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healthassessquiz1

QuestionAnswer
Subjective data, as well as symptomatic data, should be placed in the _________ section history section
The quality of a symptom, such as pain is ____information that should be described in the _________ section subjective data, history
Which is an effective adjunct to document location of findings during the recording of the physical exam relationship to anatomic landmarks
The position on a clock, topographic notations and anatomic landmarks are methods for ______ recording locations of findings
regardless of origin, discharge is described by noting oolor and consistency
drawing of stick figures is most useful to compare findings in extremities
findings of an unknown origin should be recorded on the patients _______ problem list
a problem may be defined as anything that will require: evaluation
differential diagnoses belong in the ______ assessment
When recording assessments during the construction of the problem-oriented medical record, the examiner should: create an assessment for each problem on the problem list.
Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n): PROGRESS NOTE
detailed description of the symptoms related to the chief complaint is presented in the: history of present illness
The effect of the chief complaint on the patient’s lifestyle is recorded in which section of the medical record? history of present ilness
The patient’s perceived disabilities and functional limitations are recorded in the: past medical history
The review of systems is a component of the: health history
Allergies to drugs and foods are generally listed in which section of the medical record? past medical history
Information such as education and economic condition is part of personal and social
Information recorded about an infant differs from that recorded about an adult, mainly because of the infant’s: developmental status
In which section of the newborn history would you find details of gestational assessment and extrauterine adjustment data? present problem
Data relevant to the social history of older adults include information on: family support systems
A SOAP note is used in which type of recording system? problem oriented
The examiner’s evaluation of a patient’s mental status belongs in the: physical examination
follow-up visits for problems identified in the POMR are recorded in the_________ progress notes
Documentation of the _________ should always be done by using the patient’s own words in quotation marks. chief complaint
When using the mnemonic OLDCARTS, the A stands for ____________________. aggravating an associated factors
The duties of care providers established by tradition, and within the context of culture, are known as: deontological imperatives
When are open-ended questions generally most useful? during the initial part of the interview
Behaviors that diffuse anxiety during the interview include: providing forthright answers to questions
Periods of silence during the interview can serve important purposes, such as: providing times for reflextion
a woman complains that she has had crushing chest pain for the past 2 days. She seems nervous as she speaks to you. An appropriate response is to: continue to collect information regarding the chief complaint in an unhurried manner.
When interviewing older adults, the examiner should: position himself facing the patient
The iatrotropic stimulus refers to the: the patients stimulus to seek care
A pt complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the: personal and social history.
A pt. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: CAGE questionnaire
A tool used to screen adolescents for alcoholism is the: CRAFFT
Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an): functional assessment
If the patient is well known or if you have been seeing the patient for the same problem over time, a __________ is appropriate focused history
A fixed image of any group that rejects its potential for originality or individuality is known as a(n): sterotype
Which group is traditionally considered to be past oriented? eastern asians
Which group is characterized as emphasizing accomplishments that are measured by external standards? dominant americans
Mr. Jones is a 45-year-old patient who presents to the office. A person’s definition of illness is likely to be most influenced by: enculturation
As the health care provider, you are informing a patient that he or she has a terminal illness. This discussion is most likely to be discouraged in which cultural group? Navajo Native Americans
Tuberculosis is an example of a "___" condition cold
The duties of care providers established by tradition, and within the context of culture, are known as: deontological imperatives
The iatrotropic stimulus refers to the: patient’s stimulus to seek care.
________ is used to screen adolescents for important issues in their life PACES
the process by which an individual assumes the traits and behaviors of a given culture enculturation
Penicillin is an example of a ____ medicine. “hot”
The ____________ position places the left ventricle closer to the chest wall and is recommended for auscultating low-pitched sounds, such as the third and fourth heart sounds. left lateral recumbent
Which part of the examiner's hand is best for palpating vibration Ulnar surface
Which part of the examiners hand is best for assessing temperature? dorsal surgace
which part would the examiner use to feel vibratory sensations such as thrills and fremitus? Ulnar surface of the hand and bases of the fingers
which part of the hand is best for palpating pulses? finger pads and fingertips
the _____ surface is best for assessing crepitus palmer surface
the _____ surface is best for assessing texture palmer
the _____ surfaces of the hand and fingers are best for assessing vibrations ulnar surface
. Less dense tissue (such as that over normal lungs) produces a ____ tone loud
More dense tissue such as a muscle produces a ____ tone softer
The more dense the medium, the _____ is the percussion tone softer
The more hollow the area, the _____ is the percussion tone louder
Percussion tones over muscle are ___ and ___ soft and flat
an expected normal percussion tone includes ______ over an empty stomach tympany
A normal lung produces _________ percussion tones resonance
_______ indicates atelectasis of the lung dullness
______ occurs over muscle flatness
Place the palmar surface of the nondominant hand on the body surface with the fingers slightly spread apart when using ________ or ________ percussion mediate, indirect
During percussion, the downward snap of the striking fingers should originate from the: wrist
Fist percussion is a ______ percussion technique used to elicit tenderness over organs such as the liver, gallbladder, or kidneys. direct
When sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats you can: isolate each cycle segment
Underestimation of blood pressure will occur if the cuff’s width covers: more than two thirds of the upper arm
A blood pressure cuff bladder should be long enough to: cover 75% to 80% of the arm circumference
Rotating the lens selector compensates for______ or ______ in both the examiner and the patient myopia or hyperopia
The _________ permits recognition of hemorrhages. red-free filter
the _____ estimates the size of lesions grid
The _______ examines the anterior eye and assesses the elevation of lesions slit lamp
the _______ is used with small pupils. small aperture
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: hearing range of normal speech
To perform a deep tendon reflex measurement, you should: briskly tap the tendon with the rubber end of the hammer.
A variant of a percussion hammer is a ____ hammer neurologic
a neurologic hammer is equipped with a _____ and ______ brush and needle
The most effective procedure to ensure correct serial measurements is to: mark the borders of the tape at several intervals on the skin with a pen.
___________ functions to differentiate between various media in a cavity. It can distinguish between air, fluid, and tissue. Transillumination
if the patient is experiencing symptoms of autonomic hyperreflexia, then the first reaction should be for the examiner to: remove the source of the stimulation.
Reactions to a cold, hard examination table or cold stirrups; insertion of a speculum; and pressure during pelvic examinations can cause ___________. autonomic hyperreflexia
The stethoscope’s diaphragm is most useful in the assessment of __________ sounds. high-pitched
When recording assessments during the construction of the problem-oriented medical record, the examiner should: create an assessment for each problem on the problem list
A differential diagnosis is part of the __________ phase. assessment
A second visit with the clinician is always recorded on a ________, noting any updates to the condition. progress note
The effect of the chief complaint on the patient’s lifestyle is recorded in which section of the medical record? History of present illness
The patient’s perceived disabilities and functional limitations are recorded in the: past medical history.
The review of systems is a component of the: health history
to drugs and foods are generally listed in which section of the medical record? past medical history
A SOAP note is used in which type of recording system? problem oriented
Mental status assessment, including cognitive and emotional stability and speech and language, is part of the __________. physical examination
Follow-up visits for problems identified in the ____ are recorded in the progress notes. POMR
Created by: Jeanine Grossman Jeanine Grossman on 2011-09-03



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