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Health Assessment

Jarvis Ch. 2,7,10,30

QuestionAnswer
The failure to provide for a child's basic needs is termed? a) abuse b) punishment c) neglect d) hate c) neglect
Physical injury jue to punching, beating, kicking, biting, burning, shaking, or otherwise harming a person is termed? a) neglect b) sexual abuse c) emotional abuse d) physical abuse d) physical abuse
Fondling genitals, incest, penetration, rape, sodomy, indecent exposure, commerical exploitation through prostitution or the production of pornographic matericals is termed? a) neglect b) sexual abuse c) emotional abuse d) physical abuse b) sexual abuse
Any pattern of behavior that harms a person's emotional development or sense of self-worth including frequent belittling, rejection, threats, and withholding of love and support is termed? a) neglect b) sexual abuse c) emotional abuse c) emotional abuse
True or False: Nurses, physicians and social workers must have proof of abuse before calling an abuse hotline. False: They only need reasonable suspision.
True or False: Women are significantly more likely to be physically or sexually assaulted by a current or former intimate partner than by an acquaintance, family member, friend, or stranger. True!
True or False: Abused women have been found to have significantly more chronic health problems, including neurololgic, gastrointestinal, and gynecologic symptoms and chronic pain. True!
Related to this domestic violence unit, symptoms of dehydration and malnutrition can be indicative of? a) neglect b) abuse c) sexual abuse d) false imprisonment a) neglect
True or False: If an elderly family member is sick but caring for his wife, and she gets bed sores from not being changed and cleaned often enough, he cannot be charged with neglect, because he was doing all he physically could to care for his wife. False: His intensions to care for his wife were good; however the wife did experience profound unintentional neglect.
True or False: Suspected self-neglect does not need to be reported as a person has the right to live autonomously and does not have an societal obligation to care for themself. False: Suspected self-neglect is also a mandatory reportable activity to adult protective services
True or False: Children who are abused are 11 times more likely to be arrested for violent crimes as a juvenile and 2.7 times more likely to be arrested for violent crimes as an adult. True!
What are some messages that need to be conveyed to a suspected abused woman, during her domestic violence screening? -abuse is not the woman's fault -you are concerned and that help is possible -health problems can occur as a result of domestic violence
Why might a woman of 90 not report abuse by her Alzheimer diseased huby? a) she is 90 and is not able to feel pain as much b) she is afraid of her sexual history being revealed during the possible court case c) she fears that he will be institutionalized c) She is afraid that her partner might be institutionalized.
What should be a significant red flag for a nurse? a) an elderly patient with a gastric tube that has a poor appetite b) a 4-year-old child with bruises on her elbows and knees c) a baby that rolled off the bed and acquired a few bruises c) You have to consider the developmental level of the person in question; a baby at 3 months old is not able to turn and roll. Any baby with bruises should be further looked into.
What are the most frequent health problems associated with violence? a) depression b) suicide c) PTSD d) substance abuse e) anxiety f) all of the above f) all of the above
A child of what age is expected to be able to give a heath history at the level of most adults? a) 11 b) 12 c) 13 d) 13 e)18 f)21 a) believe it or not, 11!
What is avulsion? a) a wound caused by rubbing the skin or mucous membrane b) a bruise c) and incision d) the tearing away of a structure or part d) the tearing away of a structure or part
Another word for an incision is a? a) abrasion b) cut c) ecchymosis d) lesion b) cut
A minute, pinpoint, nonraised, perfectly round, purplish red spot caused by intradermal or submucous hemorrhage, which later turns blue or yellow is termed a? a) contusion b) lesion c) petechiae d) ecchymosis c) petechiae
Bilberry, garlic, ginger, and ginkgo are amoung the more common supplements linked to increased risk of ______. a) bruising/bleeding complications b) increased blood pressure c) decreased appetite d) increased clotting ability a) bruising/bleeding complications
Any health evaluation for known or suspected elder abuse and neglect should include what? a) A call to the CDC b) an XRAY c) and MRI d) baseline laboratory test d) baseline laboratory tests including a CBC, platelet level, BUN, creatinine, protein, albumin, serum liver function tests, coag panel, and urinalysis.
