Health Assessment study NUR 6512 complete A+

A 19-year-old woman has painful ulcers on the labial mucosa and buccal mucosa of 4 days duration. She has had similar ulcers on previous occasions, and each time the lesions healed in approximately 7 days. The best diagnosis is aphthous ulcers A 67-year-old woman has a chronic sore mouth of 2 years duration. The lesions consist of multiple persistent ulcers adjacent to white rough thickened areas which do not rub off and are arranged in a striated pattern. The lesions are bilateral and involve the buccal mucosa, lateral borders of the tongue, and gingiva. Of the following, the best diagnosis is lichen planus A patient has multiple, asymptomatic, irregular, flat patches on the dorsum of the tongue. Each patch has a red center and an irregular white periphery. The patient reports that the lesions come and go. The best diagnosis is geographic tongue (erythema migrans) A 16-year-old woman has a compressible, nontender, 5x5 mm soft tissue enlargement of the lower labial mucosa. The lesion has a blue mucosal surface which does not blanch upon palpation. The patient states that she has been aware of the lesion for 2 months and that it has increased and decreased in size during this time. Of the following, the best diagnosis is mucocele A 13-year-old female patient has mild fever, lymphadenopathy and vesicles and ulcers of the soft palate and tonsillar pillars bilaterally, of 5 days duration. No other oral lesions are present. The best diagnosis is herpangina A patient has a white, nontender, 5 x 6 mm, soft tissue enlargement on the right soft palate of at least 2 years duration. The surface is rough and resembles a wart. The lesion is pedunculated. The best diagnosis is papilloma Upgrade to remove ads A 44-year-old man has rough, white, nonpainful lesions which do not rub off located bilaterally on the buccal mucosa, floor of the mouth, and hard and soft palates. He states that he has been aware of the lesions since childhood. Of the following, the best diagnosis is white sponge nevus A 25-year-old woman has a 5x6 mm, nontender, compressible soft tissue enlargement located on the interdental papilla between teeth #10 and #11. The lesion is erythematous and bleeds easily. She states that she has been aware of the lesion for approximately 3 days. The patient is in her second trimester of pregnancy. Of the following, the best diagnosis is pyogenic granuloma Which white surface lesion rubs off? Burn Which of the following lesions is asymptomatic and smooth to palpation? Scarring Which pigmented surface lesion is consistently flat and not thickened? Oral melanotic macule Which one of these clinical features would be most helpful in distinguishing hematoma from nevus? Duration of the lesion A patient has a thickened, compressible, blue pigmentation of the buccal mucosa that blanches upon pressure. Which of the following should be included in the clinical differential diagnosis? Varix Which of the following diseases initially forms oral vesicles? Mucous membrane (cicatricial) pemphigoid Which of the following lesions have/has an abrupt or sudden onset? Recurrent herpes Which disease has the worst prognosis? Pemphigus vulgaris A 35-year-old man has painful ulcers on the lips and buccal mucosal and asymptomatic macules and vesicles on the face, hands, and trunk. He has a mild fever but no lymphadenopathy. The lesions had an acute onset 3 days ago. The best diagnosis is erythema multiforme Which disease typically begins with the abrupt onset of pain or altered sensation followed by vesicles and ulcers unilaterally in the distribution of a peripheral nerve? Herpes zoster Which of the following lesions is usually congenital? Hemangioma Which of the following lesions is/are encapsulated? Schwannoma Which of the following lesions is/are compressible to palpation? Low-grade mucoepidermoid carcinoma Which action would best promote accurate translations as well as confidentiality when the caregiver does not speak the patient's language? Ask a person unfamiliar with the patient to translate. Behaviors that diffuse anxiety during the interview include providing forthright answers to questions. Periods of silence during the interview can serve important purposes, such providing time for reflection. Mr. F. is speaking with you, the health care provider, about his respiratory problem. Mr. F. says, "I've had this cough for 3 days, and it's getting worse." You reply, "Tell me more about your cough." Mr. F. states, "I wish I could tell you more. That's why I'm here. You tell me what's wrong!" Which caregiver response would be most appropriate for enhancing communication? "After 3 days, you're tired of coughing. Have you had a fever?" A patient becomes restless during the history and says, "I don't have time for all of this conversation. I've got to get back to work." Your most appropriate response would be to acknowledge his anger and proceed with the history and examination. When questioning a patient regarding alcohol intake, she tells you that she is "only a social drinker." Which initial response is appropriate? "What amount and what kind of alcohol do you drink in a week?" Upgrade to remove ads Only $1/month Ms. T. is crying and states that her mother couldn't possibly have a tumor. "No one else in the family has ever had cancer!" exclaims the daughter. The most appropriate response to Ms. T. would be "Why do you think that your mother's tumor is cancerous?" A 50-year-old man comes to the primary care clinic. He tells you he is worried because he has had severe chest pains for the past 2 weeks. Which initial history interview question is most appropriate? "Can you describe the pain?" A 36-year-old woman complains that she has had crushing chest pain for the past 2 days. She seems nervous as she speaks to you. An appropriate response is to continue to collect information regarding the chief concern in an unhurried manner. Ms. A. states, "My life is just too painful. It isn't worth it." She appears depressed. Which one of the following statements is the most appropriate caregiver response? "What in life is causing you such pain?" During an interview, tears appear in the patient's eyes, and his voice becomes shaky. Initially, you should keep the interview moving to distract the patient. During a history-taking session, Mr. B. appears to be avoiding certain questions. He keeps looking out the window. What should the caregiver do? Stop the interview until the patient is ready to cooperate. You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be given the opportunity to be interviewed without the parent at some point Information that is needed during the initial interview of a pregnant woman includes all of the following except the gender that the woman hopes the baby will be. When communicating with older children and teenagers, you should be sensitive to their typical reluctance to talk. When interviewing older adults, the examiner should position himself- or herself face to face with the patient. When you suspect that your 81-year-old patient has short-term memory loss because he cannot remember what he had for breakfast, you should validate the concern with his family or caregivers. A brief statement of the reason the patient is seeking health care is called the chief concern Upgrade to remove ads Only $1/month When taking a history, you should use a chronologic and sequential framework.