HEALTH ASSESSMENT: WALDEN UNIVERSITY
NURS 6512
Week 11
Question 1
Which of the following is most likely to enhance examiner reliability?
Response The examiner may not always be correct, but questioning
Feedback: yourself and seeking confirmation from others when necessary
will serve to assure your reliability. A person should never be
prejudged because this can interfere with your examination and
findings. Showing that you are uncomfortable with your skills
can make the patient feel uncomfortable and see you as
unreliable. The use of unselective technology should not
substitute for a well-honed history and physical.
Question 2
In crying infants, it is often difficult to:
Response For the crying infant, lungs can be auscultated between
Feedback: consolable moments. While crying, the examiner can assess the
lustiness of cry, tactile fremitus, lung excursion, facial
symmetry, and appearance of the mouth and pharynx. Between
breaths, heart tone can be auscultated.
Question 3
When assessing the abdomen, one needs to expose the patient:
Response While the patient is in the supine position, the examiner can
Feedback: assess the abdomen. Arrange draping to expose the abdomen
from pubis to epigastrium, ensuring to cover the private areas
of the patient. All of the other options would not allow for a
thorough inspection and examination or they would expose the
patient inappropriately.
Question 4
Which of the following factors is not known to affect patient compliance with
, his or her treatment regimen?
Response The controlling factors of compliance include the nature of the
Feedback: relationship you have developed, your recognition of the
patient s autonomy, your success in communicating the basics
of the patient s condition, and the clarity of your instructions.
Always ask the patient to repeat the instructions to you to make
sure they are understood. Equally important factors are the
patient s ability to understand the problem and the value the
patient places on resolving the problem.
Question 5
An examiner might be able to help a patient who seems uncomfortable with
close contact during an examination by:
Response Acknowledging the patient s discomfort during the examination
Feedback: will help the patient feel more relaxed. Your professional
concern can be reassuring to the patient. You should explain
what you are doing to the patient before the assessment and
what the patient will experience; if not, you will run the risk of
losing trust. The other choices would make the patient more
uneasy.
Question 6
The reliability of health-related findings and observations is the responsibility
of the:
Response It is the responsibility of the health professional and the
Feedback: patient to present reliable findings and observations. They
work as a team.
Question 7
Which medical condition would exclude one from sports participation?