What finding would indicate further investigation to look for possible abuse? a) bruising on the knees and elbows b) bruising on the buttocks, hands and abdomen c) yellowing bruises on the shins b) bruising on the buttocks, hands and abdomen as bruising in these locations is exceedingly rare and should arouse concern
True or False: Normal bruising on elderly adults tends to be located on the neck, ears, genitalia, buttocks, and soles of the feet, while bruising on the extremities is unusual and should be cause for further investigation. False: Vise versa. Normal bruising occurs on the extremities, and NOT on the neck/buttocks/ears/genitalia/soles
If you made 3 identical bruises on a person, what would you expect in 1-2 days. a) all 3 bruises having the same shade(progressing through the stages of color at the same rate b) 3 bruises of possibly different shades b)Bruises of identical age and cause on the same person may not appear as the same color and may not change at the same rate
When recording a report of domestic violence history, you should do the following. a)write word for word what the patient says b) write what the person says, but omit swears and inappropriate language / terminology a)Verbatim documentation of the reported perpetrators threats interlaced with curses and expletives can be extremely useful in future court proceedings.
True of False: Even if abuse is suspected, in an unconscious or cognitively impaired person, it is morally and legally wrong to photography them without their permission. False: Taking photographs without consent is generally viewed as ethically sound since it is a noninvasive, painless intervention that has high potential to help a suspected abuse victim.
Women in this country are more often killed by____? a) strangers b) friends c) past or current loved ones d) extended family member c) Women in this country are mosre often killed by a husband, boyfriend, or ex-husband than by anyone else.
What specialized nerve endings are designed to detect painful sensations from the periphery and transmit them to the central nervous system? a) ganglions b) neurons c) somatosomes d) nociceptors d) nociceptors
Which two primary sensory fibers carry carry pain signals to the central nervous system? a) A8 b) B fibers c) C fibers d) Spinocerebrum fibers a) A8 and c) C fibers
_____fibers are myelinated and larger in diameter, and they transmit the pain signal rapidly to the CNS. This results in very localized, short-term, and sharp sensations . a) A8 b) C fibers a) A8
______ are unmyelinated and smaller, and they transmit the signal more slower resulting is diffuse and aching sensations that persist after the initial injury. a) A8 b) C fibers b) C fibers
Put the following 4 phases of Nociception in order: Modulation, Transduction, Perception, Transmission 1. Transduction 2) Transmission 3) Perception d) Modulation
Describe transduction. a) pain impulse moves from the spinal cord to the brain b) injured tissues release neurotransmitters that propagate a pain message c) the pain message is inhibited d) the conscious awareness of a painful sensation b) injured tissues release neurotransmitters that propagate a pain message
Transmission involves: a) pain impulse moves from the spinal cord to the brain b) injured tissues release neurotransmitters that propagate a pain message c) the pain message is inhibited d) the conscious awareness of a painful sensation a) pain impulse moves from the spinal cord to the brain
Perception involves: a) pain impulse moves from the spinal cord to the brain b) injured tissues release neurotransmitters that propagate a pain message c) the pain message is inhibited d) the conscious awareness of a painful sensation d) the conscious awareness of a painful sensation
Modulation involves: a) pain impulse moves from the spinal cord to the brain b) injured tissues release neurotransmitters that propagate a pain message c) the pain message is inhibited d) the conscious awareness of a painful sensation c) the pain message is inhibited
Visceral pain originates from: a) blood vessles, joints, tendons, muscles, bones b) subcutaneous tissues and skin c) larger interior organs c) larger interior organs
Deep Somatic pain comes from? a) blood vessles, joints, tendons, muscles, bones b) subcutaneous tissues and skin c) larger interior organs a) blood vessles, joints, tendons, muscles, bones
Cutaneous pain comes from? a) blood vessles, joints, tendons, muscles, bones b) subcutaneous tissues and skin c) larger interior organs b) subcutaneous tissues and skin
Pain the persists for_____is considered chronic pain. a) 2+ weeks b) 6+ weeks c) 2+ months d) 6+ months d) 6+ months
Erica's patient reports that she is always in pain, Erica should tell the patient that: a) pain is a normal part of the aging process b) pain indicates cancer or tumors c) pain indicates pathology or injury d) your HR is not high you cant be in pain c) pain indicates pathology or injury: it is not always indicative of cancer or tumors and patients can be in pain without having an increased heart rate (especially if its chronic pain)
Does a pain gene exits? Yes! It helps to explain why some people feel more / less pain even with the same stimulation
True or False: Pain is objective. Sometimes people will seek to abuse meds and therefore you cannot always trust them if they "say" they are in pain. False! Pain is subjective. If a patient tells you they are in pain, you have to beleive them. Period.
