NUR 504 - Final Exam
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 - answerb. 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. - answerd.
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 - answerc. 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?
a. He should have allowed the patient to remain fully clothed in their own clothing for
their comfort.
b. He should not have omitted technical terminology. Patients like having a chance to
learn.
c. He should have seated - answera. He should have allowed the patient to remain fully
clothed in their own clothing for their comfort.
1. Which of the following is true of both comprehensive and focused health histories?
a. They both include identifying data.
b. They both include a social history.
c. They both include a family history.
,d. They are both conducted in emergency situations. - answera. They both include
identifying data.
1. In the mnemonic devise PQRST, which of the following includes describing the
location of the symptoms?
a. Precipitating factors
b. Quality
c. Radiation
d. Severity - answerb. Quality
1. What is the current mnemonic device for taking a health history?
a. PQRST
b. CLIENT OUTCOMES
c. PRACTICE
d. GOOD MEDICINE - answerb. CLIENT OUTCOMES
1. When taking a PMI, which of the following is correct?
a. Do not take the statement "I'm allergic to. . . " at face value.
b. Ask the patient for a very brief summary of their current health.
c. If a patient states that they have been vaccinated with BCG, make sure to administer
a PPD test.
d. CAM documentation is no longer a requirement. - answera. Do not take the
statement "I'm allergic to. . . " at face value.
1. Which of the following is a first-degree relative to the patient who has experienced
premature onset of CVD?
a. Sister at 62
b. Cousin at 62
c. Aunt at 59
d. Grandfather at 44 - answera. Sister at 62
1. Recording the patient's occupation falls under which category?
a. PHI
b. FH
c. SH
d. ROS - answerc. SH
1. A focused ROS:
a. involves a wider range and shallower level of questions than a comprehensive ROS.
b. includes questions directed toward the systems most likely to be involved in the
patient's symptoms.
c. includes questions seeking significant positives to narrow down the body systems
affected.
d. covers all body systems. - answerb. includes questions directed toward the systems
most likely to be involved in the patient's symptoms.
,1. A patient comes to the clinic complaining of repeated headaches and
lightheadedness. As the provider takes a health history, he or she should:
a. perform a comprehensive ROS.
b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic system.
d. spend a good deal of time assessing the reliability of the information she is getting. -
answerc. focus her interest and questions on the patient's neurologic system.
A patient's recall of his or her current health needs and past health is subject to error
and is also a critical component in the caregiving process? - answerTrue
Ethnocentrism, belief in the superiority of one's own beliefs and values, is a major
barrier to establishing effective patient-provider relationships? - answerTrue
A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy diet, is
unwilling to follow his provider's recommendations to modify his routine. Because he
has not yet experienced the negative health consequences of his actions, he cannot be
classified as resistant? - answerFalse
1. When taking a patient's chief complaint, rephrase the stated reason using standard
medical terminology for clarity. - answerFalse
Family history should include both parents and grandparents, if information is known. -
answerTrue
Social history includes a detailed diet history, best performed as a record of food and
beverage intake by the patient for a typical week, that includes things like use of salt
and oil in food preparation and methods of cooking - answerTrue
1. What are the two main general considerations of physical examinations listed in the
text?
a. Preparation and sequence
b. Medical and financial
c. Patient interaction and scope
d. Inspection and palpation - answerc. Patient interaction and scope
1. The physician has begun her first physical examination on a new patient who has
come to the clinic for a well-patient visit. Which of the following is true?
a. The first thing the physician will do as part of the physical examination is perform the
history.
b. This will likely be a head-to-toe examination.
c. As a first exam, this will likely be brief and focused.
d. The patient, on his first visit, will likely be disoriented and unaware of the physician's
tone and expressions. - answerb. This will likely be a head-to-toe examination.
, 1. The physician records a sound as "tympanic." The physician has just performed
which assessment technique?
a. Palpation
b. Auscultation
c. Percussion
d. Compression - answerc. Percussion
1. A physician is listening to a patient's heart, but something has negatively impacted
the sound. Which of the following has most likely caused this?
a. Indirect rather than direct percussion
b. A double-lumen stethoscope
c. Lack of palpation
d. Loose-fitting ear tips - answerd. Loose-fitting ear tips
1. Which of the following is included on the list of basic equipment needed for a physical
examination?
a. Syringe
b. Measuring tape
c. Occult blood testing materials
d. Culture media - answerb. Measuring tape
1. What does a physician use the Weber and/or Rinne tests for?
a. Assessing the lungs
b. Performing an abdominal fluid wave text
c. Testing hearing
d. Observing posture and balance - answerc. Testing hearing
1. The red reflex is a test of:
a. the abdomen.
b. the spine.
c. the eyes.
d. the mouth. - answerc. the eyes.
1. If the physician is evaluating thoracic expansion, percussing the kidneys, and
inspecting the skin for lesions, the patient is in which position?
a. Patient seated and facing examiner
b. Patient seated and facing away from examiner with back exposed
c. Patient standing
d. Patient supine with chest exposed - answerb. Patient seated and facing away from
examiner with back exposed
1. Which position is only performed on female patients?
a. Reclining 45 degrees
b. Lithotomy position
c. Leaning forward reaching for toes
d. Supine with abdomen exposed - answerb. Lithotomy position
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 - answerb. 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. - answerd.
