Maryville NURS 612 Advanced Health Assessment
Exam 1 Study Guide (2026–2027): Comprehensive
Review with Practice Questions and Verified Detailed
Answers
Which of the following will best facilitate the interview
when obtaining a history for a deaf patient who
can read lips? - Answer - speaking slowly
During a history, the patient indicates he has an uncle
and a brother with sickle cell disease. Which of the
following is an appropriate method to document this
information? - Answer - Include it in the family history.
Which approach is recommended at the onset of an
interview? - Answer - Use an open-ended approach; let the patient explain the
problem or reason for the visit.
Which of the following questions may lead to an
inaccurate patient response? - Answer - "That was a horrible experience, wasn't
it?"
Repeating a patient's answer is an attempt to - Answer - confirm an accurate
understanding.
During an interview, your patient admits to feeling
worthless and having a sleep disturbance for the
,past 3 weeks. These are clues that warrant the exploration
of - Answer - risk for suicide
what you might see in Acute glaucoma - Answer - intense ocular pain, blurred
vision, halos around lights, a red eye, and a dilated pupilo Occasionally: stomach
pain, nausea, & vomiting
presbyopia, decrease in dim light sight, decreased ability to adjust to change in
lighting - Answer - Normal findings with elderly Conjunctiva
What is being looked at with ophthalmoscope - Answer - Red reflex, vascular
supply of the retina, optic disc and macula
if someone of a different culture comes in with pain how would you address that? -
Answer - ask if they any cultural beliefs that will affect how you need to treat the
pain, does the pain frighten you, how do you cope with pain, what ways do you
usually treat pain
How would you like to be addressed?; How are you feeling today?; What would
you like for us to do today?; What do you think is causing your symptoms?; What
is your understanding of your diagnosis? - Answer - examples of patient-centered
questions
If language is a barrier how should it be handled - Answer - professional
interpreter, rather than a family member, should be used
What do open-ended questions allow? - Answer - gives the patient discretion
about the extent of an answer
What do direct questions allow? - Answer - to seeks specific information
,What tests would you use to check vision acuity? - Answer - Rosenbaum (near
vision) & Snellen (far vision)
Know some red flags of the eye (send to ED or eye doctor) - Answer - uneven
pupils with HA, sudden loss of vision, floaters/flashers
When a patient has retinal detachment what is their main complaint? - Answer -
"curtain" feeling, floaters or flashes
How do you check for glaucoma? - Answer - Check intraocular pressure
(tonometry); optic disc assessment, peripherial vision exam, whether intraocular
drainage system is "open" or "closed" (gonioscopy)
how to identify bacterial conjunctivitis vs allergic conjunctivitis - Answer -
Bacterial- starts in one eye and spreads to the other, yellow/ crusty drainage
Allergic- both eyes, puffy and/ or runny
What is first thing visualized with ophthalmascope 12 inchs away? - Answer - red
reflex
What will be the first thing seen with ophthalmascope as you approach 3-5 cm
away? - Answer - blood vessel
Jerry, a 26-year-old homosexual man, is having a
health history taken. Which question regarding sexual
activity would most likely hamper trust between
Jerry and the interviewer? - Answer - Are you married or do you have a girlfriend
, When questioning a patient regarding a sensitive
issue, such as drug use, it is best to - Answer - be direct, firm, and to the point
Direct questions are designed to - Answer - obtain or clarify specific details about
an answer
Interviewers should identify and assess their own
feelings, such as hostility and prejudice, in order to - Answer - reduce
communication barriers
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? - Answer - "Tell me what you mean by often."
Developing cultural sensitivity is vital in order for the
examiner to be successful in - Answer - recognizing and accepting health beliefs
that differ from his or her own beliefs.
The balance of hot and cold and its relationship to
wellness is a concept that - Answer - is believed by members of many cultures,
including
Arabs, Asians, Filipinos, and Hispanics.
Developing a knowledge base about cultural groups
Exam 1 Study Guide (2026–2027): Comprehensive
Review with Practice Questions and Verified Detailed
Answers
Which of the following will best facilitate the interview
when obtaining a history for a deaf patient who
can read lips? - Answer - speaking slowly
During a history, the patient indicates he has an uncle
and a brother with sickle cell disease. Which of the
following is an appropriate method to document this
information? - Answer - Include it in the family history.
Which approach is recommended at the onset of an
interview? - Answer - Use an open-ended approach; let the patient explain the
problem or reason for the visit.
Which of the following questions may lead to an
inaccurate patient response? - Answer - "That was a horrible experience, wasn't
it?"
Repeating a patient's answer is an attempt to - Answer - confirm an accurate
understanding.
During an interview, your patient admits to feeling
worthless and having a sleep disturbance for the
,past 3 weeks. These are clues that warrant the exploration
of - Answer - risk for suicide
what you might see in Acute glaucoma - Answer - intense ocular pain, blurred
vision, halos around lights, a red eye, and a dilated pupilo Occasionally: stomach
pain, nausea, & vomiting
presbyopia, decrease in dim light sight, decreased ability to adjust to change in
lighting - Answer - Normal findings with elderly Conjunctiva
What is being looked at with ophthalmoscope - Answer - Red reflex, vascular
supply of the retina, optic disc and macula
if someone of a different culture comes in with pain how would you address that? -
Answer - ask if they any cultural beliefs that will affect how you need to treat the
pain, does the pain frighten you, how do you cope with pain, what ways do you
usually treat pain
How would you like to be addressed?; How are you feeling today?; What would
you like for us to do today?; What do you think is causing your symptoms?; What
is your understanding of your diagnosis? - Answer - examples of patient-centered
questions
If language is a barrier how should it be handled - Answer - professional
interpreter, rather than a family member, should be used
What do open-ended questions allow? - Answer - gives the patient discretion
about the extent of an answer
What do direct questions allow? - Answer - to seeks specific information
,What tests would you use to check vision acuity? - Answer - Rosenbaum (near
vision) & Snellen (far vision)
Know some red flags of the eye (send to ED or eye doctor) - Answer - uneven
pupils with HA, sudden loss of vision, floaters/flashers
When a patient has retinal detachment what is their main complaint? - Answer -
"curtain" feeling, floaters or flashes
How do you check for glaucoma? - Answer - Check intraocular pressure
(tonometry); optic disc assessment, peripherial vision exam, whether intraocular
drainage system is "open" or "closed" (gonioscopy)
how to identify bacterial conjunctivitis vs allergic conjunctivitis - Answer -
Bacterial- starts in one eye and spreads to the other, yellow/ crusty drainage
Allergic- both eyes, puffy and/ or runny
What is first thing visualized with ophthalmascope 12 inchs away? - Answer - red
reflex
What will be the first thing seen with ophthalmascope as you approach 3-5 cm
away? - Answer - blood vessel
Jerry, a 26-year-old homosexual man, is having a
health history taken. Which question regarding sexual
activity would most likely hamper trust between
Jerry and the interviewer? - Answer - Are you married or do you have a girlfriend
, When questioning a patient regarding a sensitive
issue, such as drug use, it is best to - Answer - be direct, firm, and to the point
Direct questions are designed to - Answer - obtain or clarify specific details about
an answer
Interviewers should identify and assess their own
feelings, such as hostility and prejudice, in order to - Answer - reduce
communication barriers
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? - Answer - "Tell me what you mean by often."
Developing cultural sensitivity is vital in order for the
examiner to be successful in - Answer - recognizing and accepting health beliefs
that differ from his or her own beliefs.
The balance of hot and cold and its relationship to
wellness is a concept that - Answer - is believed by members of many cultures,
including
Arabs, Asians, Filipinos, and Hispanics.
Developing a knowledge base about cultural groups