What is more useful for assessing chronic pain? a) standardized overall pain assessment tools b) initial pain assessment c) brief pain inventory d) descriptor scales a) standardized overall pain assessment tools
Which pain assessment asks patients to answer the eight questions concerning location, duration, quality, intensity and aggravating/relieving factors? a) standardized overall pain assessment tools b) initial pain assessment c) brief pain inventory b) initial pain assessment
Which pain assessment tool asks the pt to rate their pain during the last 24hrs with respect to its impact on mood, walking, ability and sleep? a) initial pain assessment b) brief pain inventory c) descriptor scales b) the brief pain inventory
Which pain assessment asks pts to rank a list of descriptors of their intensity and give an overall intensity rating to his or her pain? a) standardized overall pain assessment tools b) initial pain assessment c) short-form McGill Pain questionnaire c) short-form McGill Pain questionnaire
Which type of rating scales do older adults prefer? a) 0-10 numerical b) no pain/mild pain/ moderate pain/ severe pain c) the Wong Baker faces scale b) no pain/mild pain/ moderate pain/ severe pain; they find the numberical 0-10 rating abstract and have difficulty responding to it
For a child that is 2 years old, how would you ask them to report their pain? a) rate it on a scale of 1-10 b) point to the right face on the Wong Baker Scale c) point to where it hurts c) point to where it hurts; they cannot rate pain intensity at this developmental level
At what age can rating scales be introduced? a) 2-3 years of age b) 3-4 years of age c) 4-5 years of age d) 5-6 years of age c) 4-5 years of age
True or False: In order to confirm a pain diagnosis in a patient with chronic pain, the nurse should look for or anticipate the same behaviors as people with acute pain. False: Persons with chronic pain typically try to give little indication that they are in pain and therefore are at higher risk for undetection.
The aging adult may hide signs of pain, what could indicate that they are indeed experiencing pain? a) increase in energy b) wearing larger fitted shoes c) cooking more bland foods d) changes in dressing, walking, and toileting. d) changes in dressing, walking, toileting
Erikson's sixth stage covers the first years of early adulthood, from 20 to 24 years and the major psychologic conflict to be resolved is that of? Intimacy versus isolation
According to Levinson, an adult's life alternates between periods of______and_____. a) transition, floating b) structure building, transition c) floating, transition b) structure building, transition
According to Levingston, the age 30 transition is a time of self-reflection including questions such as: a) Do I want children? b) Should I retire? c) Where am I going/Why am I doing these things? d) Should my parents live with me or in a nrsg home c) Where am I going/ Why am I doing these things
What are the leading caused of death during middle adulthood are? a) cancer,heart disease,injuries b) diabetes, car accidents, drug over-doses c) drug over-doses, diabetes, cancer a) cancer,heart disease,injuries
What stage did Erikson believe to be the most important task for personality development? Generativity vs Stagnation
What is the sandwich generation? a) kids that have both older and younger siblings b) adults that have both older and younger siblings c) adults that have both children and aging parents d) adults with 2 moms or 2 dads(homosexual) c) adults that have both children and aging parents
In general, older adults have: a) a decreased reaction time b) less general knowledge c) less verbal comprehension d) inability to apply their experience a) decreased reaction time
The life review usually occurs during what time period? a) adolescence b) early adulthood c) late adulthood d) old age c) late adulthood
What is Erikson's last stage of development? Ego integrity vs despair
What is the Hassles and Uplifts Scale designed to assess? a) anxiety b) stress c) emotions d) anger b) stress
What 3 things are included in a functional assessment? a) ADL's, IADL's,Mobility b) ADL's IADL's, Cognitive function c) ADL's, Mobility, Cognitive function a) ADL's, IADL's,Mobility
Why would you not use the Katz ADL assessment tool on a patient in a hospital? In a hospital setting, a patient will not be able to perform all of the needed activities and overestimation or underestimation of the activities is likely to happen.