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 - answerc. 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?
a. He should have allowed the patient to remain fully clothed in their own clothing for
their comfort.
b. He should not have omitted technical terminology. Patients like having a chance to
learn.
c. He should have seated - answera. He should have allowed the patient to remain fully
clothed in their own clothing for their comfort.
1. Which of the following is true of both comprehensive and focused health histories?
a. They both include identifying data.
b. They both include a social history.
c. They both include a family history.
,d. They are both conducted in emergency situations. - answera. They both include
identifying data.
1. In the mnemonic devise PQRST, which of the following includes describing the
location of the symptoms?
a. Precipitating factors
b. Quality
c. Radiation
d. Severity - answerb. Quality
1. What is the current mnemonic device for taking a health history?
a. PQRST
b. CLIENT OUTCOMES
c. PRACTICE
d. GOOD MEDICINE - answerb. CLIENT OUTCOMES
1. When taking a PMI, which of the following is correct?
a. Do not take the statement "I'm allergic to. . . " at face value.
b. Ask the patient for a very brief summary of their current health.
c. If a patient states that they have been vaccinated with BCG, make sure to administer
a PPD test.
d. CAM documentation is no longer a requirement. - answera. Do not take the
statement "I'm allergic to. . . " at face value.
1. Which of the following is a first-degree relative to the patient who has experienced
premature onset of CVD?
a. Sister at 62
b. Cousin at 62
c. Aunt at 59
d. Grandfather at 44 - answera. Sister at 62
1. Recording the patient's occupation falls under which category?
a. PHI
b. FH
c. SH
d. ROS - answerc. SH
1. A focused ROS:
a. involves a wider range and shallower level of questions than a comprehensive ROS.
b. includes questions directed toward the systems most likely to be involved in the
patient's symptoms.
c. includes questions seeking significant positives to narrow down the body systems
affected.
d. covers all body systems. - answerb. includes questions directed toward the systems
most likely to be involved in the patient's symptoms.
,1. A patient comes to the clinic complaining of repeated headaches and
lightheadedness. As the provider takes a health history, he or she should:
a. perform a comprehensive ROS.
b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic system.
d. spend a good deal of time assessing the reliability of the information she is getting. -
answerc. focus her interest and questions on the patient's neurologic system.
A patient's recall of his or her current health needs and past health is subject to error
and is also a critical component in the caregiving process? - answerTrue
Ethnocentrism, belief in the superiority of one's own beliefs and values, is a major
barrier to establishing effective patient-provider relationships? - answerTrue
A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy diet, is
unwilling to follow his provider's recommendations to modify his routine. Because he
has not yet experienced the negative health consequences of his actions, he cannot be
classified as resistant? - answerFalse
1. When taking a patient's chief complaint, rephrase the stated reason using standard
medical terminology for clarity. - answerFalse
Family history should include both parents and grandparents, if information is known. -
answerTrue
Social history includes a detailed diet history, best performed as a record of food and
beverage intake by the patient for a typical week, that includes things like use of salt
and oil in food preparation and methods of cooking - answerTrue
1. What are the two main general considerations of physical examinations listed in the
text?
a. Preparation and sequence
b. Medical and financial
c. Patient interaction and scope
d. Inspection and palpation - answerc. Patient interaction and scope
1. The physician has begun her first physical examination on a new patient who has
come to the clinic for a well-patient visit. Which of the following is true?
a. The first thing the physician will do as part of the physical examination is perform the
history.
b. This will likely be a head-to-toe examination.
c. As a first exam, this will likely be brief and focused.
d. The patient, on his first visit, will likely be disoriented and unaware of the physician's
tone and expressions. - answerb. This will likely be a head-to-toe examination.
, 1. The physician records a sound as "tympanic." The physician has just performed
which assessment technique?
a. Palpation
b. Auscultation
c. Percussion
d. Compression - answerc. Percussion
1. A physician is listening to a patient's heart, but something has negatively impacted
the sound. Which of the following has most likely caused this?
a. Indirect rather than direct percussion
b. A double-lumen stethoscope
c. Lack of palpation
d. Loose-fitting ear tips - answerd. Loose-fitting ear tips
1. Which of the following is included on the list of basic equipment needed for a physical
examination?
a. Syringe
b. Measuring tape
c. Occult blood testing materials
d. Culture media - answerb. Measuring tape
1. What does a physician use the Weber and/or Rinne tests for?
a. Assessing the lungs
b. Performing an abdominal fluid wave text
c. Testing hearing
d. Observing posture and balance - answerc. Testing hearing
1. The red reflex is a test of:
a. the abdomen.
b. the spine.
c. the eyes.
d. the mouth. - answerc. the eyes.
1. If the physician is evaluating thoracic expansion, percussing the kidneys, and
inspecting the skin for lesions, the patient is in which position?
a. Patient seated and facing examiner
b. Patient seated and facing away from examiner with back exposed
c. Patient standing
d. Patient supine with chest exposed - answerb. Patient seated and facing away from
examiner with back exposed
1. Which position is only performed on female patients?
a. Reclining 45 degrees
b. Lithotomy position
c. Leaning forward reaching for toes
d. Supine with abdomen exposed - answerb. Lithotomy position
