ADVANCED HEALTH ASSESSMENT QUIZ 1 COMPLETELY SOLVED 100%
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Course
Health Assessment
Institution
Health Assessment
What is an important quality for a nurse to have to conduct an effective patient-centered interview? - ANSWER Ability to adapt to the patient
What part of the history is being assessed when the nurse asks, "How does your pain affect your daily routine?" - ANSWER History of present illness
Wha...
ADVANCED HEALTH ASSESSMENT QUIZ 1 COMPLETELY SOLVED 100%
What is an important quality for a nurse to have to conduct an effective patient-centered
interview? - ANSWER Ability to adapt to the patient
What part of the history is being assessed when the nurse asks, "How does your pain affect your daily routine?" - ANSWER History of present illness
What information is the nurse assessing when asking the patient, "What were you doing
at the time your symptoms began?" - ANSWER Precipitating factors
During what part of the comprehensive health history does the nurse ask about the cause of death of a patient's deceased father? - ANSWER family history
What patient characteristic can interfere with obtaining a comprehensive health history and can be treated with breathing or relaxation exercises? - ANSWER Moderate anxiety
Moderate anxiety may be caused by age, pregnancy, and physical and emotional handicaps, and can be treated with breathing and relaxation exercises.
Which pieces of information are pertinent to a patient history? - ANSWER 1. family diseases
2. chronic disease 3. onset symptoms 4. current symptoms
The nurse is caring for a patient from an unfamiliar culture who states the intent to use an alternative therapy to treat a health condition. What is the nurse's best response? - ANSWER "What type of alternative treatment do you plan to use?"
Use of a medical interpreter to take a patient history in a non-English-speaking patient is
preferred over use of the patient's family member(s) for which reasons? - ANSWER a.The ability of the interpreter to provide culturally sensitive advice
b. The interpreter's knowledge of medical terminology
c. The interpreter's understanding of patient rights d. The tendency for a patient to withhold embarrassing or private information from family
When interviewing a patient through use of an interpreter, how should the nurse adjust the interviewing process? - ANSWER Pause every one or two sentences to allow the interpreter to speak
The nurse is conducting a cultural assessment of a patient from an unfamiliar culture. What information would be helpful in establishing the patient's faith-based influences and rituals? - ANSWER Knowledge of whether the patient belongs to a religious organization
To ensure accurate findings, what information would the nurse verify prior to beginning inspection? - ANSWER Overhead lighting and a lamp are available.
Which part of the hand is used to palpate the patient's abdomen? - ANSWER finger pads
Which part of the hand is best used to assess for fremitus, or vibrations? - ANSWER ball of hand
Which part of the hand would the nurse use to palpate pulsations? - ANSWER finger pads
Which tone would the nurse expect to hear when percussing over the a. lungs?
b. Bone? C. Stomach? - ANSWER lungs- Resonance bones- flatness stomach- Tympany
What percussion tone would indicate air-filled (emphysematous) lungs? - ANSWER Hyperresonance
To ensure accurate findings, what information would the nurse verify prior to beginning inspection? - ANSWER Overhead lighting and a lamp are available.
When auscultating the patient's lungs, how should the head of the stethoscope be held?
- ANSWER The diaphragm held firmly on the posterior lung fields
When obtaining the pulse oximetry reading, what action will help verify the accuracy of the measurement? - ANSWER How should the nurse insert the otoscope speculum to best inspect the auditory canal and prevent injury in an adult patient? - ANSWER Tilt the patient's head slightly toward the opposite ear before inserting the otoscope speculum
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