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NURS 6512 Midterm
Advanced Health Assessment Week 2
| Question | Answer |
|---|---|
| Tuning forks with a frequency of 500 to 1000 HZ are most commonly used to measure: | Hearing loss. |
| A person's definition of illness is likely to be most influenced by: | Enculturation ( the process by which an individual assumes the traits and behaviors of a given culture ). |
| A rubber or plastic ring should be around the bell end-piece of a stethoscope to: | Secure contact with body surfaces when placed lightly on the skin. |
| In terms of cultural communication differences, Americans are more likely to ______ than are other groups of patients. | Be direct, come to the point quickly, talk more loudly, worry less about being overheard. |
| The degree of percussion tone is determined by the density of the medium though which the sound waves travel. What is true regarding the relationship between density of the medium an percussion tone? | Less dense tissue (like over a normal lung) produces a loud tone, more dense tissue (like a muscle) produces a softer tone. |
| Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys? | Fist percussion a direct percussion technique. |
| What is a physical, not cultural, differentiator? | Race. |
| What group is characterized as emphasizing accomplishments that are measured by external standards? | Dominant American cultural group. |
| Informing a patient that he or she has a terminal illness is most likely to be discouraged in which cultural group? | The Navajo. |
| To develop cultural competence, one should: | Examine ones own beliefs, respect the unfamiliar, appreciate that cultural values are difficult to change. |
| Which technique should be used to stabilize the stethoscope during auscultation? | The end-piece should be held in place with the second and third fingers. |
| Which group is traditionally considered to be past-oriented? | Eastern Asians. |
| A patient in the ED has a concussion to the head. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate? | The red-free filter permits recognition of hemorrhages. |
| Observing the rise and fall of the abdomen usually facilitates calculation of respiratory rate in the: | Infant. |
| An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans/American Indians, Asians, and Arabs, is Western medicine's attempts to: | Using a scientific approach, where a cause can be determined for every problem in a precise way. |
| The Snellen E vision acuity chart would most likely be used for _______ patients. | Children 3 to 5. |
| The patient tells you that his ears are stopped up. An objective assessment of this complaint is achieved by using the: | The tympanometer measures compliance of the middle ear as air pressures are varied. Assesses the function of the ossicular chain, eustachian tube, and the tympanic membrane. |
| A naturalistic or holistic approach to health care often assumes: | That there are external factors, some good and some bad, that must be kept in balance to remain well. |
| The use of secondary, tangential lighting is most helpful in the detection of: | It casts shadows to best observe contours and variations in body surfaces. |
| Which technique is used during both the history taking and the physical examination process? | Inspection. |
| You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise in order to compensate for: | Myopia (nearsighted) or hyperopia (farsighted, in both the examiner as well as the patient. |
| For a women with a small vaginal opening, the examiner should use a _____ speculum. | Pederson speculum. |
| What additional factors besides race and nationality compose an ethnos or ethnic group? | Common culture and distinctive traits. |
| A non-ambulatory 80-year-old male patient tells the female nurse that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate? | Necessary exposure for direct observation, while adjusting for modesty. |
| Which question has the most potential for exploring a patient's cultural beliefs related to a health problem? | Open-ended question, avoids sterotyping, is sensitive and respectful toward the individual, and allows for cultural data to be exchanged. |
| When examining the abdomen, which technique should be used first? | Inspection. |
| The stethoscope's diaphragm is most useful in the assessment of ________ sounds. | High-pitched. |
| Which adolescents are most likely to engage in risky behaviors? | Those that enter puberty early. |
| Expected normal percussion tones include: | Empty stomach - tympany, Liver - dull percussion tones. |
| Which of the following statements is true regarding tympanic membrane temperature? | Shares its blood supply with the hypothalamus and is therefore an accurate measurement of body temp. |
| Being sensitive to cultural differences that may exist between you and the patient is most is most useful in the avoidance of: | Inadvertently prejudice, sterotypic judgment, tendency to preach and opinion formation. |
| Your new patient is a 40-year-old Middle Eastern man with the c/o new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to: | Ask if you are not sure. |
| Which part of the examiner's hand is best for palpating vibration? | The ulnar surface of the hand and the base of the fingers. |
| You are conducting a head-to-toe examination as part of a patient's preventive health assessment. The room has adequate lighting, and you have access to both sides of the table. What position should you assume? | Conventionally the right side, but should be able to approach from either side. |
| A variant of the percussion hammer is the neurologic hammer, which is equipped with which of the following? | Unscrews at the handle to reveal a soft brush and the knob on the head unscrews to reveal a sharp needle. |
