ADVANCED HEALTH ASSESSMENT EXAM LATEST UPDATE 2024 WITH QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+

ADVANCED HEALTH ASSESSMENT EXAM LATEST UPDATE 2024 WITH QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+ What are the concepts of developing a relationship with the patient?--Correct Answer--See the patient as a unique individual Let them know that you really want to know all that is needed Be open and flexible Explain boundaries Be honest What is the primary objective when developing a relationship with the patient?--Correct Answer--To discover the details about a patient's concern, explore expectations, display interest, and partnership What does establishing a positive relationship with the patient depend on?--Correct Answer--Communication built on courtesy, comfort, connection, and confirmation. What are effective communication strategies when obtaining a health history?--Correct Answer--Using open-ended questions, direct questions, rarely leading questions. Facilitate by encouraging patient to say more. Reflect by repeating what you heard. Clarify. Empathize by showing understanding and acceptance. Confront by discussing disturbing behavior. Interpret by repeating what you heard to confirm. What are open-ended questions?--Correct Answer--Those that give the patient discretion about the extent of the answer. Such as "How have you been feeling?" or "What brings you in today?" What are direct questions?--Correct Answer--Those that seek specific information. Such as "How long ago did that happen?" or "Where does it hurt?" What are leading questions?--Correct Answer--Those that are prompting the patient toward the desired answer and these are the most risky. What is a patient centered question?--Correct Answer--One that respects and responds to a patient's wants, needs, preferences so that they can make choices in their care that best fit their individual circumstances. Such as "How would you like to be addressed?", "What would you like us to do today?", "How are you coping with your illness?". What are potential barriers of patient and provider communication?--Correct Answer--When the patient is curious about you, anxiety,silence, depression, crying/compassionate moments, physical & emotional intimacy, seduction, anger, avoiding the full story, financial considerations. What is the structure and components of the patient history?--Correct Answer--Patient identifiers, chief complaint, history of present illness,past medical history, family history, personal/social history, review of systems What kind of patient information is obtained in the patient identifier component of the patient history?--Correct Answer--name, age, gender, race, occupation, date, time, and referral source What kind of patient information is obtained in the chief complaint component of the patient history?--Correct Answer--a brief statement about why the patient is seeking care while probing for underlying concerns. What kind of patient information is obtained in the HPI component of the patient history?--Correct Answer--a chronological order of events leading up to the presenting problem, health status prior to the onset, a complete description of first symptoms, symptom analysis (onset, location, description, duration, intensity, character, aggravating factors, alleviating factors), impact on patients lifestyle, medications ortreatments tried What kind of information is obtained in the PMH component of the patient history?--Correct Answer--general health/strength childhood illnesses major adult illnesses and chronic diseases immunization surgeries (dates, hospital, diagnosis, complications) serious injuries resulting in disability limitation of ability to function d/t past events medications allergies (meds, environment, seasonal, food) transfusions recent screening tests emotional status What kind of information is obtained in the family history component of the patient history?--Correct Answer--Any relevant medical problems for both immediate and non-immediate family members What kind of information is obtained in the personal/social history section of the patient history?--Correct Answer--home environment and conditions (pets, economic) where was the patient raised education position in family marital status life satisfaction hobbies/interests source of stress habits (nutrition, sleep, drugs, etoh, ADL's, and smoking) self-care (self breast exams, exercise, home remedies) sexual history environmental (travel, exposure to diseases) religious and cultural preferences access to care What information is necessary when obtaining sexual health information?--Correct Answer--number of partners, concerns, birth control, protection from STI's What kind of information is obtained for the ROS component of the patient history?--Correct Answer--those that identify presence or absence of health related issues in each body system What is subjective data?--Correct Answer--it is information collected during the patient interview with the patient or significant other. it is their words. It can include symptoms, sensations, feelings, perceptions, desires, preferences, beliefs, ideas, values, personal information, ROS, complete health history What is objective data?--Correct Answer--it is the information that can be physically seen by the provider and tested against. It can include the physical exam, lab analysis, x rays, and professional consults. How do you approach sensitive issues when interviewing a patient?