Advanced Health Assessment Midterm Study Guide Questions and Answers

Advanced Health Assessment Midterm Study
Guide Questions and Answers.

S O A P note - (correct answer) -
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a method of documentation employed by health care providers to write out notes in
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a patient's chart
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Subjective, Objective, Assessment and Plan fg fg fg fg




A B C D skin lesion assessment - (correct answer) - Asymmetry
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Border irregularity fg




Color isn't uniform fg fg




Diameter >6cm (pencil eraser) fg fg fg




Evolving size, shape and color fg fg fg fg




Preferred qualities of a first impression - (correct answer) -
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honesty, candor, openness, flexibility, eager, explanatory, open to questions
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patient centered care - (correct answer) -
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providing care that is respectful of and responsive to individual patient preferences,
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needs, and values and ensuring that patient values guide all clinical decisions
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4 C's of effective communication - (correct answer) - courtesy
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comfort
connection
confirmation
Open ended questions goal - (correct answer) - patient's description of answer
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direct question goal - (correct answer) - seeking specific information
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Leading question goal - (correct answer) - Limiting information to one focus / subject
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Reasons patients avoid the full story of the illness - (correct answer) -
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dementia, alcoholism, illness, sexual uncertainties, domestic violence, child abuse
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Potential Barriers to Communication - (correct answer) - - Curiosity about you
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- Anxiety
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,- Silence
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- Depression
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- Crying and Compassionate Moments
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- Seduction
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- Anger
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- Financial Considerations
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2 goals of a patient history - (correct answer) -
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1. identify what the patient's problem is
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2. establish reliability of the patient
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Why is it important to complete a review of systems after a history? -
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(correct answer) - to identify complementary or symptoms that may seem unrelated
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Tips when discussing a sensitive topic - (correct answer) -
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provide privacy, direct & firm, no apologies, no judgement, avoid confrontation, no j
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argon, document carefully fg fg




4 steps in approaching the examination of sensitive areas - (correct answer) -
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1. introduction & why
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2. open ended questions to explore pt's feelings
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3. repeat what's been said & give feedback
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4. take questions from pt
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TACE questions - (correct answer) -
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Does it *T*ake more than two drinks to get you drunk?
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Have people *A*nnoyed you by criticizing your drinking?
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Have you ever felt you ought to *C*ut down on your drinking?
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Have you ever had a drink first thing in the morning to steady your nerves (*E*ye ope
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ner)?
Partner Violence Screen - (correct answer) -
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Have you been hit, kicked, punched or otherwise hurt by someone within the past y
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ear?
Do you feel safe in your current relationship?
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Is there a partner from a previous relationship who is making you feel unsafe now?
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HITS tool - (correct answer) - Hurt
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Insult
Threaten

, Scream
*for intimate partner violence
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FICA tool for spiritual assessment - (correct answer) - Faith, belief, meaning
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Importance & influence fg fg




Community
Action in care fg fg




Sexuality History Goal - (correct answer) -fg fg fg fg fg fg



identify risk factors for unintentional pregnancy or STIs
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5 P's of sexual history - (correct answer) - Partners
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Prevention of pregnancy fg fg




Protection from STIs fg fg




Practices
Past history of STIs
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Functional Assessment - (correct answer) - fg fg fg fg fg



screens the safety of independent living and ability to perform ADLs, the need for ho
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me health services, and quality of life
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Functional assessment questions - (correct answer) -fg fg fg fg fg fg



mobility, upper extremity function, housework, instrumental ADLs
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pediatric triad - (correct answer) - practitioner, parent & child
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Consent by proxy - (correct answer) -fg fg fg fg fg fg



process by which people with legal right to consent to a medical treatment for them
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selves or for a minor/ward delegates that right to another person
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developmental milestone examples - (correct answer) - fg fg fg fg fg fg



holds head erect, stands alone, rolls over, walks alone, sits alone, uses words, talks i
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n sentences, dresses self, age of potty training, dentition, pubertal development
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HEEADSSS TOOL - (correct answer) - Home fg fg fg fg fg fgfg




Education and employment fg fg




Eating
Activities
Drugs
Sexuality
Suicide and depression fg fg




Safety