Patient Assessment & Evaluation Flashcards
7 cards from real IHSA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Evaluation flashcards as text
In the SAMPLE history mnemonic, what does the 'E' stand for?
Answer: Events leading to the illness or injury
The 'E' in SAMPLE stands for Events leading up to the incident, helping identify the cause and progression of the patient's condition.
A worksite patient reports chest tightness rated 7/10. Using OPQRST, which component addresses how the pain has changed since onset?
Answer: Time/trend
The 'T' in OPQRST covers Time and trend—how the symptom has evolved, worsened, or improved since it began.
When documenting patient assessment findings, information should be recorded in what order?
Answer: Subjective, Objective, Assessment, Plan (SOAP)
The SOAP format—Subjective findings, Objective findings, Assessment, and Plan—is the standard documentation structure.
Which piece of SAMPLE history is MOST critical for a patient found unconscious at a job site with no witnesses?
Answer: Medications
Current medications can reveal pre-existing conditions and guide treatment decisions when the patient cannot communicate.
A patient involved in a trench collapse denies pain. Which principle guides continued thorough assessment despite negative patient report?
Answer: Significant MOI warrants a full assessment even without symptoms
A significant mechanism of injury (such as a trench collapse) mandates a complete assessment because adrenaline and shock can mask pain.
What is the purpose of the 'pertinent negatives' in patient documentation?
Answer: To document signs and symptoms that are absent but relevant to the suspected condition
Pertinent negatives are the expected symptoms of a suspected condition that are NOT present, which helps narrow the clinical picture.
After transferring care to EMS, a worksite safety coach should provide a verbal report that follows which structured format?
Answer: SBAR (Situation, Background, Assessment, Recommendation)
SBAR is the standard structured communication tool for handoffs, ensuring critical information is conveyed clearly and completely.