Holistic Health Assessment: Final Physical Examination Questions And Answers
6 views 0 purchase
Course
Holistic Health Assessment
Institution
Holistic Health Assessment
Introduce self, wash hands, provide privacy - ANS -Wash hands
-Hello, My name is Shannon and I am the nurse that is going to be conducting your physical assessment today
-Shake hands with the client
-Just to let you know everything discussed today during the assessment will remain private con...
Holistic Health Assessment: Final
Physical Examination Questions And
Answers
Introduce self, wash hands, provide privacy - ANS -Wash hands
-Hello, My name is Shannon and I am the nurse that is going to be conducting your physical
assessment today
-Shake hands with the client
-Just to let you know everything discussed today during the assessment will remain private
confidential
Mobility/assess gait - ANS -As you walked in today, I noticed that your gait was even and
steady with a shoulder-length distance between steps.
-Your arms swung at your sides as you walked opposite of your legs, which is a normal finding
-Walk is smooth, even and well balanced
Posture/Position/Breathing effort - ANS -The patient appears comfortably erect.
-The patient sits on the exam table with arms relaxed (LOCATION) and head turned toward the
examiner.
-Breathing appears to be relaxed, automatic, and silent with no effort
Physical Appearance and Personal Hygiene - ANS -The patient appears clean and groomed.
-Hair is need and clean
-Nails are clean
-The patient appears to be stated age
Skin Color - ANS -Color of skin is even with darker pigmentation due to central american
descent.
-Skin is in tact with no obvious masses or lesions
Orientation and LoC - ANS -Im going to ask you a couple of questions that may seem silly, but
they are just part of the assessment of your level of consciousness and orientation
-Can you tell me your name?
-Can you tell me where you are?
-Can you tell me what day of the week it is?
-By answering all of these questions correctly, the patient is alert and oriented to person, place
and time.
, -The patient is awake,
Facial Expression - ANS -Facial expressions are appropriate to the situation and changes
appropriately with the topic
-Patient maintains eye contact with the examiner
Ability to hear and speak - ANS -The patient maintaining eye contact with the examiner and
answering questions appropriately shows that she can hear to a full extent
-The patient is able to respond during conversation, showing that her ability is in tact
Mood and Affect - ANS -The patient appears comfortable and cooperative with the examiner,
she interacts pleasantly
Overt Signs of Discomfort and Anxiety - ANS -The patient is not exhibiting any overt signs of
discomfort or anxiety
Inspect the skull and scalp for contour and hair distribution, - ANS -Looking at the skull, I see it
is normocephalic in shape with even hair distribution in eye brows and eye lashes.
-Inspect the scalp
-As I inspect the scalp, I see that there is even hair distribution and a paler skin tone, there are
no masses or lesions
Inspect skin color and lesions - ANS The skin on the skull is tan with a few papules. (macule?)
Inspect facial features and symmetry - ANS -Eyes, nasolabial folds, and sides of mouth are all
symmetrical
Cranial Nerve Number 7 (Facial Nerve) - ANS -Please raise your eyebrows for me
-Please show me your teeth
-Please puff out your cheeks (tap to get air out) Air escapes equally from both sides
-Move your forehead around for me
-Move your mouth
-The patient is able to perform all of these tasks, showing me that Cranial Nerve 7 is in tact
Cranial Nerve 5 (Trigeminal) - ANS -Palpate the Temporal Muscles
-Please clench your teeth for me
-Palpate the Masseter Muscles
-Please clench your teeth for me
-Both the Temporal Muscles and Masseter muscles contracted bilaterally, showing me that
Cranial Nerve 5 is in tact
Temporal Pulses - ANS -Palpate Temporal Pulses
-Temporal pulses are a 2+ grade bilaterally
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DocLaura. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.59. You're not tied to anything after your purchase.
