NURS 5220 Exam 1 M2 Review Test Bank- 350 Correctly
Answered Questions with Rationales/ NURS 5220 Exam 1
Advanced Health Assessment Review Test Bank with 350
Questions and Correct Answers
CH 1, 2, 3, 4, 5, 6 , 8
Which statement best describes the chief complaint?
A.General health and illness
B. The reason the individual is seeking care
C. Information to make the diagnosis
D. Concerns about confidentiality and trust - ANSWER-B: CorrectThe chief
complaint is the main reason the person is seeking care or the chief concern. The
other answers are parts of the history and physical or review of symptoms.
A woman presents to a women's health clinic stating that she has had a positive
home pregnancy test and desires prenatal care. You would conduct a(n):
A. complete history.
B. focused history.
C. problem-oriented history.
D. interim history. - ANSWER-A:CorrectThe examiner would conduct a complete
history because the complete history allows the examiner to become thoroughly
familiar with the patient. Most often, this history is recorded the first time you see
the patient. The other answers are used when something is already known about
the patient or an established relationship exists.
1
,You are responding to a patient who has behaved toward you in a seductive
manner. Which of the following is most appropriate?
A. Respond in a manner that acknowledges that the patient is embarrassed.
B. Remain calm, firm, and direct regarding the professional nature of the
relationship.
C. Be courteous.
D. Ignore the patient's behavior. - ANSWER-B:CorrectThis type of patient is
seeking additional attention. Avert it courteously and firmly, delivering the
immediate message that the relationship is and will remain professional. It takes
skill to do this while maintaining the patient's dignity, but there is no room for
sexual misconduct in the relationship, and there can be no tolerance for
exploitation of the patient in this regard.
Which interviewer behavior would least contribute to decreasing tension in an
anxious patient?
A. Avoid information overload.
B. Slow the conversation.
C. Maintain a calm demeanor.
D. Finish the interview promptly. - ANSWER-D:CorrectAnswer d is the
inappropriate response and may increase the patient's level of anxiety. The
examiner helps decrease anxiety by avoiding an overload of information, pacing
the conversation, and presenting a calm demeanor.
Which of the following information is particular to a pediatric history?
A. Family history
B. Developmental history
2
,C. Social history
D. Past medical history - ANSWER-B:CorrectThe developmental history tells the
examiner when the child achieved developmental milestones and is a key indicator
in discerning developmental delays.
A 45-year-old patient presents with a complaint of anxiety related to his wife's
criticism of his drinking. During the history you ask several of the CAGE model
questions and the patient tells you that he wants to cut down on his drinking.
Which conclusion would you draw about this patient?
A. He is an alcoholic.
B. His drinking is caused by anxiety.
C. He may be an alcohol abuser.
D. He should be examined for symptoms of withdrawal. - ANSWER-
C:CorrectThe CAGE questionnaire is one model for discussing the use of alcohol.
CAGE is an acronym for Cutting down, Annoyed by criticism, Guilty feeling, Eye-
openers. Its use does not ensure absolute sensitivity in the detection of a problem.
There is a difference between a screening and an assessment interview. The goal of
screening is to find out if a problem exists. This is particularly true of CAGE,
CRAFFT, and TACE screening tools. They are effective, but they are only the
start, and assessment goes on from there.
A conversation with a parent concerning a 5-year-old child:
A. violates the child's need for privacy.
B. is inappropriate because the child is able to talk with you.
C. provides significant information about family dynamics.
D. causes distrust in the child toward the examiner. - ANSWER-C: CorrectFamily
dynamics become evident during history taking and may even lead to clues that a
3
, parent is in need. Your responsibility goes beyond that for the child. Answers a, b,
and d may apply to the adolescent child.
Mr. Sandstrom has come for his routine appointment for his hypertension. He is
not experiencing medication side effects or other health problems. Which of the
following questions is most appropriate to ask when you begin the interview?
A. "How have you been doing since your last visit?"
B. "Have you been taking your medications?"
C. "What brings you to the office today?"
D. "How are you doing with your hypertension?" - ANSWER-A:CorrectAt the
start, greet the patient and those with the patient. Begin by asking open-ended
questions ("How have you been feeling since we last met?" "What questions would
you like to discuss?" "What do you want to make sure we cover in today's visit?").
During an interview, a patient admits to feeling worthless and having a sleep
disturbance for the last 3 weeks. These clues warrant exploring the possibility of:
A. altered cognition.
B. suicidal ideation or plan.
C. substance abuse.
D. panic attacks. - ANSWER-B:CorrectA sense of sluggishness in the daily
experience; disturbances in sleeping, eating, and social contact; and feelings of loss
of self-worth can be clues for depression.
