Patient Assessment & Documentation Flashcards
7 cards from real CH 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 & Documentation flashcards as text
Which tool is most appropriate for a colonic hydrotherapist to use when systematically assessing and scoring a patient's stool consistency over time?
Answer: The Bristol Stool Form Scale
The Bristol Stool Form Scale classifies stool into seven types and is the standard tool for assessing and documenting stool consistency.
A patient's intake form reveals a recent (within 30 days) bowel surgery. The correct therapist response is to:
Answer: Defer treatment and require surgical clearance
Recent bowel surgery is an absolute contraindication; treatment must be deferred until surgical clearance is documented.
In the context of colonic hydrotherapy documentation, 'informed consent' must include which of the following elements?
Answer: Explanation of the procedure, risks, benefits, and alternatives
Informed consent legally and ethically requires disclosure of the procedure, its potential risks and benefits, and available alternatives.
When taking a diet history as part of the initial assessment, which eating pattern would be most clinically relevant to document for a patient presenting with chronic constipation?
Answer: Low dietary fiber and fluid intake
Low fiber and inadequate fluid intake are primary contributing factors to chronic constipation and directly inform the treatment plan.
Which of the following best describes the purpose of a 'red flag' checklist in the patient assessment process?
Answer: To screen for symptoms or conditions requiring medical referral or session deferral
A red flag checklist screens for signs or conditions such as rectal bleeding, unexplained weight loss, or fever that require medical evaluation before treatment.
How should a therapist document patient-reported pain during an abdominal palpation assessment?
Answer: Using a standardized 0-10 numeric pain scale with location noted
A numeric pain scale with anatomical location provides objective, reproducible data that enables comparison across sessions.
A patient's pre-session blood pressure reading is 180/110 mmHg. The correct course of action is:
Answer: Postpone the session and advise the patient to seek medical evaluation
A blood pressure of 180/110 mmHg represents Stage 2 hypertension and is a contraindication; the patient should be referred for medical evaluation before treatment.