NIU NURS 304 Final Exam – Study Guide and
Comprehensive Review Material
How do you screen for substance abuse? (drinking) - correct answer ✔✔Make sure the setting
is private, confidential, and nonconfrontational.
Be open like "Do you sometimes drink beer, wine, or other alcoholic beverages?" and if yes,
then how many times in the past year have you had five or more drinks a day? (4 for women)
"How many times a week do you have a drink? On a typical drinking day how much do you
drink?" The AUDIT test helps detect less severe drinking problems. (Covers alcohol
consumption, drinking behavior or dependence, averse consequences from alcohol)
Or you can you CAGE (Cut down(have you ever felt the need to cut down) Annoyed(have people
annoyed you by criticizing your drinking) Guilty (have you ever felt guilty about how much you
drink) Eye-opener (do you feel like you need a drink right away in the morning?))
How do you screen for substance abuse? Other drugs - correct answer ✔✔Do you sometimes
take illicit drugs or street drugs, such as marijuana, cocaine, hallucinogens, narcotics?"
If yes, ask, "When was last time you used drugs, and how much did you take that time?"
How to help
"You are drinking more than is medically safe."
Relate to the person's concerns and medical findings, if present: "I strongly recommend that
you cut down, or quit, and I'm willing to help."
How do you screen for intimate partner violence? - correct answer ✔✔Asking every woman at
every health care encounter if she has been abused by a husband, boyfriend, or other intimate
partner or ex-partner
Ask if they are ever afraid of their partner when they argue, do they ever try to emotionally
hurt/abuse you?, do they try and control you? Who you see, where you go, etc. Have you ever
been hit? and forceful sex when you did not want to participate? With any yes say, thank you for
sharing, can you tell me about the last time. Ask if they think they are safe, if they need a way to
, get out. They may be in denial and think it's not a problem or they may be afraid to leave. Make
sure that they know the abuse is not their fault!
What should you teach a patient about breast self-examination? - correct answer ✔✔To do
them once a mouth 5-7 days after the start of your period. Stress that self exam will help the
woman to familiarize themselves with their breasts and any variability .
Men have to do the exams too
How to: stand in front of mirror before/after shower. Palpate in the shower, start by the armpit
and feel your way down and up across the breast to the chest. (should feel smooth, firm,
elastic). Have them sit forward, with the breast in one hand, and palpate from the top
Tail of spence is where most of the cancer is.
What are some general tips for assessment? - correct answer ✔✔ensure privacy, ask open
ended questions, other little things
What would you find on assessment of someone with asthma? - correct answer ✔✔Asthma is
the constriction of the airways so they might have an inspiratory wheeze or crackles
What is the pathophysiology of pneumonia? What would you find of assessment? - correct
answer ✔✔It is an overload of fluid and mucus that the patient can't cough up so it just leads to
a lot of congestion and they can't breathe right. could percuss a dull sound
What is the pathophysiology of atelectasis? - correct answer ✔✔collapsed atelecti, cough and
deep breathing will help them to open back up. If they are collapsed breath sounds will be
decreased or absent
Comprehensive Review Material
How do you screen for substance abuse? (drinking) - correct answer ✔✔Make sure the setting
is private, confidential, and nonconfrontational.
Be open like "Do you sometimes drink beer, wine, or other alcoholic beverages?" and if yes,
then how many times in the past year have you had five or more drinks a day? (4 for women)
"How many times a week do you have a drink? On a typical drinking day how much do you
drink?" The AUDIT test helps detect less severe drinking problems. (Covers alcohol
consumption, drinking behavior or dependence, averse consequences from alcohol)
Or you can you CAGE (Cut down(have you ever felt the need to cut down) Annoyed(have people
annoyed you by criticizing your drinking) Guilty (have you ever felt guilty about how much you
drink) Eye-opener (do you feel like you need a drink right away in the morning?))
How do you screen for substance abuse? Other drugs - correct answer ✔✔Do you sometimes
take illicit drugs or street drugs, such as marijuana, cocaine, hallucinogens, narcotics?"
If yes, ask, "When was last time you used drugs, and how much did you take that time?"
How to help
"You are drinking more than is medically safe."
Relate to the person's concerns and medical findings, if present: "I strongly recommend that
you cut down, or quit, and I'm willing to help."
How do you screen for intimate partner violence? - correct answer ✔✔Asking every woman at
every health care encounter if she has been abused by a husband, boyfriend, or other intimate
partner or ex-partner
Ask if they are ever afraid of their partner when they argue, do they ever try to emotionally
hurt/abuse you?, do they try and control you? Who you see, where you go, etc. Have you ever
been hit? and forceful sex when you did not want to participate? With any yes say, thank you for
sharing, can you tell me about the last time. Ask if they think they are safe, if they need a way to
, get out. They may be in denial and think it's not a problem or they may be afraid to leave. Make
sure that they know the abuse is not their fault!
What should you teach a patient about breast self-examination? - correct answer ✔✔To do
them once a mouth 5-7 days after the start of your period. Stress that self exam will help the
woman to familiarize themselves with their breasts and any variability .
Men have to do the exams too
How to: stand in front of mirror before/after shower. Palpate in the shower, start by the armpit
and feel your way down and up across the breast to the chest. (should feel smooth, firm,
elastic). Have them sit forward, with the breast in one hand, and palpate from the top
Tail of spence is where most of the cancer is.
What are some general tips for assessment? - correct answer ✔✔ensure privacy, ask open
ended questions, other little things
What would you find on assessment of someone with asthma? - correct answer ✔✔Asthma is
the constriction of the airways so they might have an inspiratory wheeze or crackles
What is the pathophysiology of pneumonia? What would you find of assessment? - correct
answer ✔✔It is an overload of fluid and mucus that the patient can't cough up so it just leads to
a lot of congestion and they can't breathe right. could percuss a dull sound
What is the pathophysiology of atelectasis? - correct answer ✔✔collapsed atelecti, cough and
deep breathing will help them to open back up. If they are collapsed breath sounds will be
decreased or absent
