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Advanced health assessment St. Thomas University Florida NUR 504 Quiz 1 with correct answers

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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 c. Results from an abdominal CT scan d. Complete blood count - ANS: 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. - ANS: 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 - ANS: 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 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? The kidneys should be examined both while the patient is supine and while the patient is seated facing away from the examiner. - ANS: True 1. What are the positions that all adult patients will be asked to assume during a physical examination? - ANS: Seated and facing examiner (without chest exposed and with chest exposed); seated facing examiner while reclining 45 degrees; seated and facing away; supine (with chest exposed, with abdomen exposed, with legs exposed); standing What methods are mentioned in the text to win cooperation of pediatric patients of different ages? - ANS: Take a few minutes to establish a relaxed environment. Give a 1-year-old an object to hold in his hands. With a toddler, use a gentle pat, pleasing words, or interactive play. Allow children to touch the equipment used during the examination. Which of the following is true of healthcare institutions regarding documentation? a. To comply with HIPAA regulations, institutions must ensure that computer monitors with sensitive patient data are not left unattended. b. All institutions must follow a standard policy for posting abbreviations in documentation drawn from the AMA. c. Institutions consider drawings a fairly inaccurate way to represent a patient's systems or picture of the patient's condition. d. As of 2003, faxes may no longer be used to share patient medical information between institutions - ANS: a. To comply with HIPAA regulations, institutions must ensure that computer monitors with sensitive patient data are not left unattended

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