SBIRT Exam 1 Module 2 Questions with Correct Answers
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Course
SBIRT
Institution
SBIRT
General Survey - Answer--Skin color
--Ex: cyanosis / jaundice
-Dress
-Hygiene
-Posture and gait
-Physical development
-Body build
-Apparent age
-Gender
-Level of consciousness
-Behaviors, body movements, and affect
-Facial expression
-Speech
-Vital signs
Interview subjective data ...
SBIRT Exam 1 Module 2 Questions with
Correct Answers
General Survey - Answer--Skin color
--Ex: cyanosis / jaundice
-Dress
-Hygiene
-Posture and gait
-Physical development
-Body build
-Apparent age
-Gender
-Level of consciousness
-Behaviors, body movements, and affect
-Facial expression
-Speech
-Vital signs
Interview subjective data - Answer--General survey questions
--Name, address, phone number, DOB
-History of present health concern
--Use COLDSPA
-Personal history
--Chronic or past illnesses
-Family history
--Genetic linked diseases
-Lifestyle and health practices
--Physical activity, occupation, diet, sexually active, who do they live with, etc.
Accurate General Survey (obj) - Answer--General impression
--Observe physical development, body build, and fat distribution
--Compare client's stated age with apparent age and developmental stage
--Observe skin condition and color
--Observe posture and gait
-Preparing the client
-Equipment
--Thermometer
--Protective, disposable covers for type of thermometer
--Aneroid or mercury sphygmomanometer or electronic blood pressure measuring
equipment
--Stethoscope
--Watch with second hand
,Vital Signs description/ function - Answer--Hands-on physical examination begins with
vital signs
-Provide data that reflect body systems status
--Cardiovascular
--Neurologic
--Peripheral vascular
--Respiratory
Order of Vital Signs - Answer-Temperature
Pulse
Respirations
Blood pressure
Temperature - Answer--Core body temp
--36.5C and 37.7C
---(96.0F and 99.9F orally)
--Ideal for cellular function within body
-Hypothermia:
--Lower than 36.5C or 96.0F
-Hyperthermia
--Higher than 38C or 100F
Rise in Temperature - Answer--Strenuous exercise
-Stress
-Ovulation
Variations in temperature based on testing site: - Answer--Orally:
--35.9-37.5C
-Tympanic membrane
--0.8C or 1.4F higher than oral
--36.7 - 38.3 C
-Axillary
--0.5C or 1F lower than oral
-Rectal
Characteristics of Radial Pulse - Answer--Rate - seconds on watch for 30 seconds X2 if
regular rate
-Rhythm - if rhythm is irregular, then count rate for 60 seconds
-Amplitude - smooth and rapid with more gradual downstroke
--Weak/ thready or bounding (both abnormal)
--Follow up with abnormal amplitude by palpating carotid arteries
-Elasticity - changes with age
--Older clients have more rigid vessels
, 2+: Normal (obliterate with moderate pressure)
3+: bounding (unable to obliterate or requires firm pressure
Respirations - Answer--Between 12 and 20 breaths/min is normal
-Variations: exercise
systolic BP - Answer-Measurement of the pressure of the blood in the arteries when the
ventricles are contracted
diastolic BP - Answer-Measurement of the pressure of the blood in the arteries when
the ventricles are relaxed
Pulse pressure: - Answer-= diastolic BP - Systolic BP
Reflects stroke volume
BP Interpretation - Answer--Normal is defined as <120 / <80 mmHg
-Elevated 120-129/<80 mmHg
-Hypertension stage 1: 130-139 or 80-89 mmH
-Hypertension stage 2: ≥ 140 or ≥ 90 mmHg
-Prior to labeling a person with hypertension, it is important to use an average based on
≥ 2 readings obtained on ≥ occasions to estimate the individual's level of BP
Factors Affecting Blood Pressure - Answer--Cardiac output
-Position
--Standing up: BP is higher than when laying down
-Elasticity of arteries
-Blood volume
--High BV increases BP
-Blood velocity (heart rate)
-Blood viscosity (thickness)
Older Client Considerations of vitals - Answer--Temperature may range from 95.0F to
97.5F
-Osteoporotic thinning and collapse of the vertebrae
--Causes slightly increased normal respiratory rate
-Gait changes:
--Older men: gait may be wider based, with arms held outward
--Older women: narrow base and may waddle
-The older client's artery may feel more rigid, hard, and bent
-Respiratory rate may range from 15 to 22
--Inspiratory phase is a little shallower
-More rigid, arteriosclerotic arteries account for higher systolic blood pressure in older
adults
-Isolated systolic hypertension
-->140 / < 90 mmHg
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