NURS 6512 Week 11....

Which of the following is most likely to enhance examiner reliability? 2 out of 2 points Response Feedback : The examiner may not always be correct, but questioning 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: 2 out of 2 points Response Feedback: For the crying infant, lungs can be auscultated between 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: 2 out of 2 points Response Feedback : While the patient is in the supine position, the examiner can 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? 2 out of 2 points Response Feedback : The controlling factors of compliance include the nature of the 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: 2 out of 2 points Response Feedback : Acknowledging the patient s discomfort during the examination 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: 2 out of 2 points Response Feedback: It is the responsibility of the health professional and the patient to present reliable findings and observations. They work as a team. • Question 7 Which medical condition would exclude one from sports participation? 2 out of 2 points Response Feedback : Fever can increase cardiopulmonary effort and impair exercise capacity; fever can indicate myocarditis or other infections that make exercise dangerous. Asthma, sickle cell trait, and seizures, when controlled, do not exclude exercise, nor does HIV-positive status when proper Universal Precautions are employed. • Question 8 2 out of 2 points Which of the following statements accurately reflects the sensitivity and specificity of laboratory tests? Response Feedback: No test has 100% sensitivity and specificity. • Question 9 When conveying bad or distasteful news to the patient and family, it is best to: 2 out of 2 points Response Feedback : When conveying bad or distasteful news to the patient and family, arrange a setting that is quiet. Involve those who have had contact with the patient and those who the patient trusts. Be specific in all details and provide the information in a timely fashion adjusted to the needs of the patient and allow time for questions. Use jargon-free language that the patient can understand. Inform the patient as soon as possible. Involve family members and other essential persons to give the patient emotional and practical support. • Question 10 When conducting a geriatric assessment, basic activities of daily living (ADLs) include: 2 out of 2 points Response Feedback: Basic ADLs include bathing, dressing, toileting, ambulating, and feeding. All of the choices represent instrumental ADLs. • Question 11 The checkout station for preparticipation physical evaluation (PPE) is critical because at this point: • Question 12 As you greet the patient, which examination technique is first implemented? 0 out of 2 points 2 out of 2 points Response Feedback: Begin to inspect the patient as you greet them, as you look for signs of distress or disease. Inspect their appearance, gait, orientation, and difficulty in hearing or speech. • Question 13 The greatest risk for potential health problems occurs in which age group? 2 out of 2 points Response Feedback: The newborn is at greater risk for potential health problems than other ages but also has the potential for better health than the other age groups. • Question 14 Palpation of epitrochlear nodes is part of the: 2 out of 2 points Response Feedback: