NUR 245- Health Assessment- Exam 1 Preparation
Questions and Answers
The following is a case study for all the questions.
A.P. is a 73-year-old woman who presents to the women's health clinic for an annual
physical examination. She states that she is having difficulty sleeping and has been having
panic attacks for the past year, since the death of her son. The patient reports that she lives
with her husband, her daughter lives nearby and she had a son who died of an overdose.
The patient looked pale and anxious her vital signs are:
T 37, P 80, R 18, BP 140/68.
Weight: 140, Height 5 feet, 5 inches.
From the case, select all subjective data presented - --Daughter, age 50 years, lives nearby
-Had a son, age 52 years, who died in the past year from a drug overdose
-lives with husband.
ASK instructor question about why the ages are not given in the description. It makes it half
truth.
-From the case, select all objective data presented - --Vital signs, T 37, P 80,
R 18, BP 140/68.
-Weight: 140,
-Height 5 feet, 5 inches
-On which components of the health history should the nurse focus the mental health
exam? Select all that apply. - --Appearance
-Behavior
-Cognitive functions
-verbal and nonverbal data
HINT:
(ABCT)
-What specific observations should the nurse make with regard to mental status? Select all
that apply. **** - -1.
Is the patient dressed appropriately for the weather?
2.
Is the patient relaxed or moving frequently?
3.
Is the patient slumped over and looking at the ground with a sad facial expression or
walking erect with a brisk step and a smiling face?
4.
Questions and Answers
The following is a case study for all the questions.
A.P. is a 73-year-old woman who presents to the women's health clinic for an annual
physical examination. She states that she is having difficulty sleeping and has been having
panic attacks for the past year, since the death of her son. The patient reports that she lives
with her husband, her daughter lives nearby and she had a son who died of an overdose.
The patient looked pale and anxious her vital signs are:
T 37, P 80, R 18, BP 140/68.
Weight: 140, Height 5 feet, 5 inches.
From the case, select all subjective data presented - --Daughter, age 50 years, lives nearby
-Had a son, age 52 years, who died in the past year from a drug overdose
-lives with husband.
ASK instructor question about why the ages are not given in the description. It makes it half
truth.
-From the case, select all objective data presented - --Vital signs, T 37, P 80,
R 18, BP 140/68.
-Weight: 140,
-Height 5 feet, 5 inches
-On which components of the health history should the nurse focus the mental health
exam? Select all that apply. - --Appearance
-Behavior
-Cognitive functions
-verbal and nonverbal data
HINT:
(ABCT)
-What specific observations should the nurse make with regard to mental status? Select all
that apply. **** - -1.
Is the patient dressed appropriately for the weather?
2.
Is the patient relaxed or moving frequently?
3.
Is the patient slumped over and looking at the ground with a sad facial expression or
walking erect with a brisk step and a smiling face?
4.
