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Exam I studyguide

Health Assessment

You are interviewing a patient who has a hearing impairment.  What techniques would be most beneficial in communicating with this patient? Assess the communication method he prefers.
The interview portion of data collection collects: subjective data.
Which of the following statements is true regarding the mental status examination? It is usually sufficient to gather mental status information during the health history interview.
Coining leaves _______________ on the skin. linear discolorations
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: lethargic
17-year-old single mother is describing how difficult it's to raise 2 yr old boy by herself. During course of interview she states, I can't believe my boyfriend left me! What a terrible thing to do to me! Which of following responses uses empathy? "It must be so hard to face this all alone."
Which of the following statements best describes the purpose of a health history? To provide a database of subjective information about the patient's past and present health
Open-ended questions in the health history are utilized to: elicit feelings, opinions, ideas.
Which of the following is an appropriate health promotion question to ask during a review of symptoms? "Do you use sunscreen while outside?"
Which of the following is appropriate for the nurse to say near the end of the interview? "Is there anything else you would like to talk about?"
When taking a patient's history, you are asked questions about your personal life. What is the best response to facilitate the interviewing process? Answer briefly, if appropriate, and then refocus to the patient's history.
A good rule for an interviewer is to: spend more time listening to the patient than talking.
Which of the following is an example of a symptom? Chest pain
Which of the following statements represents subjective data obtained from the patient regarding his skin? Denies color change
When a patient is describing his symptoms, which of the following statements reflects a description of the setting of his symptoms? "This pain happens every time I sit down to use the computer."
Mrs. W., a Native American, has come to your clinic for diabetic follow-up teaching.  During your interview, you notice that she never makes eye contact with you and speaks mostly to the floor.  Which statement is true regarding this situation? She is showing that she is listening carefully to what you are saying.
Which of the following statements best describes the Mini-Mental State Examination? it is a good tool to detect delirium and dementia and to differentiate these from psychiatric mental illness.
During an interview, a patient describes abdominal pain that often awakens him at night. Which of the following responses by the interviewer would facilitate the interviewing process? "Tell me what you mean by 'often'."
physician in clinic is frequently bothered when patients arrive late 4 appointments. He's so irritated by this behavior that he often finds it hard to provide appropriate care. What should he do first in trying to overcome his difficulty? Examine his own culturally based values, beliefs, attitudes, and practices.
Cupping leaves ______________ on the skin. round bruises
You have just begun your assessment of Mrs. L.'s newborn. Mrs. L. is Vietnamese. Which statement is true regarding this examination? Mrs. L. will be offended if you examine the infant's head.
The nurse is planning to assess new memory with a patient. The best way to do this would be to: give him the Four Unrelated Words Test.
Your newly admitted patient is acutely ill.  Which of the following tactics should you utilize to obtain the patient's health history? Prioritize the most relevant parts of the history
One of the biggest barriers to cultural competence is: failure of the provider to develop self-awareness and a respectful attitude toward diverse points of view.
When taking a family history, important diseases or problems to ask the patient about include: mental illness.
In 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? Are you able to dress yourself?
Because the physical environment in which an interview takes place is an important consideration for the success of an interview, the interviewer should: reduce noise by turning off televisions and radios.
When assessing aging adults, the nurse knows that one of the first things that should be assessed before making judgments about their mental status is: their sensory-perceptive abilities.
A patient presents with a complaint of knee pain for several months.  An appropriate statement by the RN would be: "What has occurred that led you to seek care today?"
To assess affect, the nurse should ask the patient: "How do feel today?"
When examining a patient, the nurse can assess mental status by: observing the patient and inferring health or dysfunction.
During your assessment, you use the CAGE test.  This is used to assess for: problematic alcohol consumption.
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? A trained interpreter.
Repeating a patient's answer is an attempt to: confirm an accurate understanding.
The nurse is assessing a new patient who has recently immigrated to the United States.  Which question is appropriate to add to the health history? "When did you come to the United States, and from what country?"
The 40-year-old patient states that she has smoked 2 packs of cigarettes per day since age 18.  The RN should document this as: 44 pack years.
During follow-up visit, you discover that your patient has not been taking his insulin on a regular basis.  You ask, "Why haven't you taken your insulin?"  Which of the following is an appropriate evaluation of your question? It may put the patient on the defensive.
During an interview, the patient describes problems associated with an illness and begins to cry.  The best action in this situation is to: allow the patient to cry, then resume when the patient is ready.
Reframing refers to: attempting to look at a situation from the patient's point of view.
The nurse is assessing a 75-year-old man.  As the nurse begins the mental status portion of the assessment, the nurse expects that this patient: may take a little longer to respond, but his general knowledge and abilities should not have declined.
In an interview, it will sometimes be necessary to take notes to aid your memory later.  Which of the following statements is true regarding note-taking? Taking notes may impede your observation of the patient's nonverbal behaviors.
Irregular areas of darkened pigment of the back and buttocks of babies and small children may be: Mongolian spots.
Your patient tells you that his only allergy is to penicillin. What should be your next response? "Please describe what happens to you when you take penicillin."
A 90-year-old patient tells you he can't remember the names of the drugs he is taking or what they are for.  An appropriate response would be: "Would you have your family bring in your medications?"
An aspect (or aspects) of human behavior which is (are) important in all cultures yet can vary significantly between cultures is: all of the above
The review of systems provides the nurse with: subjective information regarding past and present health state of each body system.
In response to your question regarding use of alcohol, a patient asks you why you need to know.  What is your reason for needing this information? Alcohol can interact with medications as well as make some diseases worse.
The first step in understanding the health care needs of another person is: understanding one's own heritage-based cultural values, beliefs, attitudes, and practices relevant to health and illness.
When providing culturally competent care, nurses must incorporate cultural assessment into their health assessment.  Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an elderly American Indian patient? "What cultural or spiritual beliefs are important to you?"
During an interview, a parent of a hospitalized child is sitting in an open position. As interviewer begins to discuss his son's treatment, however, he suddenly crosses his arms against his chest & crosses his legs.  This would suggest that parent is: uncomfortable talking about his son's treatment.
Created by: chaptravelman