NUR2092 Health Assessment Final
Exam
1. The nurse is preparing to conduct a health history. Explain this to the
patient.
Answer: The purpose of a health history is to provide a database of
subjective information about the patient's past and current health history.
You might say to the patient, "I will be asking you questions about your
past and present health." This information will help the provider along with
the physical exam (objective data) to develop a diagnosis or health status.
PR
2. The nurse is evaluating the reliability of a patient's responses, which of
these statements would be correct? The patient:
Provided consistent information and therefore is reliable
3. A patient tells the nurse that she has had abdominal pain for the past
O
week. What would be the nurse's best response?
"Can you point to where it hurts?"
FD
4. A 29-year-old woman tells the nurse that she has "excruciating pain" in
her back. Which would be the nurse's appropriate response to the
woman's statement?
"How would you say the pain affects your ability to do your daily
activities?"
O
5. A patient tells the nurse that he is allergic to penicillin. What would be the
nurse's best response to this information?
C
"Describe what happens (or the reaction) to you when you take Penicillin."
6. The nurse is taking a family history. Important diseases or problems about
which the patient should be specifically asked include:
Mental illness.
7. The review of systems provides the nurse with...
Information regarding health promotion practices, the information helps to
evaluate the past and present health state of each body system, to obtain
any data that may have been omitted in the section about present illness,
and to evaluate health promotion and teaching opportunities.
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,8. Which of these statements represents subjective data the nurse obtained
from the patient regarding the patient's skin?
Patient denies any color change.
9. The nurse is obtaining a history from a 30-year old male patient and is
concerned about health promotion activities. Which of these questions
would be appropriate to use to assess health promotion activities for this
patient?
"Do you perform testicular self-examinations?"
10. Functional Assessment-- What information would you ask if the patient's
leg was in a cast?
A functional assessment includes the activities of daily living and the
person's ability to take care of their needs. This area will help to formulate
a nursing diagnosis. This could be present to the patient in a standardized
PR
form and will include data on the lifestyle and type of living environment.
(Page 57) self-esteem, activity/exercise, sleep/rest, nutrition/elimination,
interpersonal relationships/resources, spiritual resources, coping and
stress management, personal habits, environmental hazards, violence
questions, and occupational health questions. If a patient had a cast on
O
their leg, appropriate questions would include how they transfer to bed,
another chair, bathing technique, coping with the situation, support during
the situation.
FD
11. Regarding the use of alcohol, a patient asks the nurse why the nurse
needs to know. What is the reason why?
Alcohol can interact with all medications and make some diseases worse.
O
12. Describe a genogram.
Graphic family tree that uses symbols to depict the gender, relationship,
and age of immediate family. Usually 3 generations- parents,
C
grandparents, siblings. Also highlight the health of close family members
and more details such as communicable disease, environmental hazards
(smoke), tobacco use, and alcohol use. Any additional information
includes the family history.
13. The nurse is obtaining health history on an 87-year-old woman. Which of
the following areas of questioning would be most useful at this time?
Current health promotion activities.
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, 14. A 90-year-old patient tells the nurse that he cannot remember the names
of the medication he is taking or why he is taking them. An appropriate
response from the nurse would be?
Would you have a family member bring in your medications please?
15. The nurse is performing a functional assessment on an 82-year-old patient
who recently had a stroke. Which of these questions would be most
important to ask?
"Are you able to dress yourself?"
16. A patient is describing his symptoms to the nurse. Which of these
statements reflects a description of the setting of his symptoms?
"This pain happens every time I sit down to use the computer."
17. In performing a breast examination, the nurse knows that examining the
upper outer quadrant of the breast is especially important. The reason why
PR
is...
This is the location for most breast tumors.
18. In performing an assessment of a woman's elixir lymph system, the nurse
should assess which of these nodes?
O
Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage
drains into the axillary nodes. There are groups of axillary nodes
FD
central, pectoral and subscapular.
19. A 65-year-old patient remarks that she just cannot believe that her breasts
"sag so much". She states it must be from a lack of exercise. What
explanation should the nurse offer her? After menopause:
O
The glandular and fat tissue atrophies, causing breast size and elasticity
to diminish, resulting in sagging (flat and gabby) breasts.
C
20. In examining a 70-year-old male patient, the nurse notices that he has
bilateral gynecomastia. Which of the following describes the nurse's best
course of action?
Explain that this is the result of hormonal changes (testosterone) and
recommend a visit to their provider.
21. During a breast health interview, a patient states that she has noticed pain
in her left breast. The nurse's most appropriate response to this would be:
To seek more specific information about the pain, such as:
When did you first notice it?
Is the pain localized or all over?
