Health Assessment exam 1 ALL ANSWERS 100% CORRECT FALL-2021 SOLUTION GUARANTEED GRADE A+

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• Question 1 Which statement defines dementia? 1 out of 1 points Selected Answer: a gradual progressive decrease in cognition which is not reversible Answers: a gradual pro... gressive decrease in cognition which is not reversible acute confusional change which resolves with treatment being aware of one’s existence or feelings unwanted persistent thoughts or impulses • Question 2 During an interview, the nurse notes that the patient gets up several times to wash her hands even though they are not dirty. This is an example of: 1 out of 1 points Selected Answer: compulsive disorder. Answers: social phobia. compulsive disorder. generalized anxiety disorder. posttraumatic stress disorder • Question 3 Which of the following is an example of a first-level priority problem? 1 out of 1 points Selected Answer: An individual with shortness of breath and respiratory distress Answers: A patient with postoperative pain A newly diagnosed diabetic who needs diabetic teaching An individual with a small laceration on the sole of the foot An individual with shortness of breath and respiratory distress • Question 4 1 out of 1 points 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: Selected Answer: lethargi c. Answers: lethargi c. obtunde d. stuporo us. semi alert. • Question 5 A 45-year-old woman is brought to the emergency department with a head injury after her car hit a tree. A few months after recovering from her injuries, she is unable to learn new information or recall previously learned information. This is an example of: 1 out of 1 points Selected Answer: amnestic disorder. Answers: mania. agnosia. dementia. amnestic disorder. • Question 6 The nurse is conducting an interview with a woman who has recently learned that she is pregnant and has come to the clinic today to begin prenatal care. The woman states that she and her husband are excited about the pregnancy but have a few questions. She looks nervously at 1 out of 1 points her hands during the interview and sighs loudly. Considering the concept of communication, the nurse knows that which statement is most accurate? The woman: Selected Answer: is exhibiting verbal and nonverbal behavior that does not match. Answers: is excited about her pregnancy but nervous about labor. is exhibiting verbal and nonverbal behavior that does not match. is excited about her pregnancy but her husband is not and this is upsetting to her. is not excited about her pregnancy but believes the nurse will respond negatively to her if she states this. • Question 7 After completing an initial assessment on a patient, the nurse has 1 out of 1 points charted that his respirations are eupneic and his pulse is 58. This type of data would be: Selected Answer: objective Answers: objective reflective subjective introspect ive • Question 8 1 out of 1 points Which of the following is the best definition of spirituality? Selected Answer: That which arises out of each person’s unique life experience and his or her personal effort to find purpose in life Answers: A personal search to discover a supreme being An organized system of beliefs concerning the cause, nature, and purpose of the universe A belief that each person exists forever in some form, such as a belief in reincarnation or the afterlife That which arises out of each person’s unique life experience and his or her personal effort to find purpose in life • Question 9 Which of the following examples would be a hallucination? 1 out of 1 points Selected Answer: A man believes that his dead wife is talking to him. Answers: A man believes that his dead wife is talking to him. A woman hears the doorbell ring and goes to answer it, but no one is there. A child sees a man standing in his closet. When the lights are turned on it is only a dry cleaning bag. A man believes that the dog has curled up on the bed, but when he gets closer he sees that it is a blanket. • Question 10 Symptoms, such as pain, are often influenced by a person’s cultural heritage. Which of the following is a true statement in regard to pain? 1 out of 1 points Selected Answer: The ethnic background of a patient is important in a nurse’s assessment of that patient’s pain. Answers: Nurses’ attitudes toward their patients’ pain are unrelated to their own experiences with pain. The ethnic background of a patient is important in a nurse’s assessment of that patient’s pain. A nurse’s area of clinical practice is most likely to determine his or her assessment of a patient’s pain. A nurse’s years of clinical experience and current position are a strong indicator of his or her response to patient pain. • Question 11 A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information? 