| When performing trans illumination of a body cavity, the use of which of the following could be harmful to the patient? | A halogen bulb can burn the skin. A penlight, flashlight, or an otoscope light can safely be used. |
| As you explain you patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to: | The English worry about being overheard, he is probably poised with a question. |
| A 22-year old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, Yeah, No, or I guess so. Which of the following is appropriate for the interviewer to say or ask? | If the patient is uncomfortable with you and to talk about it. |
| Which examination technique should be used first? | Inspection. |
| Adolescents most likely to smoke, abuse substances, perform poorly in school, and be depressed are those who are: | Unsupervised after school. |
| The dorsal surface of the hand is most often used for the assessment of: | Warmth. |
| Which type of speculum should be used to examine a patient's tympanic membrane? | The largest speculum that can comfortably fit in the ear canal. |
| Underestimation of blood pressure will occur if the blood pressure cuff's bladder: | If the cuff is too wide, more than two-thirds of the upper arm. |
| Which patient is at the highest risk for the development of latex allergy? | One who has had multiple procedures or surgeries because they have had more exposure. |
| The attitudes of the health care professional are largely: | Derived from ones own culture but cannot cause sterotypical judgments to be made. |
| You are auscultating a patient's chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. What technique can you use to facilitate your assessment? | Isolate each segment and listen to that segment intently. |
| To perform a deep tendon reflex measurement, you should: | Quickly and firmly tap either end of the rubber hammer on the stretched tendon, then observe muscle movement. |
| Which statement is true regarding the impoverished? | The poorly educated and those in poverty have a higher morbidity and mortality rate than those that are advantaged. |
| The infant should be placed in which position to have his or her height or length measured? | Supine. |
| You are performing a vaginal examination for a patient with Hx of spina bifida. When inserting metal spculum the patient feels nauseated, is sweating, and skin turns blotchy. What is your most immediate reaction to this situation? | This patient is experiencing symptoms of antonomic hyperflexia. Remove the source of the stimulation. |
| Which statement is true regarding the relationship of physical characteristics and culture? | Physical characteristics do not symbolize cultural groups. Cultures are dynamic in their evolution. |
| During percussion, the downward snap of the striking fingers should originate from the: | The dominate hand's middle finger strikes the stationary finger with a wrist motion and is lifted quickly off the striking surface. |
| A fixed image of any group that rejects its potential for originality or individuality is known as a(n): | Stereotype. |
| When monitoring serial measures, such as head circumference or abdominal girth, which procedure is best to ensure that the tape measure is placed in the same position each time? | Mark the borders at several intervals. |
| Which lying position is useful for auscultating heart tones? | The left lateral recumbent position places the left ventricle closer to the chest wall and is recommended for hearing low-pitched sounds such as the third and fourth heart sounds. |
| Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group? | Chinese. |
| When percussing, a dull tone is expected to be heard over: | Dense areas such as the liver. |
| Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your repsponse | "With your father's permission, we will examine the stone and request that it be returned to him." |
| Knowledge of the culture or cultures represented by the patient should be used to: | Help make the interview questions more pertinent. |
| What does a pneumatic attachment on an otoscope do? Who is it used for? | Produces small puffs of air against the tympanic membrane to evaluate fluctuation of the tympanic membrane in children |
| When using mediate or indirect percussion, which technique is appropriate? | The palmer surface of the non-dominat (stationary) hand should rest against the body surface with the fingers spread slightly. Lift the middle finger to avoid dampening of the vibratory sounds. |
| Which maternal factor is most predictive of whether an infant will receive inoculations? | Mother received prenatal care. |
| Standard Precautions apply to all patients: | Receiving care in hospitals. |
| Auscultation should be carried out last except when examining: | The abdomen. |
| One recommendation to prevent latex allergy is to: | Wash hands with mild soap after removing gloves and then dry the hands thoroughly. |
| Blood pressure is a peripheral measurement of: | Cardiovascular function. |
| If a sufficiently large cuff is unavailable to fit an obese arm, which technique may be used to assess blood pressure? | Wrap the cuff around the smaller forearm and place the stethoscope over the radial artery. |
| The height-measuring attachment of the standing platform scale should be pulled out: | Before the patient steps up on the scale. |
| Axillary measurement of temperature correlates best with core temperatures of: | Infants. |
| The fifth vital sign is: | Pain. |
| A scale used to assess patients weight should be calibrated: | Before the patient stands on the scale. |
| In a naturalistic or holistic approach to health, and example of a hot symptom would be: | Diarrhea. |
| The root of social, political, and economic tragedy often stems from: | Resistance. |
Created by:
tisab1971