--Correct Answer--Provide privacy, be direct and firm, don't ask leading questions, use open-ended questions, don't apologize for asking questions, don't preach, avoid confrontation, use understandable language, watch medical jargon, document carefully using the patient's words. What does it mean to be culturally aware?--Correct Answer--It is the deliberate self-examination and in depth exploration of one's own biases, stereotypes, prejudices, assumptions that one holds about people different than them. What does it mean to be culturally competent?--Correct Answer--It requires the provider to be sensitive to a patient's heritage, sexual orientation, socioeconomic situation, ethnicity, and cultural background What are examples of questions that explore the patient's culture?--Correct Answer--"what do you call your problem?" "What do you think caused it?" "What does your sickness do to you?" "Why do you think it started when it did?" "What should be done to get rid of it?" "Who else or what else might help you get better?" What are the components of a cultural response to a patient?--Correct Answer--the response should include modes of communication to include speech, space, and body language, awareness of the the patients health beliefs, diet and nutritional practice, and the nature of relationships with their family How do you measure visual acuity and test CN II--Correct Answer--by measuring distance, near vision , and peripheral vision What is CN II?--Correct Answer--optic nerve How do you measure distance vision for visual acuity?--Correct Answer--by using a snellen chart and having the patient cover one eye and read the lowest line that he can see clearly and then alternate eyes How do you document distance vision?--Correct Answer--the numerator is 20 and the denominator is the distance at which the average eye can read the line. How do you measure near vision?--Correct Answer--by using a rosenbaum pocket screener and have the patient hold it about 14 inches from eyes and read the smallest line possible with one eye and then the other How do you measure peripheral vision?--Correct Answer--by using the confrontation test. Have the patient sit directly across from you and look directly at you. Have them cover their left eye and your cover your right eye. Then test nasal, temporal, superior, and inferior fields. Have the patient tell you as soon as they see your finger in each of those fields. What may be some causes of abnormal results from the confrontation test?--Correct Answer--stroke, retinal detachment, optic neuropathy, pituitary tumor, central retinal vascular occlusion How would you perform an external examination of the eyes?--Correct Answer--Systematically beginning with appendages and move inward eyebrows orbits/periorbital area eyelids What is being assessed when looking at the patient's eyebrows?--Correct Answer--size, extension beyond temporal canthus, texture of hair If the eyebrows do not extend beyond the temporal canthus or are course what may be the cause?--Correct Answer--hypothyroidism What is being assessed when looking at the patient's orbits/periorbital area?--Correct Answer--edema, puffiness, sagging tissue below orbit What can cause periorbital edema?--Correct Answer--thyroid disease, allergies, or nephrotic syndrome (children) What are xanthelasma?--Correct Answer--yellowish deposits on the periorbital tissue most often on the nasal side that represents a lipid metabolism disorder What is being assessed with looking at the patient's eyelids?--Correct Answer--have the patient close lids lightly to look for tremors inspect ability of eyelids to close completely and open wide check for flakiness, crusting, redness, or swelling check eyelashes to make sure that they curve away from the eye when eye is open the superior eyelid should cover a portion of the iris but not cover pupil What can be a cause of fasciculations of the eyelid when a patient lightly closes eye?--Correct Answer--hyperthyroidism What is ptosis?--Correct Answer--when the upper eyelid covers more than the top of the iris or pupil and indicates congenital weakness of levator muscle or paresis of a branch of CN III What is CN III--Correct Answer--oculomotor nerve How do you document a finding of ptosis?--Correct Answer--by recording the difference between the two eyelids in millimeters (the average lid is 2 mm below the border of the cornea and sclera. average lower lid is at the lower limbus) What is ectropion?--Correct Answer--it is when the lower eyelid turns away from the eye and may result in excessive tearing because the tear collecting system can't collect the secretions What is entropion?--Correct Answer--it is when the eyelid turns toward the globe which can cause corneal and conjunctival irritation and risk for secondary infection What is a hordeolum?--Correct Answer--it is an acute suppurative inflammation of an eyelash follicle which causes an erythematous or yellowish lump What may be the cause of crusting along eyelashes?--Correct Answer--blepharitis caused by blockage of tiny oil glands or by bacteria, seborrhea, psoriasis, rosacea, allergic response What is lagophthalmos?--Correct Answer--it is when the eyelids to not meet completely when closed and can be caused by thyroid disease, bell's palsy, aggressive ptosis, blepharoplasty When you palpate the eyes what are you assessing for?--Correct Answer--eyelids for nodules orbit for intraocular pressure If the patient complains of pain when you palpate the orbit what can be the cause?--Correct Answer--scleritis, orbital cellulitis, cavernous sinus thrombosis If the eye is very firm or resists palpation what does this indicate?--Correct Answer--it can be a sign of