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ent Final Exam
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1. The nurse is preparing to conduct a health history. Explain this to the pa
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tient.: Answer- m
m The purpose of a health history is to provide a database of subjective information
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m about the patient's past and current health history. You might say to the patient, "
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I will be asking you questions about your past and present health." This informatio
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n will help the provider along with the physical exam(objective data) to develop a di
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agnosis or health status. m m m
2. The nurse is evaluating the reliability of a patient's responses, which of t
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hese statements would be correct? The patient:: Provided consistent informa-
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tion and therefore is reliable
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3. A patient tells the nurse that she has had abdominal pain for the past week.
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What would be the nurse's best response?: "Can you point to where it hurts?"
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,4. A 29-year-
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old woman tells the nurse that she has "excruciating pain" in her back. Whi
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ch would be the nurse's appropriate response to the woman'sstatement?: "
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How would you say the pain affects your ability to do your daily activities?"
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5. A patient tells the nurse that he is allergic to penicillin. What would be the
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nurse's best response to this information?: "Describe what happens (or the r
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eaction) to you when you take Penicillin."
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6. The nurse is taking a family history. Important diseases or problems about
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which the patient should be specifically asked include:: Mental illness.
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7. The review of systems provides the nurse with...: Information regarding he
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alth promotion practices, the information helps to evaluate the past and presenthe
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alth state of each body system, to obtain any data that may have been omittedin t
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he section about present illness, and to evaluate health promotion and teachingop
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,portunities.
8. Which of these statements represents subjective data the nurse obtained
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from the patient regarding the patient's skin?: Patient denies any color change.
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9. The nurse is obtaining a history from a 30-year old male patient and
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is concerned about health promotion activities. Which of these questions
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would be appropriate to use to assess health promotion activities for this
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patient?: "Do you perform testicular self-examinations?"
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10. Functional Assessment-- m
What information would you ask if the patient'sleg was in a cast?: A functio
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nal assessment includes the activities of daily livingand the person's ability to tak
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e care of their needs. This area will help to formulatea nursing diagnosis. This cou
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ld be present to the patient in a standardized form and will include data on the life
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style and type of living environment. (Page 57)
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, self-esteem, activity/exercise, sleep/rest, nutrition/elimination, interpersonal rela-
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m tionships/resources, spiritual resources, coping and stress management, persona
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lhabits, environmental hazards, violence questions, and occupational health ques-
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tions. If a patient had a cast on their leg, appropriate questions would include howt
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hey transfer to bed, another chair, bathing technique, coping with the situation, s
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upport during the situation.
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11. Regarding the use of alcohol, a patient asks the nurse why the nurse n
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eeds to know. What is the reason why?: Alcohol can interact with all medica-
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tions and make some diseases worse.
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12. Describe a genogram.: Graphic family tree that uses symbols to depict the g
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ender, relationship, and age of immediate family. Usually 3 generations-
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parents,grandparents, siblings. Also highlight the health of close family members a
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nd moredetails such as communicable disease, environmental hazards (smoke),
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tobaccouse, and alcohol use. Any additional information includes the family histor
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y.
13. The nurse is obtaining health history on an 87-year-
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old woman. Which ofthe following areas of questioning would be most useful
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at this time?: Currenthealth promotion activities.
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