Advanced health assessment exam 1 QUESTION And
Answers Verified 100% Correct
What is subjective data? - 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? - 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? -
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? - ANSWER It is the deliberate
selfexamination 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? - 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? - 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? - 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 - ANSWER by measuring
distance,
near vision , and peripheral
vision
What is CN II? - ANSWER optic nerve
How do you measure distance vision for visual acuity? - 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? - 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? - 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? - 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? -
ANSWER
stroke, retinal detachment, optic neuropathy, pituitary tumor, central retinal
vascular
occlusion
How would you perform an external examination of the eyes? -
ANSWER
Systematically beginning with appendages and move
inward
eyebrow
s
orbits/periorbital
area
eyelids
What is being assessed when looking at the patient's eyebrows? - 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? - ANSWER
hypothyroidism
What is being assessed when looking at the patient's orbits/periorbital
area? -
ANSWER edema, puffiness, sagging tissue below
orbit
What can cause periorbital edema? - ANSWER thyroid disease, allergies, or
nephrotic
syndrome
(children)
What are xanthelasma? - 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? - 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? -
ANSWER
hyperthyroidism
What is ptosis? - ANSWER when the upper eyelid covers more than the top of
the iris
Answers Verified 100% Correct
What is subjective data? - 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? - 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? -
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? - ANSWER It is the deliberate
selfexamination 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? - 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? - 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? - 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 - ANSWER by measuring
distance,
near vision , and peripheral
vision
What is CN II? - ANSWER optic nerve
How do you measure distance vision for visual acuity? - 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? - 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? - 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? - 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? -
ANSWER
stroke, retinal detachment, optic neuropathy, pituitary tumor, central retinal
vascular
occlusion
How would you perform an external examination of the eyes? -
ANSWER
Systematically beginning with appendages and move
inward
eyebrow
s
orbits/periorbital
area
eyelids
What is being assessed when looking at the patient's eyebrows? - 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? - ANSWER
hypothyroidism
What is being assessed when looking at the patient's orbits/periorbital
area? -
ANSWER edema, puffiness, sagging tissue below
orbit
What can cause periorbital edema? - ANSWER thyroid disease, allergies, or
nephrotic
syndrome
(children)
What are xanthelasma? - 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? - 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? -
ANSWER
hyperthyroidism
What is ptosis? - ANSWER when the upper eyelid covers more than the top of
the iris
