Physical Examination & Health

Assessment Ch 1-10 99 terms by tina_brannon4

According to the holistic model, a the absence of disease

narrow definition of holistic health
includes:

What type of database is most Emergency

appropriate when rapid collection of
data is required and often compiled
concurrently with lifesaving measures?

A medical diagnosis is used to evaluate: The cause of disease

An example of subjective data is: left knee has been swollen and hot for
the past 3 days.

What type of database is most Complete

appropriate for an individual who is
admitted to a long-term care facility?

Which of the following is an example of Alert and oriented

objective data?

An example of objective data is: crepitation in the left knee joint

A nursing diagnosis is best described as: a concise statement of actual or

potential health concerns or level of
wellness

A complete database is: used to perform a thorough or

comprehensive health history and
physical examination

A patient admitted to the hospital with Impaired gas exchange

asthma has the following problems
identified based on an admission health
history and physical assessment. Which
problem is a first-level priority?

Each culture has its own healers who cost less than traditional or biomedical
usually: providers
While evaluating the health history, the The humors must be balanced
nurse determines that the patient
subscribes to the hot/cold theory of
health. Which of the following would
most likely describe this patient's view of
wellness?

On the basis of median age: the Asian population tends to be

younger

Spirituality is defined as: a personal effort to find meaning and

purpose in life.

Which of the following statements There is a law that addresses language

regarding language barriers and health barriers and health care.
care is true?

What is the yin/yang theory of health? Health exists when all aspects of the
person are in perfect balance.

Which theory has been expanded in an Heritage consistency

attempt to study the degree to which a
person's lifestyle reflects his or her
traditional heritage?

Which of the following symptoms is Pain

greatly influenced by a person's cultural
heritage?

When considering cultural competence, his or her own heritage, the heritage of
the nurse must develop knowledge of the nursing profession, the heritage of
discrete areas to understand the health the patient, the heritage of the
care needs of others. These discrete healthcare system
areas include understanding of: (Select
all that apply.)

When preparing the physical setting for conduct the interview at eye level and at
an interview, the interviewer should: a distance of 4 to 5 feet

Parents or caretakers accompany 7

children to the health care setting.
Starting at ___ years of age, the
interviewer asks the child directly about
his or her presenting symptoms.

Which of the following statements made "Tell me what you mean by 'bad blood."
by the interviewer would be an
appropriate response?
While discussing the treatment plan, the helps the patient understand personal
nurse infers that the patient is feelings in relation to his or her verbal
uncomfortable asking the physician for a message.
different treatment because of fear of
the physician's reaction. In this situation,
the nurse's verbal interpretation:

The use of euphemisms to avoid reality avoidance language

or to hide feelings is known as:

When addressing a toddler during the use short, simple, concrete sentences
interview, the health care provider
should:

Nonverbal communication is the primary Infants

form of communication for which group
of individuals?

Viewing the world from another person's empathy

inner frame of reference is called:

An example of an open-ended question "Tell me about your pain."

or statement is:

The most appropriate introduction to "Mr. Jones, I want to ask you some
use to start an interview with an older questions about your health so that we
adult patient is: can plan your care."

Which of the following is included in Reliability of informant

documenting a history source?

A patient seeks care for "debilitating aggravating factors

headaches that cause excessive
absences at work." On further
exploration, the nurse asks, "What makes
the headaches worse?" With this
question, the nurse is seeking
information about:

The CAGE test is a screening excessive or uncontrollable drinking.

questionnaire that helps to identify:

The "review of systems" in the health an evaluation of past and present health
history is: state of each body system.

When recording information for the the presence or absence of all

review of systems, the interviewer must symptoms under the system heading.
document:
Assessment of self-esteem and self- education, financial status, and value-
concept is part of the functional belief system.
assessment. Areas covered under self-
esteem and self-concept include:

PQRSTU is a mnemonic that helps the pain presentation.

clinician to remember to address
characteristics specific to:

The nurse questions the reliability of the rephrase the same questions later in the
history provided by the patient. One interview.
method to verify information within the
context of the interview is to:

When taking a health history from an interview the youth alone with a parent
adolescent, the interviewer should: in the waiting area.

What information is included in greater Nutritional data

detail when taking a health history on an
infant?

A full mental status examination should has a change in behavior and the family
be completed if the patient: is concerned

Aphasia is best described as: a language disturbance in speaking,

writing, or understanding

A patient in whom a seizure disorder was judgment

recently diagnosed plans to continue a
career as a pilot. At this time in the
interview, the nurse begins to question
the patient's:

A major characteristic of dementia is: impaired short-term and long-term

memory

Mental status assessment documents: emotional and cognitive functioning

Although a full mental status appearance, behavior, cognition, and

examination may not be required for thought processes
every patient, the health care provider
must address the four main components
during a health history and physical
examination. The four components are:

An older adult (in response to cognitive has a slower response time.

ability):
Which of the following statements about Abnormal findings are usually related to
mental status testing of children is not achieving an expected
correct? developmental milestone

Which of the following best illustrates an Blocking

abnormality of thought process?

