Pierson and Fairchild’s Principles and Techniques of
Patient Care 6th Edition Fairchild Test Bank
QUESTIONS AND ANSWERS
PRINCIPLES OF PATIENT EXAMINATION AND EVALUATION - - patient should be
informed of the findings or results of the examination and evaluation and should be
consulted and asked to assist
1. Interim (short goals)
2.Terminal ( long term) - 2 types of goals
task: Gather subjective & objective info & data
guidelines = patient history
task: Obseve patient
guidlines= general appearance, skin appearance, posture, ambulation
task: Palpate patient areas
guidlines= skin & subcutaneuos tissue to determine texture'
=muscles, tendons,ligament determine tone
=joint determine swelling
TASK: Test and measures
guidlines= Muscle strength and endurance
= Joint motion and range using a goniometer
= Joint integrity
= Protective reactions
= Discriminatory reactions
= Reflex responses
TASK: Cardiovascular/ pulmonary functions
guidlines= Automatic reactions
= Vital signs
= Review results of special cardiac and pulmonary function tests
TASK: Review results of special cardiac and pulmonary function tests
guidlines= Bed mobility,
= Personal care and hygiene
= Application and use of equipment/ assistive device
TASK: Mental and cognitive function
guidlines= Ambulation and mobility activities
= - Guidlines for patient examination
, = statements oriented to person
Goal Statement: Short-term (interim) goals
Guidlines= Preparatory component of long-term goal
= Lead-in activity for long-term goal
= Sequential activities
Goal Statement: Long-term (terminal) goal
= Support and promote functional outcome
= Evolves from short-term goals
= Describes maximal performance
=Functional outcome as a necessary component
= revised or modified based on the patient's progress - Goal Statements
1. Determine the need or value for the patient
2. Determine the environment and assistance available at home
3. Prepare the program before termination of the scheduled treatment
4. Instruct and supervise the patient and the assistant
5. Provide a typed or printed program with specific instructions
6. Outline and describe the activities, exercises, and positions to be used
7. State goals and expected results
8. Provide objective indicators of performance
9. Provide indicators of successful completion, fulfillment
10. Indicate equipment and supplies
11. Indicate precautions
12. Date, time, and location of a scheduled reevaluation or appointment
13. Inform the patient when or whether to terminate
14. Provide caregiver's name, telephone number
15. Document the preparation and assignment of the home program - Creating a Home
program
EG. APPEARANCE
= Dress, grooming, cleanliness
EG. Body movements
= Abrupt, slow, threatening, caring
EG. Body positions
= Sitting, standing, walking, kneeling
EG. Facial expressions
= Smiling, frowning, grimacing
EG. Gestures
= Using hands and arms to guide or direct
EG. PANTOMINE
= Demonstrating activity
EG. Posture
= Erect, slouched, rigid
EG. Erect, slouched, rigid
= Blushing, perspiring, trembling
EG. Touch
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