Misc.
How do you palpate temperature?
What is with the back of your hand?
What type of communication is this question?
Can you tell me why you came to see us today?
What is Open Ended? It allows the patient to say whatever comes to mind.
What data are you collecting when completing a health history interview?
What is subjective data?
(Slide 8, lecture PPT)
Give Examples of Subjective data
True or False: The Physical Examination comes before the health history interview.
What is False?
True or False: The general survey is the first part of the physical assessment.
True.
(Slide 19)
What areas should you always palpate last?
What is painful areas?
What type of communication style is this?
Patient states: It hurts right here when I do this (Is touching their right side while turning to the right)
You: So your left side only hurts when you turn to the right?
What is Rephrasing? You repeat/rephrase what they say to encourage more verbalization.
What are the four phases of a Health History Interview?
What is the Preparatory Phase, Introductory Phase, Working Phase, and Summary phase?
(Slide 10)
What kind of data do you gather during the physical examination?
What is objective information?
True or False: Vital signs are first taken during the health history interview
What is False? Vital signs are included in the general survey
What are the four categories of a SOAP note? Give 1 example of each.
What is Subjective information, Objective information, Actions, and Plan?
You appear to be breathing very fast when you walk. Can you tell me more about this?
What Factors may interfere with a health history interview?
What is age, language, and culture? (Slide 9)
What four techniques do you use during a physical examination? (In order)
Inspection, palpation, percussion, and auscultation (not abdomen)
When completing a general survey, what do you want to include?
What is an Ongoing or Time-lapsed assessment
What is ongoing assessments at regular intervals to detect changes in a baseline assessment. Ex: Pain assessments
A patient says that they don't have any trouble breathing with activity but their O2 saturation drops to 79% with ambulation and you can hear audible wheezing. What do you do next?
What is validate the information when Objective/Subjective data do not align
(Slide 14)
What do you do in the Preparatory phase of the Health History Interview?
What is reviewing past medical history, preparing the room, and reviewing cultural preferences?
(Slide 10)
What is the physical assessment order for an abdominal assessment?
What is inspect, auscultate, palpate, and percuss? Why?
Nursing assessment vs Medical Assessment
A nursing assessment focuses on the patient's response to treatments. How they're responding, what makes it better/worse, etc.
Medical assessments focus on how they can treat the patient's disease/illness.
POV: You're a nurse about to conduct an assessment with a new patient. Explain what steps you'll take.
What is: 1. Health History Interview- Subjective data
2. General Survey- VS/Impression/LOC
3. Physical Assessment- Objective data from assessment (4 categories)
4. Documentation
A patient says that they have severe pain. What 6 potential questions would you want to ask?
P- Does the pain get better or worse? What makes it better/worse?
Q- What kind of pain does it feel like? -Burning, dull, stabbing?
R- Where exactly do you feel the pain? Does it move to other parts of the body?
S- How would you rate your pain on a scale of 1-10?
T- When did the pain start? Have you done anything to make it better?
U-Do you know what may have caused the pain?
True or False: Asking your patient to rate their pain on a scale of 1-10 is included in the working phase of the health history assessment.
What is True. In the working phase, you gather subjective data to learn more about the patient's situation. Pain is subjective data.
What order do you complete a physical assessment? (Not asking for the 4 physical assessment categories)
What is from head to toe?
What is Gordons Functional Framework used for?
This tool is used to organize information to help nurses identify a diagnosis. It clusters assessment data into specific categories to make the clinical problem more identifiable.
(Slide 31)