NR 235 FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 235 FINAL EXAM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. Health assessment is a foundational and priority nursing skill. This essential skill requires registered nurses to identify normal and abnormal findings 2. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age 48. The doctor recommended that this patient have a colonoscopy this year. This is an example of secondary health prevention 3. The four techniques of health assessment include inspection, palpation, percussion, and _________________ auscultation 4. The nurse is preparing to conduct a complete health history on a new patient who has just arrived at the walk-in clinic. The nurse is going to use the CLEAR mnemonic to collect information. What does CLEAR stand for? Select all that apply Center Listen Empathy attention respect 5. A home health nurse is assessing a 94-year-old patient with a severe cognitive impairment. The daughter with whom the patient lives states that her mom only eats less than half of all her meals. What will you document Some patients may be unreliable because of decreased cognitive ability or mentation. Secondary sources will be needed to provide information for the health history. If this occurs, document "Patient is unreliable. Report by patient's daughter." 6. You are about to start the health history. The patient is present with his daughter. Which of the following priority steps should you take before you start the health history This is correct. If family members are present during the interview, the nurse should clarify who is present rather than assume it is the wife, daughter, parent, or significant other. It is the nurse's responsibility to obtain permission from the patient for the family members to be present and participate in the interview process. 7. The four fundamental topics of a psychosocial assessment are Fundamental topics included in the psychosocial assessment include behavioral, environmental, social, and financial/economic. 8. The nurse is performing a mental health assessment on a 42 year-old male patient. As part of the mental health assessment, the nurse needs to assess the patient's orientation to ____________________, ____________________, and ____________________ person, place, time 9. ____________________ data are pieces of information specifically reported by the patient in a health history subjective data 10. The purpose of measuring body mass index (BMI) is BMI is a screening tool identifying the amount of body fat based on height and weight that applies to adult men and women. 11. A nursing instructor is discussing individuals who are at risk for malnutrition with a nursing student. The instructor recognizes that the student needs further education if he indicates which of the following groups of individuals as being at risk for malnutrition College students are not a population that is considered at risk for malnutrition but, rather, overnutrition. 12. While the patient is eating her meal you observe her having difficulty swallowing solid food. The medical term for difficulty swallowing is dysphagia 13. A patient is having diagnostic laboratory tests drawn to assess her nutritional status. The nurse explains to the patient that there are several laboratory tests that will be used as assessment tools for nutritional status, including which of the following? Select all that apply Triglyceride levels are used to assess the amount of fat in the blood. Ferritin levels are used to assess the amount of iron in the blood to identify iron deficiency anemia. Prealbumin levels are used to assess protein deficiency. 14. Health assessment requires the collection of data to accurately and safely care for every patient. What is the correct