Shadow health comprehensive assessment: Updated
Solution
A brief statement of the reason the patient is seeking health care is called the: -
ANSWERchief complaint
Which of the following is an "ABCD" characteristic of malignant melanoma? -
ANSWERIrregular borders
Which question would be considered a "leading question"? - ANSWER"You don't get
headaches often, do you?"
A flat, nonpalpable lesion is described as a macule if the diameter is: - ANSWERless
than 1 cm.
When you are questioning a patient regarding alcohol intake, she tells you that she is
"only a social drinker." Which initial response is appropriate? - ANSWER"What
amount and what kind of alcohol do you drink in a week?"
Mrs. Britton is a 34-year-old patient who presents to the office with complaints of
skin rashes. You have noted a 3-cm, rough, elevated area of psoriasis. This is an
example of a: - ANSWERplaque
Painful vesicles are associated with: - ANSWERherpes zoster
A 29-year-old white woman appears jaundiced. An etiology of liver disease has been
excluded. What history questions should the nurse ask? - ANSWERWhether she eats
a lot of yellow and orange vegetables.
Mr. D. complains of a headache. During the history, he mentions his use of alcohol
and illicit drugs. This information would most likely belong in the: - ANSWERpersonal
and social history.
The thyroid gland is partially obscured by the: - ANSWERsternocleidomastoid
To perform the Rinne test, place the tuning fork on the: - ANSWERmastoid bone.
You observe pupillary response as the patient looks at a distant object and then at an
object held 10 cm from the bridge of the nose. You are assessing for: -
ANSWERaccommodation.
Normal tympanic membrane color is: - ANSWERpearly gray.
Ask the patient to look directly at the light of the ophthalmoscope when you are
ready to examine the: - ANSWERmacula.
, According to the AUDIT scale , a person who receives a score of 14 is : - ANSWERIs in
the high risk category for alcohol abuse
Bulging of an amber tympanic membrane without mobility is most often associated
with: - ANSWERmiddle ear effusion.
You ask your patient to perform the DAST questionnaire, and note that he scored a
"5". You understand this means: - ANSWERthe patient is at high risk for drug abuse
After you have the patient complete the AUDIT questionnaire, your tally the score
and realize the patient has scored a "9" . Your next communication with the patient
should be: - ANSWERI see that you completed the questionnaire, may I discuss the
results with you?
You are conducting a brief negotiated interview with your young male patient after
you have reviewed his AUDIT questionnaire results. You discuss the safe drinking
limits per day for his gender . You explain to him that this number is: - ANSWER4
You are discussing the amount of alcohol in different drinks with your patient. You
explain to your patient what constitutes a standard drink. You review that 12 oz of
regular beer is equal to: - ANSWER5 oz. of table wine
With consolidation in the lung tissue, the breath sounds are louder and easier to
hear, whereas healthy lung tissue produces softer sounds. This is because: -
ANSWERair-filled lung tissue is an insulator of sound
The characteristic barrel chest of the older adult is due to a combination of factors
including: - ANSWERskeletal changes of aging.
You would expect to document the presence of a pleural friction rub for a patient
being treated for: - ANSWERpleurisy.
Both pleural effusion and lobar pneumonia are characterized by _____ percussion. -
ANSWERdullness heard on
Mr. L. has cyanotic lips and nail beds. His lips are pursed, and he has nasal flaring.
You suspect he is having cardiac or pulmonary difficulty. What additional sign would
support this impression? - ANSWERClubbing of the fingers
Breath sounds normally auscultated over most of the lung fields are called: -
ANSWERvesicular.
To begin counting the ribs and the intercostal spaces, you begin by palpating the
reference point of the: - ANSWERmanubriosternal junction.
Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies?
- ANSWERRight mainstem bronchus
Solution
A brief statement of the reason the patient is seeking health care is called the: -
ANSWERchief complaint
Which of the following is an "ABCD" characteristic of malignant melanoma? -
ANSWERIrregular borders
Which question would be considered a "leading question"? - ANSWER"You don't get
headaches often, do you?"
A flat, nonpalpable lesion is described as a macule if the diameter is: - ANSWERless
than 1 cm.
When you are questioning a patient regarding alcohol intake, she tells you that she is
"only a social drinker." Which initial response is appropriate? - ANSWER"What
amount and what kind of alcohol do you drink in a week?"
Mrs. Britton is a 34-year-old patient who presents to the office with complaints of
skin rashes. You have noted a 3-cm, rough, elevated area of psoriasis. This is an
example of a: - ANSWERplaque
Painful vesicles are associated with: - ANSWERherpes zoster
A 29-year-old white woman appears jaundiced. An etiology of liver disease has been
excluded. What history questions should the nurse ask? - ANSWERWhether she eats
a lot of yellow and orange vegetables.
Mr. D. complains of a headache. During the history, he mentions his use of alcohol
and illicit drugs. This information would most likely belong in the: - ANSWERpersonal
and social history.
The thyroid gland is partially obscured by the: - ANSWERsternocleidomastoid
To perform the Rinne test, place the tuning fork on the: - ANSWERmastoid bone.
You observe pupillary response as the patient looks at a distant object and then at an
object held 10 cm from the bridge of the nose. You are assessing for: -
ANSWERaccommodation.
Normal tympanic membrane color is: - ANSWERpearly gray.
Ask the patient to look directly at the light of the ophthalmoscope when you are
ready to examine the: - ANSWERmacula.
, According to the AUDIT scale , a person who receives a score of 14 is : - ANSWERIs in
the high risk category for alcohol abuse
Bulging of an amber tympanic membrane without mobility is most often associated
with: - ANSWERmiddle ear effusion.
You ask your patient to perform the DAST questionnaire, and note that he scored a
"5". You understand this means: - ANSWERthe patient is at high risk for drug abuse
After you have the patient complete the AUDIT questionnaire, your tally the score
and realize the patient has scored a "9" . Your next communication with the patient
should be: - ANSWERI see that you completed the questionnaire, may I discuss the
results with you?
You are conducting a brief negotiated interview with your young male patient after
you have reviewed his AUDIT questionnaire results. You discuss the safe drinking
limits per day for his gender . You explain to him that this number is: - ANSWER4
You are discussing the amount of alcohol in different drinks with your patient. You
explain to your patient what constitutes a standard drink. You review that 12 oz of
regular beer is equal to: - ANSWER5 oz. of table wine
With consolidation in the lung tissue, the breath sounds are louder and easier to
hear, whereas healthy lung tissue produces softer sounds. This is because: -
ANSWERair-filled lung tissue is an insulator of sound
The characteristic barrel chest of the older adult is due to a combination of factors
including: - ANSWERskeletal changes of aging.
You would expect to document the presence of a pleural friction rub for a patient
being treated for: - ANSWERpleurisy.
Both pleural effusion and lobar pneumonia are characterized by _____ percussion. -
ANSWERdullness heard on
Mr. L. has cyanotic lips and nail beds. His lips are pursed, and he has nasal flaring.
You suspect he is having cardiac or pulmonary difficulty. What additional sign would
support this impression? - ANSWERClubbing of the fingers
Breath sounds normally auscultated over most of the lung fields are called: -
ANSWERvesicular.
To begin counting the ribs and the intercostal spaces, you begin by palpating the
reference point of the: - ANSWERmanubriosternal junction.
Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies?
- ANSWERRight mainstem bronchus