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Exam
1. The nurse is preparing to conduct a health history. Explain this to the
patient.
Answer: The purpose of a health history is to provide a database of
subjective information about the patient's past and current health history.
You might say to the patient, "I will be asking you questions about your
past and present health." This information will help the provider along with
the physical exam (objective data) to develop a diagnosis or health status.
PR
2. The nurse is evaluating the reliability of a patient's responses, which of
these statements would be correct? The patient:
Provided consistent information and therefore is reliable
3. A patient tells the nurse that she has had abdominal pain for the past
O
week. What would be the nurse's best response?
"Can you point to where it hurts?"
FD
4. A 29-year-old woman tells the nurse that she has "excruciating pain" in
her back. Which would be the nurse's appropriate response to the
woman's statement?
"How would you say the pain affects your ability to do your daily
activities?"
O
5. A patient tells the nurse that he is allergic to penicillin. What would be the
nurse's best response to this information?
C
"Describe what happens (or the reaction) to you when you take Penicillin."
6. The nurse is taking a family history. Important diseases or problems about
which the patient should be specifically asked include:
Mental illness.
7. The review of systems provides the nurse with...
Information regarding health promotion practices, the information helps to
evaluate the past and present health state of each body system, to obtain
any data that may have been omitted in the section about present illness,
and to evaluate health promotion and teaching opportunities.
Downloaded by: fridaimcelroy1 |
Distribution of this document is illegal
,8. Which of these statements represents subjective data the nurse obtained
from the patient regarding the patient's skin?
Patient denies any color change.
9. The nurse is obtaining a history from a 30-year old male patient and is
concerned about health promotion activities. Which of these questions
would be appropriate to use to assess health promotion activities for this
patient?
"Do you perform testicular self-examinations?"
10. Functional Assessment-- What information would you ask if the patient's
leg was in a cast?
A functional assessment includes the activities of daily living and the
person's ability to take care of their needs. This area will help to formulate
a nursing diagnosis. This could be present to the patient in a standardized
PR
form and will include data on the lifestyle and type of living environment.
(Page 57) self-esteem, activity/exercise, sleep/rest, nutrition/elimination,
interpersonal relationships/resources, spiritual resources, coping and
stress management, personal habits, environmental hazards, violence
questions, and occupational health questions. If a patient had a cast on
O
their leg, appropriate questions would include how they transfer to bed,
another chair, bathing technique, coping with the situation, support during
the situation.
FD
11. Regarding the use of alcohol, a patient asks the nurse why the nurse
needs to know. What is the reason why?
Alcohol can interact with all medications and make some diseases worse.
O
12. Describe a genogram.
Graphic family tree that uses symbols to depict the gender, relationship,
and age of immediate family. Usually 3 generations- parents,
C
grandparents, siblings. Also highlight the health of close family members
and more details such as communicable disease, environmental hazards
(smoke), tobacco use, and alcohol use. Any additional information
includes the family history.
13. The nurse is obtaining health history on an 87-year-old woman. Which of
the following areas of questioning would be most useful at this time?
Current health promotion activities.
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, 14. A 90-year-old patient tells the nurse that he cannot remember the names
of the medication he is taking or why he is taking them. An appropriate
response from the nurse would be?
Would you have a family member bring in your medications please?
15. The nurse is performing a functional assessment on an 82-year-old patient
who recently had a stroke. Which of these questions would be most
important to ask?
"Are you able to dress yourself?"
16. A patient is describing his symptoms to the nurse. Which of these
statements reflects a description of the setting of his symptoms?
"This pain happens every time I sit down to use the computer."
17. In performing a breast examination, the nurse knows that examining the
upper outer quadrant of the breast is especially important. The reason why
PR
is...
This is the location for most breast tumors.
18. In performing an assessment of a woman's elixir lymph system, the nurse
should assess which of these nodes?
O
Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage
drains into the axillary nodes. There are groups of axillary nodes
FD
central, pectoral and subscapular.
19. A 65-year-old patient remarks that she just cannot believe that her breasts
"sag so much". She states it must be from a lack of exercise. What
explanation should the nurse offer her? After menopause:
O
The glandular and fat tissue atrophies, causing breast size and elasticity
to diminish, resulting in sagging (flat and gabby) breasts.
C
20. In examining a 70-year-old male patient, the nurse notices that he has
bilateral gynecomastia. Which of the following describes the nurse's best
course of action?
Explain that this is the result of hormonal changes (testosterone) and
recommend a visit to their provider.
21. During a breast health interview, a patient states that she has noticed pain
in her left breast. The nurse's most appropriate response to this would be:
To seek more specific information about the pain, such as:
When did you first notice it?
Is the pain localized or all over?
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