1 out of 1 points Selected Answer: “Please describe what happens to you when you take penicillin.” Answers: “Are you allergic to any other drugs?” “How often have you received penicillin?” “I’ll write your allergy on your chart so you won’t receive any.” “Please describe what happens to you when you take penicillin.” • Question 12 Which data would not be included in a client's health history? 1 out of 1 points Selected Answer: Laboratory tests Answers: Laboratory tests Physical Assessment Nutritional assessment Family Medical History • Question 13 1 out of 1 points Which data would a nurse document under the category of family health history? Selected Answer: Maternal diseases Answers: Maternal diseases Present illness Allergies to Medications ClientÕs name and date of birth • Question 14 "A client with cancer says, I feel like I am getting weaker every day. I wonder if the chemotherapy is working. The nurse responds, Isn't it beautiful outside today? This interaction is an example of what specific type of communication barrier?" 1 out of 1 points Selected Answer: Changing the subject or topic Answers: Changing the subject or topic Falsely reassuring statement Judgmental statement Patronizing statement • Question 15 Which scenario described below best illustrates a screening type of health assessment? 1 out of 1 points Selected Answer: A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons. Answers: A client visits an obstetric clinic for the first time, and the nurse conducts a detailed history and physical examination. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure checks to mall patrons. The nurse in the triage area of an urgent care center checks the vital signs of a client who is complaining of leg pain. A client make an appointment 1 month after today’s office visit for a follow-up test of fasting blood glucose level. • Question 16 The largest and fasting growing population in the United States is: 1 out of 1 points Selected Answer: Hispanics Answers: Hispanics Blacks Asians American Indians • Question 17 1 out of 1 points The following statement could be found at which phase of the interview? “Mr. S., I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here.” Selected Answer: Opening/introducing the interview Answers: During the summary Closing the interview During the body of the interview Opening/introducing the interview • Question 18 1 out of 1 points Culture has four basic characteristics. Which statement correctly reflects one of these characteristics? Selected Answer: Culture adapts to specific environmental factors and available natural resources. Answers: Cultures are static and unchanging despite changes around them. Cultures are never specific, which makes them hard to identify. Culture is most clearly reflected in a person’s language and behavior. Culture adapts to specific environmental factors and available natural resources. • Question 19 1 out of 1 points 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? Selected Answer: “When did you come to the United States, and from what country?” Answers: “Why did you come to the United States?” “When did you come to the United States, and from what country?” “What made you leave your native country?” “Are you planning to return to your home?” • Question 20 1 out of 1 points Which of the following culture-bound syndromes is more common among North Americans? Selected Answer: Bulimia Answers: Bulimia Evil eye Empach o Low blood • Question 21 A female patient tells the nurse that she has had six pregnancies, with 1 out of 1 points four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information? Selected Answer: Grav 6, Term 4, (S)Ab 2, Living 4 Answers: P-6, B-4, (S)Ab-2 Grav 6, Term 4, (S)Ab 2, Living 4 Patient has had four living babies. Patient has been pregnant six times. • Question 22 1 out of 1 points A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of the fluid and electrolyte imbalance. The nurse will assess his: Selected Answer: level of consciousness and cognitive abilities. Answers: affect and mood. memory and affect. thought processes and memory. level of consciousness and cognitive abilities. • Question 23 1 out of 1 points In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which of the following statements is true regarding note-taking? Selected Answer: Taking notes may impede the nurse’s observation of the patient’s nonverbal behaviors. Answers: Taking notes may impede the nurse’s observation of the patient’s nonverbal behaviors. Taking notes allows the patient to continue at his or her own pace as the nurse records what is said. Taking notes allows the nurse to shift attention away from the patient, resulting in increased comfort level. Taking notes allows the nurse to break eye contact with the patient, which may increase his or her level of comfort. • Question 24 1 out of 1 points A 90-year-old patient tells the nurse that he can’t remember the names of the drugs he is taking or what they are for. An appropriate response would be: [Show More]

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