Deck 6: Assessment Techniques and the Clinical Setting

Question 1

Describe the use of inspection as a physical examination technique.

Answer 1

Inspection is critical observation of the patient in a systematic, deliberate manner that begins as a "general survey" the moment the practitioner first meets the patient. It is the first technique used in the performance of a physical assessment. While conducting an inspection, the practitioner uses the patient's body as his or her own control to determine symmetry between the right and left sides of the body. Good lighting, adequate exposure and, at times, the use of special instruments aid in the completion of a good inspection.

Question 2

Describe the use of palpation as a physical examination technique.

Answer 2

Palpation is the use of touch to determine the texture, size, consistency, and location of body parts. Temperature, moisture, change in size, vibrations, pulsations, rigidity or spasticity, crepitation, presence of lumps or masses, and the presence of tenderness or pain may also be found.

Question 3

Relate the parts of the hands to palpation techniques used in assessment.

Answer 3

Fine tactile discrimination is best achieved with the fingertips. Position, shape, and consistency of an organ or mass are determined through the use of the opposition of the fingers and thumb. Temperature is best determined with the dorsa (back) of the hands and fingers. Vibration is assessed with the base of the fingers (metacarpophalangeal joints) or ulnar surface of the hand.

Question 4

Differentiate between light, deep, and bimanual palpation.

Question 5

Describe the use of percussion as a physical examination technique.

Question 6

Describe direct and indirect percussion.

Question 7

Identify the components of a percussion note.

Question 8

Describe the use of auscultation as a physical examination technique.

Question 9

Identify the equipment needed for the screening physical examination.

Question 10

Discuss appropriate infection control measures used to prevent spread of infection.

Question 11

Discuss developmental care needed for patients.