NUR2092 Section 03 Health Assessment exam 1

Question # 00731892 Posted By: mac123 Updated on: 07/25/2019 03:13 PM Due on: 07/25/2019
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•             Question 1

1 out of 1 points

               

                Which statement defines dementia?                                     

Answers:             a gradual progressive decrease in cognition which is not reversible

                acute confusional change which resolves with treatment

                being aware of one’s existence or feelings

                unwanted persistent thoughts or impulses

                                               

•             Question 2

1 out of 1 points

               

                During an interview, the nurse notes that the patient gets up several times to wash her hands even though they are not dirty. This is an example of:                                              

Answers:             social phobia.

                compulsive disorder.

                generalized anxiety disorder.

                posttraumatic stress disorder

                                               

•             Question 3

1 out of 1 points

               

                Which of the following is an example of a first-level priority problem?                                   

Answers:             A patient with postoperative pain

                A newly diagnosed diabetic who needs diabetic teaching

                An individual with a small laceration on the sole of the foot

                An individual with shortness of breath and respiratory distress

                                               

•             Question 4

1 out of 1 points

               

                A patient drifts off to sleep when she is not being stimulated. The nurse can arouse her easily when calling her name, but she remains drowsy during the conversation. The best description of this patient’s level of consciousness would be:                                             

Answers:             lethargic.

                obtunded.

                stuporous.

                semi alert.

                                               

•             Question 5

1 out of 1 points

               

                A 45-year-old woman is brought to the emergency department with a head injury after her car hit a tree. A few months after recovering from her injuries, she is unable to learn new information or recall previously learned information. This is an example of:                                         

Answers:             mania.

                agnosia.

                dementia.

                amnestic disorder.

                                               

•             Question 9

1 out of 1 points

               

                Which of the following examples would be a hallucination?                                        

Answers:             A man believes that his dead wife is talking to him.

                A woman hears the doorbell ring and goes to answer it, but no one is there.

                A child sees a man standing in his closet. When the lights are turned on it is only a dry cleaning bag.

                A man believes that the dog has curled up on the bed, but when he gets closer he sees that it is a blanket.

                                               

•             Question 10

1 out of 1 points

               

                Symptoms, such as pain, are often influenced by a person’s cultural heritage. Which of the following is a true statement in regard to pain?                                     

Answers:             Nurses’ attitudes toward their patients’ pain are unrelated to their own experiences with pain.

                The ethnic background of a patient is important in a nurse’s assessment of that patient’s pain.

                A nurse’s area of clinical practice is most likely to determine his or her assessment of a patient’s pain.

                A nurse’s years of clinical experience and current position are a strong indicator of his or her response to patient pain.

                                               

•             Question 11

1 out of 1 points

               

                A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information?                                     

Answers:             “Are you allergic to any other drugs?”

                “How often have you received penicillin?”

                “I’ll write your allergy on your chart so you won’t receive any.”

                “Please describe what happens to you when you take penicillin.”

                                               

•             Question 12

1 out of 1 points

               

                Which data would not be included in a client's health history?                                    

Answers:             Laboratory tests

                Physical Assessment

                Nutritional assessment

                Family Medical History

                                               

•             Question 13

1 out of 1 points

               

                Which data would a nurse document under the category of family health history?                                           

Answers:             Maternal diseases

                Present illness

                Allergies to Medications

                ClientÕs name and date of birth

                                               

•             Question 14

1 out of 1 points

               

                "A client with cancer says, I feel like I am getting weaker every day. I wonder if the chemotherapy is working. The nurse responds, Isn't it beautiful outside today? This interaction is an example of what specific type of communication barrier?"                                             

Answers:             Changing the subject or topic

                Falsely reassuring statement

                Judgmental statement

                Patronizing statement

                                               

•             Question 15

1 out of 1 points

               

                Which scenario described below best illustrates a screening type of health assessment?                                              

Answers:             A client visits an obstetric clinic for the first time, and the nurse conducts a detailed history and physical examination.

                A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons.

                The nurse in the triage area of an urgent care center checks the vital signs of a client who is complaining of leg pain.

                A client make an appointment 1 month after today’s office visit for a follow-up test of fasting blood glucose level.

•             Question 21

1 out of 1 points

               

                A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information?                                 

Answers:             P-6, B-4, (S)Ab-2

                Grav 6, Term 4, (S)Ab 2, Living 4

                Patient has had four living babies.

                Patient has been pregnant six times.

