Podcast
Questions and Answers
Which of the following is NOT a step involved in collecting a fecal sample?
Which of the following is NOT a step involved in collecting a fecal sample?
To ensure a successful sputum test, it is recommended to cough hard from deep inside the chest _______ times.
To ensure a successful sputum test, it is recommended to cough hard from deep inside the chest _______ times.
three
A complete blood count (CBC) is not typically required for pregnant women.
A complete blood count (CBC) is not typically required for pregnant women.
False (B)
What is the primary purpose of a blood typing test during pregnancy?
What is the primary purpose of a blood typing test during pregnancy?
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Match the blood type with its corresponding description:
Match the blood type with its corresponding description:
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Which of these situations necessitates a stool examination?
Which of these situations necessitates a stool examination?
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It is important to collect urine along with the stool sample for a fecal examination.
It is important to collect urine along with the stool sample for a fecal examination.
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What are two types of stool tests?
What are two types of stool tests?
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Which step of the health care process involves collecting data about a client's health status?
Which step of the health care process involves collecting data about a client's health status?
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Subjective data can be verified by an observer.
Subjective data can be verified by an observer.
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What is the primary source of data in the assessment process?
What is the primary source of data in the assessment process?
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The type of assessment that focuses on a specific condition is called __________ assessment.
The type of assessment that focuses on a specific condition is called __________ assessment.
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Match the type of data with its description:
Match the type of data with its description:
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Which of the following is NOT a type of assessment mentioned?
Which of the following is NOT a type of assessment mentioned?
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Objective data includes personal feelings and sensations.
Objective data includes personal feelings and sensations.
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What is the process of gathering information about a client's health status called?
What is the process of gathering information about a client's health status called?
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Which position is best for examination of the abdomen?
Which position is best for examination of the abdomen?
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What is the primary function of a sphygmomanometer?
What is the primary function of a sphygmomanometer?
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The lithotomy position is specifically intended for examining male genitals.
The lithotomy position is specifically intended for examining male genitals.
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The laryngoscope is used to examine the outer ear.
The laryngoscope is used to examine the outer ear.
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What does the Sims position help with during patient care?
What does the Sims position help with during patient care?
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What type of examination method involves tapping on the body to assess conditions?
What type of examination method involves tapping on the body to assess conditions?
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A _______ is used to listen to the body's internal sounds.
A _______ is used to listen to the body's internal sounds.
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The ______ position involves lying face down and is often used for spine surgery.
The ______ position involves lying face down and is often used for spine surgery.
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Match the following examination equipment with their functions:
Match the following examination equipment with their functions:
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Match the following positions with their primary usage:
Match the following positions with their primary usage:
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Which of the following positions may not be tolerated by elderly patients?
Which of the following positions may not be tolerated by elderly patients?
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Which of the following laboratory tests is used to assess blood glucose levels?
Which of the following laboratory tests is used to assess blood glucose levels?
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The lateral position involves the patient lying on their back.
The lateral position involves the patient lying on their back.
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Gloves are used to examine the pelvis externally.
Gloves are used to examine the pelvis externally.
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What could make the Sims position difficult for some patients?
What could make the Sims position difficult for some patients?
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What instrument is typically used to assess reflexes?
What instrument is typically used to assess reflexes?
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What is the primary benefit of increasing flexion of the top hip and knee?
What is the primary benefit of increasing flexion of the top hip and knee?
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The Trendelenburg position is intended to promote venous circulation.
The Trendelenburg position is intended to promote venous circulation.
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What is the purpose of the lithotomy position?
What is the purpose of the lithotomy position?
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The ________ position is best for severe abdominal pain and involves kneeling with the face flat on the bed.
The ________ position is best for severe abdominal pain and involves kneeling with the face flat on the bed.
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Which position is most commonly used during childbirth?
Which position is most commonly used during childbirth?
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What is the main purpose of draping a patient during an examination?
What is the main purpose of draping a patient during an examination?
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Drapes should interfere with the examination to prevent exposure of other body areas.
Drapes should interfere with the examination to prevent exposure of other body areas.
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Study Notes
Health Care Process
- Assessment is the process of collecting, organizing, validating, and recording data about a client's health status. It's the most crucial step in healthcare.
- Database assessment gathers comprehensive information, including medical history, physical exam, lab results, and input from other medical professionals.
- Focus assessment collects data to understand a specific health condition.
- Data collection involves systematically and continuously gathering information to reflect a client's evolving health status.
- Subjective data (covert data) are symptoms, feelings, values, beliefs, attitudes, and perceptions reported by the client.
- Objective data (overt data) are observable signs, measurable findings, or results of tests. These can be validated by an observer.
- Primary data sources are clients, families, support persons. Secondary sources are other healthcare professionals, records, reports, and relevant literature.
- Clinical records include past medical history, diagnostic test results, and consultations. Reviewing these records avoids unnecessary repetition and helps identify areas for further inquiry.
Types of Assessment
- Data collection is the initial step for gathering information regarding the client's health status.
- Data Types:
- Subjective data (COVERT data): Symptoms, feelings, values, beliefs, and perceptions related to the patient's health.
- Objective data (OVERT data): Observable signs, measurable findings, or test results.
Methods of Data Collection
- Review of clinical records: Examining previous medical records for relevant information. Important for avoiding repetition and efficiently identifying existing information.
Interview Types
- Directive Interview: Uses closed-ended questions (e.g., "when," "what," "who"). Client responses are more controlled.
- Non-directive or Rapport Building: Uses open-ended questions (e.g., "How are you feeling?"). Encourages client to elaborate, explore, and clarify their feelings/thoughts; the client dictates the pace.
Interview Setting and Planning
- Time: Plan interviews when the client is physically comfortable and free from interruptions.
- Place: Choose a well-lit, quiet, and private room, free from distractions.
- Seating: Ensure appropriate seating arrangements. Avoid standing, looking down at the client, unless client is in bed. Maintain appropriate distance to encourage interaction.
- Language: Use clear, simple language avoiding medical jargon; Clarify instructions if necessary.
History Taking
- Includes demographic data (name, address, etc), chief complaint, history of present illness (including eight areas of investigation), past medical history, family history, review of systems.
- Necessary for understanding the client's complete health history; helps in making informed decisions related to the client.
Physical Assessment
- The physical examination systematically assess client's physical status.
- Involves observation, palpation, percussion, and auscultation.
- Client must feel comfortable, be in an appropriate position, and avoid causing discomfort.
Examination Equipment
- Lists various medical instruments, such as stethoscopes, otoscopes, ophthalmoscopes, etc., useful for physical examinations.
- Instruments should be clean, in good working order, easily accessible, and organized.
Laboratory Examinations
- Laboratory tests (CBC, urinalysis, etc.) are medical procedures used to analyze biological samples for diagnosis, monitoring treatment, and routine checkups.
- Relevant to pregnancy, to identify potential and ongoing conditions.
Additional Assessment Topics
- Specific tests helpful in pregnancy or for early diagnosis such as blood sugar screening, HIV, Hepatitis B test, VDRL test (syphilis), etc, and their relevance.
- Urinalysis - urine testing used for various reasons, from UTI, kidney issues, and diabetes management.
- Ultrasound - Imaging technique using sound waves for a detailed view of organs. Useful for pregnancy monitoring.
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Description
This quiz covers the essential steps in the health care process, focusing on assessment strategies for collecting and analyzing client health data. It distinguishes between subjective and objective data, as well as primary and secondary data sources. Test your knowledge on the importance of thorough assessment in providing quality health care.