A nurse is looking to assess the degree to which a patient will be able to shop for food and manage her budget at home. What assessment tool might she use? a) Lawton IADL b) Katz ADL c) PADL d) PPT a) Lawton IADL assessment tool- scores people in areas of the telephone, shopping, meal preparation, housekeeping, laundry, transportation, self-medication, and management of finances.
How are ADLs different then IADLs? ADLs are activites such as grooming, baithing, and dressing while IADL's are other areas of independent living such as cooking, shopping, cleaning, driving.
What is one problem with the Lawton IADL assessment? a) it specifically excludes Native Americans b) it can only be used on American adults c) male/female gender role biases d) cognitive/physical assumptions c)gender role biases: The females are scored on the telephone, shopping, meal preparation, housekeeping, laundry, transportation, self-medication, and management of finances while the male test omits laundry, housekeeping and preparing food.
What instrumental ADL test would you use on a patient with dementia? a) KADL b) DAFA c) IADL d) no specific test exists for patients with dementia; one is needed! b) DAFA- a 10-item observational instrument for use with patients with dementia
Altered cognition in older adults is commonly attributed to what 3 disorders? a)Alzheimers, dementia, delirium b) dementia, delirium, depression c) depression, alzheimers, delirium d) none of the above a)Alzheimers, dementia, delirium
Depressed people often complain of? a) foot aches b) increased energy c) memory impairment d) none of the above c) memory impairment
Delirium often presents with? a) chronic changes in cognition b) acute changed in cognition c) hallucinations d) emotional instability b) acute changes in cognition such as an infection or medication side effect
Concerning social domain, what is the difference between formal and informal support? Formal- includes programs such as social welfare and other social service and health care deleivery agencies such as home health care. Informal agencies: includes family and close long-time friends and is usually provided free of charge.
What term is used to describe painful breasts? a) dyspnea b) gynocomastia c) mastalgia d) malignancy c) mastalgia
What sound should you be able to hear when percussing a normal abdomen? a) tympany b) hollow sounds c) resonance a) tympany
Throwing up blood is termed: a) hemoptysis b) hemetemesis c) hemiuria d) hemaglobin b) hemetemeis
Coughing up blood is termed: a) hemoptysis b) hemetemesis c) hemiuria d) hemaglobin a) hemoptysis
Nancy is not able to hear bowel sounds in her 2 hour postoperative patient. What should she do? a) give the pt clear liquids b) call the doctor c) do nothing, this is normal d) speak with the surgeon, he may have a stomach ulcer c) do nothing, this is normal! Generally it takes 24 hours for the body to resume normal bowel activity.
What should you do prior to an abdominal assessment? a) have the patient remove all their clothes b) dim the lights c) have the pt void d) ask the patient to drink a full glass of water c) have the patient void
What would you suggest for a patient who has Raynauds disease? a) take cold showers b) wear gloves outside c) wear a helmit at all times d) cook foods high in Vitamin C b) wear gloves outside
Pain in the calf muscles during activity which is relieved during rest is termed: a) intermittant hypersensitivity b) Restless leg syndrome c) claudication d) peripheral leg spasms c) claudication
When assessing extremities, what does CSM stand for? a) claudication, sensation, movement b) color, sensation, movement c) color, sinitus, mediation b) color, sensation, movement
What is responsible for acting as the pacemaker of the heart? a) Apex b) SA node c) AV node d) S1 b) SA node(or sinoatrial node)
Do veins or arteries have values? Veins!
Where would you find the apical pulse? a) left side-4th intercostal space b) right side-4th intercostal space c) left side-5th intercostal space d) right side- 5th intercostal space c) 5th intercostal space on the left side
What is another name for the apical pulse? a) S1 b) S2 c) S3 d) S4 a) S1
Created by: ericapasay on 2008-11-29



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