                                               

•             Question 22

1 out of 1 points

               

                A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of the fluid and electrolyte imbalance. The nurse will assess his:                                

Answers:             affect and mood.

                memory and affect.

                thought processes and memory.

                level of consciousness and cognitive abilities.

                                               

•             Question 23

1 out of 1 points

               

                In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which of the following statements is true regarding note-taking?                                       

Answers:             Taking notes may impede the nurse’s observation of the patient’s nonverbal behaviors.

                Taking notes allows the patient to continue at his or her own pace as the nurse records what is said.

                Taking notes allows the nurse to shift attention away from the patient, resulting in increased comfort level.

                Taking notes allows the nurse to break eye contact with the patient, which may increase his or her level of comfort.

                                               

•             Question 24

1 out of 1 points

               

                A 90-year-old patient tells the nurse that he can’t remember the names of the drugs he is taking or what they are for. An appropriate response would be:                                             

Answers:             “Can you tell me what they look like?”

                “Don’t worry about it. You are only taking two.”

                “How long have you been taking each of the pills?”

                “Would you have your family bring in your medications?”

                                               

•             Question 25

1 out of 1 points

               

                The nurse is assessing mental status in children. Which of the following statements is true?                                        

Answers:             All aspects of mental status in children are interrelated.

                Children are highly labile and unstable until the age of 2 years.

                Children’s mental status is largely a function of their parents’ level of functioning until the age of 7 years.

                Children’s mental status is impossible to assess until the child develops the ability to concentrate.

                                               

•             Question 26

1 out of 1 points

               

                Which intervention by the nurse first helps to establish a trusting nurse-patient relationship?                                    

Answers:             provoke emotional responses from the patient

                not listening to the patient while performing care activities

                performing care interventions quickly and efficiently

                greeting the patient by name whenever entering the patient’s room

                                               

•             Question 27

1 out of 1 points

               

                Many individuals embrace the hot/cold theory of health illness. Which of the following best describes the basic tenets of this theory?                                        

Answers:             The causation of illness is based on supernatural forces that influence the humors of the body.

                Herbs and medicines are classified on their physical characteristics of hot and cold and the humors of the body.

                The four humors of the body consist of blood, yellow bile, spiritual connectedness, and social aspects of the individual.

                The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors of the body.

                                               

•             Question 28

1 out of 1 points

               

                A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most appropriate choice?                                            

Answers:             A trained interpreter

                A male family member

                A female family member

                A volunteer college student from the foreign language studies department.

                                               

•             Question 29

1 out of 1 points

               

                Which statement is correct regarding the development of one’s culture?                                            

Answers:             Culture is genetically determined on the basis of racial background.

                Culture is learned through language acquisition and socialization.

                Culture is a nonspecific phenomenon and is adaptive but unnecessary.

                Culture is biologically determined on the basis of physical characteristics.

                                               

•             Question 30

1 out of 1 points

               

                Which of the following statements is true regarding the assessment of mental status?                                  

Answers:             Mental status assessment diagnoses specific psychiatric disorders.

                Mental disorders occur in response to everyday life stressors.

                Mental status functioning is inferred through assessment of an individual’s behaviors.

                Mental status can be assessed directly, just like other systems of the body (e.g., cardiac and breath sounds).

                                               

•             Question 31

1 out of 1 points

               

                Which data do nurses document under the category of past health history?                                       

Answers:             Chronic diseases

                Present illness

                Allergies to Medications

                Name and date of birth

•             Question 34

1 out of 1 points

               

                Which of the following responses might the nurse expect during a functional assessment of a patient whose leg is in a cast?                                  

Answers:             “I broke my right leg in a car accident 2 weeks ago.”

                “The pain is getting less, but I still need to take Tylenol.”

                “I check the color of my toes every evening just like I was taught.”

                “I’m able to transfer myself from the wheelchair to the bed without help.”

                                               

                                               

•             Question 50

1 out of 1 points

               

                When the nurse is evaluating the reliability of a patient’s responses, which of the following would be a correct statement?                                        

Answers:             The patient has a history of drug abuse and therefore is not reliable.

                The patient provided consistent information and therefore is reliable.

                The patient smiled throughout interview and therefore is assumed reliable.

                The patient would not answer questions concerning stress and therefore is not reliable.

                                               

•             Question 51

1 out of 1 points

               

                Which of the following statements represents subjective data obtained from the patient regarding his skin?                                               

Answers:             Skin appears dry.

