct answer 60 to 100 beats per minute The site most commonly used for taking a pulse is: - correct answer The radial artery (found in the wrist on the same side as the thumb). When taking a pulse at the radial artery it is felt with the: - correct answer First two or three fingers (never with the thumb) and usually taken for 30 seconds multiplied by two to get the rate per minute. (Taking a pulse at the radial artery) If the rate is unusually fast or slow then: - correct answer Count it for 60 seconds The _____ _____ is a more accurate measurement of the heart rate and it is taken over the apex of the heart by auscultation using the stethoscope. - correct answer Apical Pulse Taking an apical pulse is used for patients with: - correct answer Irregular heart rate and for infants and small children. Respiratory Characteristics - correct answer Rate, Rhythm, and Depth Respiratory Rate - correct answer Is the number of respirations per minute. Normal Adult Range of Respiratory Rate - correct answer 12 to 20 per minute What counts as one respirations: - correct answer One inspiration (inhale) and One Expiration (exhale). How is a Respiratory Rate calculated: - correct answer Count respirations for 30 seconds then multiplied by two or count for a full minute. Define Apnea - correct answer This is a temporary complete absence of breathing which may by result of a reduction in the stimuli to the respiratory centers of the brain. Define Tachypnea - correct answer This is a respiration rate of greater than 40/min. It is transient in the