Head-to-Toe Assessment - Vocabulary Flashcards (Video Notes)

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A vocabulary-focused set of flashcards covering the key concepts mentioned in the Head-to-Toe Assessment video notes, including communication, cultural considerations, pain assessment, orientation, cranial nerves, and basic head-to-toe examination concepts.

Last updated 2:24 PM on 9/12/25
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32 Terms

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Head-to-Toe Assessment

A systematic physical health examination conducted from the head down to the toes to identify clinical findings.

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Verbal Communication

Using spoken language to convey information between the caregiver and patient.

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Nonverbal Communication

Messages sent through body language, facial expressions, posture, and eye contact rather than words.

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Cultural Competency

The ability to interact effectively with people from diverse cultures, beliefs, and backgrounds.

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Lifestyles and Religious Beliefs

Cultural factors and beliefs that influence health practices and care preferences.

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Hand Hygiene

Handwashing or sanitizer use to reduce the spread of pathogens before patient contact.

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Patient Identifiers

Information used to confirm a patient’s identity, such as name and date of birth.

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Preferred Name

The name a patient prefers to be called.

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Pain Provocation

Factors that trigger or relieve pain to help identify its cause.

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Pain Quality

The character of pain (e.g., sharp, dull, throbbing) as described by the patient.

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Pain Region

Location of pain and whether it spreads or radiates.

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Pain Severity

Pain intensity on a scale, typically 0 to 10.

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Pain Timing

Onset, duration, and frequency of pain.

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Analgesia Timing Before Assessment

Consideration of giving pain relief prior to completing a head-to-toe assessment if prescribed.

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Orientation

Awareness of person, place, and time.

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Orientation: 4 Key Questions

Common questions to assess orientation: name, date of birth, location, and current date.

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Pinna

Outer ear; part of the ear anatomy inspected during head/ear assessment.

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Whisper Test

A quick hearing check in which a whispered word or number is repeated back.

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Lymph Nodes

Nodes checked around the head and neck for enlargement or tenderness.

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Thyroid

Gland in the neck palpated for size and irregularities during head assessment.

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Olfactory Nerve (CN I)

Sense of smell.

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Optic Nerve (CN II)

Vision-related nerve; assessed with Snellen chart and visual fields.

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Oculomotor Nerve (CN III)

Eye movement and pupil response (PERRLA: pupils are Equal, Round, Reactive to Light and Accommodation).

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Trochlear Nerve (CN IV)

Eye movement downward and inward; tested with 6 cardinal gazes.

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Trigeminal Nerve (CN V)

Chewing ability and facial sensation.

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Abducens Nerve (CN VI)

Eye movement, especially lateral, tested with 6 cardinal gazes.

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Facial Nerve (CN VII)

Facial expressions and symmetry (smile, frown, raise brows).

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Vestibulocochlear Nerve (CN VIII)

Hearing and balance; assessed with whisper test and gait observation.

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Glossopharyngeal Nerve (CN IX)

Gag reflex and swallowing; say Ahh to observe the soft palate.

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Vagus Nerve (CN X)

Swallowing and sensation of pharynx/larynx; also has widespread parasympathetic roles.

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Spinal Accessory Nerve (CN XI)

Shoulder shrug and head rotation.

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Hypoglossal Nerve (CN XII)

Tongue movement and speech.