                No obvious lesions

                Denies color change

                Lesion noted lateral aspect right arm

                                               

•             Question 52

1 out of 1 points

               

                Because the physical environment in which an interview takes place is an important consideration for the success of an interview, the interviewer should:                                              

                place the distance between the interviewer and the patient about 2 feet or closer.

                provide a dim light that makes a room cozier and will help the patient relax.

                arrange seating across a desk or table to allow the patient some personal space.

                                               

•             Question 53

1 out of 1 points

               

                To assess affect, the nurse would know the definition as:                                            

                Selected Answer:            temporary expression of feeling or state of mind

Answers:             temporary expression of feeling or state of mind

                being aware of one’s own existence, feelings, and thoughts

                more durable, a prolonged display of feelings

                awareness of an object in relation to the self

                                               

•             Question 54

1 out of 1 points

               

                The germ theory, which posits that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness?                                   

Answers:             Holistic

                Biomedical

                Naturalistic

                Magicoreligious

                                               

•             Question 55

1 out of 1 points

               

                During an assessment, the nurse uses the CAGE test. The patient answers “yes” to two of the questions. What could this be indicating?                                   

Answers:             The patient is an alcoholic.

                The patient is annoyed at the questions.

                The patient should be examined thoroughly for possible alcohol withdrawal symptoms.

                The nurse should suspect alcohol abuse and continue with a more thorough substance abuse assessment.

                                               

•             Question 62

1 out of 1 points

               

                During a clinic visit, a patient states, “The doctor just told me he thought I ought to stop smoking. He doesn’t understand how hard I’ve tried. I just don’t know the best way to do it. What should I do?” The nurse’s most appropriate response in this case would be:                                       

Answers:             “I’d quit. The doctor really knows what he is talking about.”

                “Would you like some information about the different ways a person can quit smoking?”

                “Stopping your dependence on cigarettes can be very difficult. I understand how you feel.”

                “Why are you confused? Didn’t the doctor give you the information about the smoking cessation program we offer?”

                                               

•             Question 63

1 out of 1 points

               

                An example of objective information obtained during the physical assessment includes the:                                      

Answers:             patient’s history of allergies

                patient’s use of medications at home

                last menstrual period 1 month ago

                2.5 cm scar present on the right lower forearm

                                               

•             Question 64

1 out of 1 points

               

                In recording the childhood illnesses of a patient who denies having had any, which of the following notes by the nurse would be most accurate?                                       

Answers:             Patient denies usual childhood illnesses.

                Patient states he was a “very healthy” child.

                Patient states sister had measles, but he didn’t.

                Patient denies measles, mumps, rubella, chickenpox, pertussis, or strep throat.

                                               

•             Question 65

1 out of 1 points

               

                Which statement is accurate regarding one’s ethnicity?                                

Answers:             Ethnicity is dynamic and ever-changing.

                Ethnicity is the belief in a higher power.

                Ethnicity pertains to a social group within the social system that claims shared values and traditions.

                It is learned from birth through the processes of language acquisition and socialization.

                                               

•             Question 66

1 out of 1 points

               

                Which of the following should a nurse document in the history component of a health assessment?                                      

Answers:             Smoking Habits

                Vital Signs

                Facial symmetry

                Respiratory assessment

                                               

•             Question 67

1 out of 1 points

               

                The nurse is performing a functional assessment on an 82-year-old patient with a recent stroke. Which of the following questions would be most important to ask?                                           

Answers:             “Do you wear glasses?”

                “Are you able to dress yourself?”

                “Do you have any thyroid problems?”

                “How many times a day do you have a bowel movement?”

                                               

•             Question 68

1 out of 1 points

               

                Which statement is an appropriate component of one’s spirituality?                                      

Answers:             Belief in the worship of God or gods

                Attendance at a specific church

                A personal effort to find purpose and meaning in life

                Closely tied to one’s ethnic background

                                               

•             Question 75

1 out of 1 points

               

                A woman, Mrs. H., has just entered the emergency department after being battered by her husband. The nurse will need to get some information from her to begin treatment. What is the best choice for an opening with this patient?                                      

Answers:             “Nancy, my name is Mrs. C.”

                “Hello, Mrs. H., my name is Mrs. C. It sure is cold today!”

                “Mrs. H., my name is Mrs. C. You sure look like you’re in pain, can I get you anything?”

                “Mrs. H., my name is Mrs. C. I’ll need to ask you a few questions about what happened.”

                                               

 

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