When questioning a patient regarding a sensitive issue such as drug use, it is best
to:
A. begin by describing the effects of drug abuse on health.
4
Answered Questions with Rationales/ NURS 5220 Exam 1
Advanced Health Assessment Review Test Bank with 350
Questions and Correct Answers
CH 1, 2, 3, 4, 5, 6 , 8
Which statement best describes the chief complaint?
A.General health and illness
B. The reason the individual is seeking care
C. Information to make the diagnosis
D. Concerns about confidentiality and trust - ANSWER-B: CorrectThe chief
complaint is the main reason the person is seeking care or the chief concern. The
other answers are parts of the history and physical or review of symptoms.
A woman presents to a women's health clinic stating that she has had a positive
home pregnancy test and desires prenatal care. You would conduct a(n):
A. complete history.
B. focused history.
C. problem-oriented history.
D. interim history. - ANSWER-A:CorrectThe examiner would conduct a complete
history because the complete history allows the examiner to become thoroughly
familiar with the patient. Most often, this history is recorded the first time you see
the patient. The other answers are used when something is already known about
the patient or an established relationship exists.
1
,You are responding to a patient who has behaved toward you in a seductive
manner. Which of the following is most appropriate?
A. Respond in a manner that acknowledges that the patient is embarrassed.
B. Remain calm, firm, and direct regarding the professional nature of the
relationship.
C. Be courteous.
D. Ignore the patient's behavior. - ANSWER-B:CorrectThis type of patient is
seeking additional attention. Avert it courteously and firmly, delivering the
immediate message that the relationship is and will remain professional. It takes
skill to do this while maintaining the patient's dignity, but there is no room for
sexual misconduct in the relationship, and there can be no tolerance for
exploitation of the patient in this regard.
Which interviewer behavior would least contribute to decreasing tension in an
anxious patient?
A. Avoid information overload.
B. Slow the conversation.
C. Maintain a calm demeanor.
D. Finish the interview promptly. - ANSWER-D:CorrectAnswer d is the
inappropriate response and may increase the patient's level of anxiety. The
examiner helps decrease anxiety by avoiding an overload of information, pacing
the conversation, and presenting a calm demeanor.
Which of the following information is particular to a pediatric history?
A. Family history
B. Developmental history
2
,C. Social history
D. Past medical history - ANSWER-B:CorrectThe developmental history tells the
examiner when the child achieved developmental milestones and is a key indicator
in discerning developmental delays.
A 45-year-old patient presents with a complaint of anxiety related to his wife's
criticism of his drinking. During the history you ask several of the CAGE model
questions and the patient tells you that he wants to cut down on his drinking.
Which conclusion would you draw about this patient?
A. He is an alcoholic.
B. His drinking is caused by anxiety.
C. He may be an alcohol abuser.
D. He should be examined for symptoms of withdrawal. - ANSWER-
C:CorrectThe CAGE questionnaire is one model for discussing the use of alcohol.
CAGE is an acronym for Cutting down, Annoyed by criticism, Guilty feeling, Eye-
openers. Its use does not ensure absolute sensitivity in the detection of a problem.
There is a difference between a screening and an assessment interview. The goal of
screening is to find out if a problem exists. This is particularly true of CAGE,
CRAFFT, and TACE screening tools. They are effective, but they are only the
start, and assessment goes on from there.
A conversation with a parent concerning a 5-year-old child:
A. violates the child's need for privacy.
B. is inappropriate because the child is able to talk with you.
C. provides significant information about family dynamics.
D. causes distrust in the child toward the examiner. - ANSWER-C: CorrectFamily
dynamics become evident during history taking and may even lead to clues that a
3
, parent is in need. Your responsibility goes beyond that for the child. Answers a, b,
and d may apply to the adolescent child.
Mr. Sandstrom has come for his routine appointment for his hypertension. He is
not experiencing medication side effects or other health problems. Which of the
following questions is most appropriate to ask when you begin the interview?
A. "How have you been doing since your last visit?"
B. "Have you been taking your medications?"
C. "What brings you to the office today?"
D. "How are you doing with your hypertension?" - ANSWER-A:CorrectAt the
start, greet the patient and those with the patient. Begin by asking open-ended
questions ("How have you been feeling since we last met?" "What questions would
you like to discuss?" "What do you want to make sure we cover in today's visit?").
During an interview, a patient admits to feeling worthless and having a sleep
disturbance for the last 3 weeks. These clues warrant exploring the possibility of:
A. altered cognition.
B. suicidal ideation or plan.
C. substance abuse.
D. panic attacks. - ANSWER-B:CorrectA sense of sluggishness in the daily
experience; disturbances in sleeping, eating, and social contact; and feelings of loss
of self-worth can be clues for depression.
When questioning a patient regarding a sensitive issue such as drug use, it is best
to:
A. begin by describing the effects of drug abuse on health.
4