The mental status examination: assesses mental health strengths and

coping skills and screens for any
dysfunction

The nurse would expect an older adult decreased liver metabolism and kidney
to have higher blood alcohol levels functioning.
because older adults have:

For a patient to meet the criteria for a relationship trouble with family or friends
diagnosis of alcohol abuse, the patient
must report that alcohol has repeatedly
caused or contributed to:

If the patient has a drinking problem, "I believe that you have an alcohol
which statement by the nurse is most problem and strongly recommend that
appropriate? you quit drinking. I am willing to help."

A patient denies having a drinking Elevated gamma-glutamyl transferase

problem. Which of the following (GGT)
laboratory tests is commonly used as a
biochemical marker that indicates
chronic alcohol use?

A patient with chronic alcohol use is Hypertension

most at risk for developing which of the
following cardiovascular diseases?

One of the most frequently abused oxycodone

prescription opioid pain medications is:

A female patient asks the nurse about avoid alcohol before conception and
the safe use of alcohol before and during pregnancy
during pregnancy. The best response by
the nurse is to instruct the patient to:

Patients should be instructed to one drink per day

consume alcohol in moderation. To
consume at a moderate drinking pattern,
a female patient should be instructed to
consume no more than:
Which alcohol screening test is SMAST-G (Short Michigan Alcohol
specifically designed for use in older Screening Test-Geriatric Version)
adults?

If a patient admits not being able to quit alcohol dependence

drinking, having to have more drinks to
get the same effect, and having
withdrawal symptoms, the patient meets
criteria for:

Dehydration and malnutrition can be neglect

manifestations of ________________ in the
elderly.

Increased bruising and bleeding in Ingestion of nonsteroidal anti-

elderly adults may be related to which inflammatory drugs
of the following?

American women are most often killed an intimate male partner

by:

An extremely important part of the mental status examination

history and examination in situations of
intimate partner violence or elder abuse
is the:

The health care system may help abused identifying abuse in the early stages
women by:

Abused women have been found to chronic pain

have significantly more health problems,
including:

Women are more likely to be physically current or former intimate partner

or sexually assaulted by a:

A woman seeks medical attention for a incision

cut made by a knife during a physical
assault. The health care provider would
document the cut as an:

Risk factors associated with child a disabled child

maltreatment include:

The nurse caring for an older adult Notify the authorities of the suspected
suspects elder abuse. Which action is elder abuse
appropriate?

To examine a toddler, the nurse should: allow the child to sit on the parent's lap
Deep palpation is used to: identify abdominal contents

Amplitude is: the intensity (soft or loud) of sound

The dorsa of the hands are used to temperature

determine:

Fine tactile discrimination is best fingertips

achieved with the:

A funduscopic examination is an internal structures of the eye

examination of the:

Which of the following is considered Base the pace of the examination on the
when preparing to examine an older patient's needs and abilities
adult?

When performing percussion, the strikes the stationary finger at the distal
examiner: interphalangeal joint

At the end of the examination, the review the findings with the patient
examiner should:

The examiner should use handwashing if the patient has an infection with
instead of an alcohol-based hand rub: Clostridium difficile

The general survey consists of four physical appearance, body structure,

distinct areas. These areas include: mobility, and behavior

A common error in blood pressure waiting less than 1 to 2 minutes before

measurement is: repeating the blood pressure reading on
the same arm

Data collection for the general survey at the first encounter

begins:

The Doppler technique: augments Korotkoff sounds during

blood pressure measurement

The tympanic membrane thermometer provides an accurate measurement of

(TMT): core body temperature

Endogenous obesity is: caused by excess adrenocorticotropin

production by the pituitary gland

To perform an accurate assessment of count for 30 seconds after completing a

respirations, the examiner should: pulse assessment and multiply by two

Physical appearance includes statements stated age

that compare appearance with:
An adult patient's pulse is 46 beats per bradycardia
minute. The term used to describe this
rate is:

The nurse records that the patient's anxiety

pulse is 3+ or full and bounding. Which
of the following could be the cause?

Pain signals are carried to the central afferent fibers

nervous system by way of:

Which of the following is the most Patient self-report

reliable indicator for chronic pain?

Which of the following statements White individuals receive more analgesic

regarding cultural/racial differences in therapy than black or Hispanic
the treatment of pain is true? individuals with similar symptoms

What occurs during transduction (the Pain signals move from the site of origin
first phase of nociceptive pain)? to the spinal cord

What type of pain is short and self- acute

limiting and dissipates after the injury
heals?

Neuropathic pain implies an abnormal: processing of the pain message

What is the source of deep somatic bones and joints

pain?

Which of the following has been found Hormonal changes

to influence pain sensitivity in women?

Specialized nerve endings that are nociceptors

designed to detect painful sensations
are:

An older adult patient with dementia has administer prescribed pain medication
a pain rating of 5 on the Pain Assessment
in Advanced Dementia (PAINAD) scale.
The nurse should: