2
NUR 504 - Final Exam with precise detailed solutions
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Which of the following is an example of subjective data that may be collected during a
|| || || || || || || || || || || || || || || ||
health assessment? ||
a. Height and weight
|| || ||
b. A patient's recall of his or her past health conditions
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c. Results from an abdominal CT scan
|| || || || || ||
d. Complete blood count - ✔✔b. A patient's recall of his or her past health conditions
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1. Which of the following is true regarding the data taken in a health history?
|| || || || || || || || || || || || || ||
a. Most health history data are objective and measurable.
|| || || || || || || ||
b. Objective data are error-free, quantifiable data.
|| || || || || ||
c. Subjective data, being inherently less accurate, are of less value than objective data.
|| || || || || || || || || || || || ||
d. A successful individualized plan of care must incorporate subjective data. - ✔✔d. A
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successful individualized plan of care must incorporate subjective data.
|| || || || || || || ||
1. What do Coulehan and Block define as "listening to the total communication . . . and
|| || || || || || || || || || || || || || || || ||
letting the patient know that you are really hearing"?
|| || || || || || || ||
a. Cultural competence
|| ||
b. Patience
||
c. Empathy
||
d. Top-tier communication - ✔✔c. Empathy
|| || || || ||
1. The provider is preparing to take a health history for a new patient. He takes the patient
|| || || || || || || || || || || || || || || || || ||
to a private room and asks the patient to don a hospital gown. After stepping outside to give
|| || || || || || || || || || || || || || || || || ||
the patient sufficient time to change, he then comes back in and asks permission to conduct
|| || || || || || || || || || || || || || ||
the history. He sits next to the patient at eye level, discreetly observes the patient for any
|| || || || || || || || || || || || || || || || || ||
,2
sensory deficits, and asks the patient if he may take brief notes of the conversation. During
|| || || || || || || || || || || || || || || ||
the conversation, he gives the patient time to answer questions fully. He makes sure that his
|| || || || || || || || || || || || || || ||
questions do not contain technical terms and quietly observes the patient's nonverbal
|| || || || || || || || || || || || ||
behaviors throughout. Which mistake did the provider make?
|| || || || || || ||
a. He should have allowed the patient to remain fully clothed in their own clothing for their
|| || || || || || || || || || || || || || || || ||
comfort.
b. He should not have omitted technical terminology. Patients like having a chance to learn.
|| || || || || || || || || || || || || ||
c. He should have seated - ✔✔a. He should have allowed the patient to remain fully clothed
|| || || || || || || || || || || || || || || || ||
in their own clothing for their comfort.
|| || || || || ||
1. Which of the following is true of both comprehensive and focused health histories?
|| || || || || || || || || || || || ||
a. They both include identifying data.
|| || || || ||
b. They both include a social history.
|| || || || || ||
c. They both include a family history.
|| || || || || ||
d. They are both conducted in emergency situations. - ✔✔a. They both include identifying
|| || || || || || || || || || || || || ||
data.
1. In the mnemonic devise PQRST, which of the following includes describing the location
|| || || || || || || || || || || || || ||
of the symptoms?
|| ||
a. Precipitating factors
|| ||
b. Quality
||
c. Radiation
||
d. Severity - ✔✔b. Quality
|| || || ||
1. What is the current mnemonic device for taking a health history?
|| || || || || || || || || || ||
a. PQRST
||
b. CLIENT OUTCOMES
|| ||
c. PRACTICE
||
,2
d. GOOD MEDICINE - ✔✔b. CLIENT OUTCOMES
|| || || || || ||
1. When taking a PMI, which of the following is correct?
|| || || || || || || || || ||
a. Do not take the statement "I'm allergic to. . . " at face value.
|| || || || || || || || || || || || || ||
b. Ask the patient for a very brief summary of their current health.
|| || || || || || || || || || || ||
c. If a patient states that they have been vaccinated with BCG, make sure to administer a
|| || || || || || || || || || || || || || || || ||
PPD test. ||
d. CAM documentation is no longer a requirement. - ✔✔a. Do not take the statement "I'm
|| || || || || || || || || || || || || || || ||
allergic to. . . " at face value. || || || || || || ||
1. Which of the following is a first-degree relative to the patient who has experienced
|| || || || || || || || || || || || || || ||
premature onset of CVD? || || ||
a. Sister at 62
|| || ||
b. Cousin at 62
|| || ||
c. Aunt at 59
|| || ||
d. Grandfather at 44 - ✔✔a. Sister at 62
|| || || || || || || ||
1. Recording the patient's occupation falls under which category?
|| || || || || || || ||
a. PHI
||
b. FH
||
c. SH
||
d. ROS - ✔✔c. SH
|| || || ||
1. A focused ROS:
|| || ||
a. involves a wider range and shallower level of questions than a comprehensive ROS.
|| || || || || || || || || || || || ||
b. includes questions directed toward the systems most likely to be involved in the patient's
|| || || || || || || || || || || || || || ||
symptoms.
, 2
c. includes questions seeking significant positives to narrow down the body systems
|| || || || || || || || || || || ||
affected.
d. covers all body systems. - ✔✔b. includes questions directed toward the systems most
|| || || || || || || || || || || || || ||
likely to be involved in the patient's symptoms.
|| || || || || || ||
1. A patient comes to the clinic complaining of repeated headaches and lightheadedness. As
|| || || || || || || || || || || || ||
the provider takes a health history, he or she should:
|| || || || || || || || || ||
a. perform a comprehensive ROS.
|| || || ||
b. skip the social history in order to focus on the current issue.
|| || || || || || || || || || || ||
c. focus her interest and questions on the patient's neurologic system.
|| || || || || || || || || ||
d. spend a good deal of time assessing the reliability of the information she is getting. -
|| || || || || || || || || || || || || || || || ||
✔✔c. focus her interest and questions on the patient's neurologic system.
|| || || || || || || || || ||
A patient's recall of his or her current health needs and past health is subject to error and is
|| || || || || || || || || || || || || || || || || || ||
also a critical component in the caregiving process? - ✔✔True
|| || || || || || || || ||
Ethnocentrism, belief in the superiority of one's own beliefs and values, is a major barrier to || || || || || || || || || || || || || || ||
establishing effective patient-provider relationships? - ✔✔True
|| || || || || ||
A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy diet, is
|| || || || || || || || || || || || || || ||
unwilling to follow his provider's recommendations to modify his routine. Because he has
|| || || || || || || || || || || || ||
not yet experienced the negative health consequences of his actions, he cannot be classified
|| || || || || || || || || || || || || ||
as resistant? - ✔✔False
|| || ||
1. When taking a patient's chief complaint, rephrase the stated reason using standard
|| || || || || || || || || || || || ||
medical terminology for clarity. - ✔✔False || || || || ||
Family history should include both parents and grandparents, if information is known. -
|| || || || || || || || || || || || ||
✔✔True
NUR 504 - Final Exam with precise detailed solutions
|| || || || || || || ||
Which of the following is an example of subjective data that may be collected during a
|| || || || || || || || || || || || || || || ||
health assessment? ||
a. Height and weight
|| || ||
b. A patient's recall of his or her past health conditions
|| || || || || || || || || ||
c. Results from an abdominal CT scan
|| || || || || ||
d. Complete blood count - ✔✔b. A patient's recall of his or her past health conditions
|| || || || || || || || || || || || || || ||
1. Which of the following is true regarding the data taken in a health history?
|| || || || || || || || || || || || || ||
a. Most health history data are objective and measurable.
|| || || || || || || ||
b. Objective data are error-free, quantifiable data.
|| || || || || ||
c. Subjective data, being inherently less accurate, are of less value than objective data.
|| || || || || || || || || || || || ||
d. A successful individualized plan of care must incorporate subjective data. - ✔✔d. A
|| || || || || || || || || || || || || ||
successful individualized plan of care must incorporate subjective data.
|| || || || || || || ||
1. What do Coulehan and Block define as "listening to the total communication . . . and
|| || || || || || || || || || || || || || || || ||
letting the patient know that you are really hearing"?
|| || || || || || || ||
a. Cultural competence
|| ||
b. Patience
||
c. Empathy
||
d. Top-tier communication - ✔✔c. Empathy
|| || || || ||
1. The provider is preparing to take a health history for a new patient. He takes the patient
|| || || || || || || || || || || || || || || || || ||
to a private room and asks the patient to don a hospital gown. After stepping outside to give
|| || || || || || || || || || || || || || || || || ||
the patient sufficient time to change, he then comes back in and asks permission to conduct
|| || || || || || || || || || || || || || ||
the history. He sits next to the patient at eye level, discreetly observes the patient for any
|| || || || || || || || || || || || || || || || || ||
,2
sensory deficits, and asks the patient if he may take brief notes of the conversation. During
|| || || || || || || || || || || || || || || ||
the conversation, he gives the patient time to answer questions fully. He makes sure that his
|| || || || || || || || || || || || || || ||
questions do not contain technical terms and quietly observes the patient's nonverbal
|| || || || || || || || || || || || ||
behaviors throughout. Which mistake did the provider make?
|| || || || || || ||
a. He should have allowed the patient to remain fully clothed in their own clothing for their
|| || || || || || || || || || || || || || || || ||
comfort.
b. He should not have omitted technical terminology. Patients like having a chance to learn.
|| || || || || || || || || || || || || ||
c. He should have seated - ✔✔a. He should have allowed the patient to remain fully clothed
|| || || || || || || || || || || || || || || || ||
in their own clothing for their comfort.
|| || || || || ||
1. Which of the following is true of both comprehensive and focused health histories?
|| || || || || || || || || || || || ||
a. They both include identifying data.
|| || || || ||
b. They both include a social history.
|| || || || || ||
c. They both include a family history.
|| || || || || ||
d. They are both conducted in emergency situations. - ✔✔a. They both include identifying
|| || || || || || || || || || || || || ||
data.
1. In the mnemonic devise PQRST, which of the following includes describing the location
|| || || || || || || || || || || || || ||
of the symptoms?
|| ||
a. Precipitating factors
|| ||
b. Quality
||
c. Radiation
||
d. Severity - ✔✔b. Quality
|| || || ||
1. What is the current mnemonic device for taking a health history?
|| || || || || || || || || || ||
a. PQRST
||
b. CLIENT OUTCOMES
|| ||
c. PRACTICE
||
,2
d. GOOD MEDICINE - ✔✔b. CLIENT OUTCOMES
|| || || || || ||
1. When taking a PMI, which of the following is correct?
|| || || || || || || || || ||
a. Do not take the statement "I'm allergic to. . . " at face value.
|| || || || || || || || || || || || || ||
b. Ask the patient for a very brief summary of their current health.
|| || || || || || || || || || || ||
c. If a patient states that they have been vaccinated with BCG, make sure to administer a
|| || || || || || || || || || || || || || || || ||
PPD test. ||
d. CAM documentation is no longer a requirement. - ✔✔a. Do not take the statement "I'm
|| || || || || || || || || || || || || || || ||
allergic to. . . " at face value. || || || || || || ||
1. Which of the following is a first-degree relative to the patient who has experienced
|| || || || || || || || || || || || || || ||
premature onset of CVD? || || ||
a. Sister at 62
|| || ||
b. Cousin at 62
|| || ||
c. Aunt at 59
|| || ||
d. Grandfather at 44 - ✔✔a. Sister at 62
|| || || || || || || ||
1. Recording the patient's occupation falls under which category?
|| || || || || || || ||
a. PHI
||
b. FH
||
c. SH
||
d. ROS - ✔✔c. SH
|| || || ||
1. A focused ROS:
|| || ||
a. involves a wider range and shallower level of questions than a comprehensive ROS.
|| || || || || || || || || || || || ||
b. includes questions directed toward the systems most likely to be involved in the patient's
|| || || || || || || || || || || || || || ||
symptoms.
, 2
c. includes questions seeking significant positives to narrow down the body systems
|| || || || || || || || || || || ||
affected.
d. covers all body systems. - ✔✔b. includes questions directed toward the systems most
|| || || || || || || || || || || || || ||
likely to be involved in the patient's symptoms.
|| || || || || || ||
1. A patient comes to the clinic complaining of repeated headaches and lightheadedness. As
|| || || || || || || || || || || || ||
the provider takes a health history, he or she should:
|| || || || || || || || || ||
a. perform a comprehensive ROS.
|| || || ||
b. skip the social history in order to focus on the current issue.
|| || || || || || || || || || || ||
c. focus her interest and questions on the patient's neurologic system.
|| || || || || || || || || ||
d. spend a good deal of time assessing the reliability of the information she is getting. -
|| || || || || || || || || || || || || || || || ||
✔✔c. focus her interest and questions on the patient's neurologic system.
|| || || || || || || || || ||
A patient's recall of his or her current health needs and past health is subject to error and is
|| || || || || || || || || || || || || || || || || || ||
also a critical component in the caregiving process? - ✔✔True
|| || || || || || || || ||
Ethnocentrism, belief in the superiority of one's own beliefs and values, is a major barrier to || || || || || || || || || || || || || || ||
establishing effective patient-provider relationships? - ✔✔True
|| || || || || ||
A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy diet, is
|| || || || || || || || || || || || || || ||
unwilling to follow his provider's recommendations to modify his routine. Because he has
|| || || || || || || || || || || || ||
not yet experienced the negative health consequences of his actions, he cannot be classified
|| || || || || || || || || || || || || ||
as resistant? - ✔✔False
|| || ||
1. When taking a patient's chief complaint, rephrase the stated reason using standard
|| || || || || || || || || || || || ||
medical terminology for clarity. - ✔✔False || || || || ||
Family history should include both parents and grandparents, if information is known. -
|| || || || || || || || || || || || ||
✔✔True
