Health Fundamentals Chapter 1

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Questions and Answers

What type of lesion distribution is characterized by being sharply limited to a specific area?

Localized

Which type of lesion configuration is characterized by lesions that are clustered together, but still distinct?

Grouped

What type of lesion is characterized by a circular shape with central clearing?

Annular

Which type of lesion distribution is characterized by lesions limited to areas exposed to the air or sun?

<p>Exposed areas</p> Signup and view all the answers

What type of lesion is characterized by a circular shape with a central target-like pattern?

<p>Target</p> Signup and view all the answers

Which type of lesion distribution is characterized by lesions limited to areas where skin comes into contact with itself?

<p>Intertriginous</p> Signup and view all the answers

What is a characteristic of suspected deep tissue injury?

<p>The skin is mushy, firm, or boggy</p> Signup and view all the answers

In people with darkly pigmented skin, how does Stage I differ from the surrounding area?

<p>It differs in color</p> Signup and view all the answers

What is a characteristic of a Stage II wound?

<p>It presents as a shallow, open ulcer without slough and with a red and pink wound bed</p> Signup and view all the answers

What should not be described as Stage II?

<p>Perineal dermatitis</p> Signup and view all the answers

What may prevent determining the stage of a wound?

<p>If the wound contains necrotic tissue</p> Signup and view all the answers

What is a characteristic of a Stage I wound?

<p>It doesn't blanch</p> Signup and view all the answers

What can a suspected deep tissue injury feel like?

<p>Mushy, firm, or boggy</p> Signup and view all the answers

Where is a Stage I wound usually located?

<p>On a bony prominence</p> Signup and view all the answers

What is the primary purpose of collecting health history?

<p>To gather subjective data about the patient's symptoms and feelings</p> Signup and view all the answers

Which of the following is an example of objective data?

<p>A patient's skin rash observed during a physical examination</p> Signup and view all the answers

What is the main goal of creating an environment conducive to effective communication during a patient interview?

<p>To make the patient feel comfortable and trust the healthcare provider</p> Signup and view all the answers

Why should healthcare providers avoid using medical jargon during a patient interview?

<p>To avoid confusing the patient</p> Signup and view all the answers

What is the difference between subjective and objective data in a patient assessment?

<p>Subjective data is provided by the patient, while objective data is observed</p> Signup and view all the answers

Which of the following is a characteristic of subjective data?

<p>It is provided by the patient</p> Signup and view all the answers

What is the purpose of using interviewing techniques during a patient interview?

<p>To ensure effective communication and gather accurate information</p> Signup and view all the answers

What is the primary reason for taking a vital sign again after obtaining an abnormal value?

<p>To ensure the accuracy of the reading</p> Signup and view all the answers

Why is it important to select a quiet and private setting for a patient interview?

<p>To create an environment conducive to effective communication</p> Signup and view all the answers

How does the normal respiratory rate vary with age?

<p>It increases with age</p> Signup and view all the answers

Why are baseline values important in physical assessment?

<p>To identify abnormal values specific to the patient</p> Signup and view all the answers

What technique is used to assess normal conditions and deviations using vision, smell, and hearing?

<p>Inspection</p> Signup and view all the answers

In what sequence are the physical assessment techniques used, except when performing an abdominal assessment?

<p>Inspection, palpation, percussion, auscultation</p> Signup and view all the answers

What is the reason for altering the sequence of physical assessment techniques when assessing the abdomen?

<p>To avoid altering bowel sounds</p> Signup and view all the answers

What is the purpose of using the four physical assessment techniques?

<p>To perform a thorough physical assessment</p> Signup and view all the answers

Why is it essential to consider the patient's age when interpreting vital sign values?

<p>To identify abnormal values specific to the patient's age</p> Signup and view all the answers

Which layer of the eye includes the choroid, ciliary body, and iris?

<p>Middle layer</p> Signup and view all the answers

What type of tissue maintains the form and size of the eyeball?

<p>Sclera</p> Signup and view all the answers

Which part of the eye receives visual stimuli and sends them to the brain?

<p>Retina</p> Signup and view all the answers

What is the function of the involuntary muscles in the middle layer of the eye?

<p>To control the size of the pupil</p> Signup and view all the answers

What is the name of the canal that drains aqueous humor from the eye?

<p>Schlemm's canal</p> Signup and view all the answers

What is the term for the posterior part of the eye?

<p>Fundus</p> Signup and view all the answers

Which structure is filled with aqueous humor?

<p>Posterior chamber</p> Signup and view all the answers

What is the term for the clear, transparent layer at the front of the eye?

<p>Cornea</p> Signup and view all the answers

Study Notes

Health History

  • All assessments involve collecting two types of data: objective (observed and verifiable) and subjective (provided by the patient and verified only by the patient)
  • Objective data includes findings such as a red, swollen arm in a patient with arm pain
  • Subjective data includes statements such as "My head hurts" or "I have trouble sleeping"

Interviewing Tips

  • Create an environment where the patient feels comfortable to ensure effective communication
  • Use quiet, private settings and avoid using medical jargon
  • Choose terms carefully and avoid using complex medical terms
  • Verify abnormal vital sign values to ensure accuracy
  • Normal readings vary with age (e.g., temperature decreases with age, and respiratory rate can increase with age)

Physical Assessment Techniques

  • Four techniques are used: inspection, palpation, percussion, and auscultation
  • Techniques are used in this sequence except for abdominal assessments
  • Inspection involves using vision, smell, and hearing to assess normal conditions and deviations

Lesion Distribution and Configurations

  • Lesion distribution can be:
    • Generalized (all over the body)
    • Regionalized (limited to one area of the body)
    • Localized (sharply limited to a specific area)
    • Scattered (dispersed either densely or widely)
    • Exposed areas (limited to areas exposed to air or sun)
    • Intertriginous (limited to areas where skin comes into contact with itself)
  • Lesion configurations can be:
    • Discrete (individual lesions are separate and distinct)
    • Grouped (lesions are clustered together)
    • Confluent (lesions merge so that discrete lesions are not visible)
    • Dermatomal (lesions form a line or an arch and follow a dermatome)

Wound Stages

  • Stage I: Intact skin that doesn't blanch, may differ in color from surrounding area, and is usually over a bony prominence
  • Stage II: Superficial partial-thickness wound with a shallow, open ulcer without slough and with a red and pink wound bed

Eye Anatomy

  • The eye has three layers of tissue: outermost, middle, and innermost
  • Outermost layer includes:
    • Cornea
    • Sclera
  • Middle layer includes:
    • Choroid
    • Ciliary body
    • Iris
  • Innermost layer is the retina, which receives visual stimuli and sends them to the brain
  • Other structures include:
    • Pupil
    • Anterior chamber (filled with aqueous humor)
    • Posterior chamber (filled with aqueous humor)
    • Schlemm's canal
    • Vitreous humor
    • Optic nerve
    • Central retinal artery and vein

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