Maryville NURS 612 Exam 1 Questions with Correct Answers

Document Content and Description Below

Which of the following will best facilitate the interview when obtaining a history for a deaf patient who can read lips? - ANSWER speaking slowly During a history, the patient indicates he has an... uncle and a brother with sickle cell disease. Which of the following is an appropriate method to document this information? - ANSWER Include it in the family history. Which approach is recommended at the onset of an interview? - ANSWER Use an open-ended approach; let the patient explain the problem or reason for the visit. Which of the following questions may lead to an inaccurate patient response? - ANSWER "That was a horrible experience, wasn't it?" Repeating a patient's answer is an attempt to - ANSWER confirm an accurate understanding. During an interview, your patient admits to feeling worthless and having a sleep disturbance for the past 3 weeks. These are clues that warrant the exploration of - ANSWER risk for suicide Jerry, a 26-year-old homosexual man, is having a health history taken. Which question regarding sexual activity would most likely hamper trust between Jerry and the interviewer? - ANSWER Are you married or do you have a girlfriend When questioning a patient regarding a sensitive issue, such as drug use, it is best to - ANSWER be direct, firm, and to the point Direct questions are designed to - ANSWER obtain or clarify specific details about an answer Interviewers should identify and assess their own feelings, such as hostility and prejudice, in order to - ANSWER reduce communication barriers During an interview, a patient describes abdominal pain that often awakens him at night. Which of the following responses by the interviewer would facilitate the interviewing process? - ANSWER "Tell me what you mean by often." Developing cultural sensitivity is vital in order for the examiner to be successful in - ANSWER recognizing and accepting health beliefs that differ from his or her own beliefs. The balance of hot and cold and its relationship to wellness is a concept that - ANSWER is believed by members of many cultures, including Arabs, Asians, Filipinos, and Hispanics. Developing a knowledge base about cultural groups allows the practitioner to - ANSWER understand the behaviors, practices, and problems observed Which of the following is an example of a cultural characteristic? - ANSWER shared belief A young mother brings her infant to the emergency department with a high temperature and dehydration. Which of the following questions asked by an examiner demonstrates cultural awareness? - ANSWER What do you think is causing the illness? A common mistake made by health care professionals is to? - ANSWER stereotype individuals based on color or ethnic group All of the following are cultural considerations that affect health care except - ANSWER eye color, temperature, and visual acuity Which of the following is an example of a physical, as opposed to a cultural, characteristic? - ANSWER Skin color Despite repeated instruction over a period of 3 years, the mother of three young children has still not had her children immunized. Which of the following questions would help the health care provider understand this situation? - ANSWER What are your beliefs about immunizations Which mode of communication may be offensive to a patient whose cultural perspective differs from that of the practitioner - ANSWER maintaining firm and direct eye contact Which of the following infection control guidelines are currently recommended by the Centers for Disease Control and Prevention (CDC)? - ANSWER standard precautions A patient presents with multiple raised lesions on her skin. Which instrument should be used to examine these lesions - ANSWER ruler In an outpatient setting such as a clinic, how should infection control practice differ from that in the acute care setting? - ANSWER Infection control practice is applicable in all healthcare settings. In which of the following situations is transillumination an appropriate examination technique - ANSWER Detection of fluid within the sinuses Which of the following instruments is used in conjunction with a simple nasal speculum to visualize the lower and middle turbines of the nose? - ANSWER penlight On first meeting, the examiner notices that the patient has an obvious odor. Which examination technique is the examiner using in this scenario? - ANSWER Inspection Focused visual attention obtains data from - ANSWER inspection Which technique is applied throughout the entire examination and interview process - ANSWER inspection As a component of palpation, which surface is most sensitive to vibration - ANSWER ulnar surface of the hand How deep should the examiner's hands press while performing deep palpation? - ANSWER 4 cm The term intensity, when used in relation to percussion tones, refers to - ANSWER the loudness of the tone. The examiner has detected a superficial mass in the skin. What part of the hand is best to use to palpate this mass? - ANSWER fingertips Ideally, auscultation should be carried out last, except when examining the - ANSWER abdomen Which of the following techniques is incorrect and affects the accuracy of auscultation? - ANSWER Auscultating through clothing Which of the following is true regarding the correct use of a stethoscope? - ANSWER The bell is pressed lightly against the skin to detect low-frequency sounds In which of the following situations is use of a Doppler indicated - ANSWER Auscultation of a nonpalpable pulse in a patient with peripheral vascular disease While performing an internal eye examination, the examiner observes a fundal lesion. What feature on the ophthalmoscope permits the examiner to estimate the size and location of the lesion? - ANSWER grid light An ophthalmoscope has positive and negative magnification in order to - ANSWER compensate for myopia or hyperopia in the examiner's or the patient's eyes. According to the Centers for Disease Control and Prevention, the health care provider should apply infection control measures when caring for which group of patients? - ANSWER All patients regardless of their infectious status Unless a life-threatening situation exists, the best guide to determining the priority for the patient's condition should be based on - ANSWER intuition When determining a need for additional examination, testing, or procedures, the examiner knows that these should be done - ANSWER if they relate to the examiner's hypothesis After an examiner has identified and confirmed a problem, the next step is to - ANSWER determine the managment plan The use of a computer could potentially be detrimental to the examiner because - ANSWER it may become a substitute for critical thinking. To identify problems based on clinical examination, the examiner should organize the data - ANSWER by body systems Each of the following could become a barrier to the critical thinking process, except for the examiner's - ANSWER objectivity (feelings, attitudes, and values could be barriers) Which statement best characterizes a belief that supports a sound decision-making process? - ANSWER Common problems occur commonly, and rare ones occur rarely Laboratory tests should be used to - ANSWER develop a list of potential problems EBP is defined as - ANSWER the best available scientific evidence to clinical decision making. Which of the following examples illustrates a vague or nondescriptive term - ANSWER "skin color is normal" How are "normal findings" best documented - ANSWER Document what was actually assessed in specific terms. Which of the following statements is true regarding use of abbreviations? - ANSWER Use only universally accepted abbreviations for documentation You are taking a health history on your patient. When you are asking about problems in other body systems, your patient reports constipation over the past 5 or 6 months. This would be documented in - ANSWER Review of symptoms Your patient presents to the office with a chief complaint of shoulder pain that he reports as stabbing. In using the mnemonic OLDCARTS, this is noted as - ANSWER characteristic Before instilling a mydriatic eyedrop, the examiner should - ANSWER observe the eye with focused light tangentially The examiner screens a 5-year-old child for nystagmus by - ANSWER inspecting movement of the eyes to the six cardinal fields of gaze Which of the following correctly describes the method to assess accommodation? - ANSWER Constriction should be noted as gaze shifts from across the room to an object 6 inches away. Which of the following should be used to test for near vision? - ANSWER Rosenbaum chart To visualize the macula, the examiner should ask the patient to - ANSWER look directly into the light of the ophthalmoscope. A 51-year-old patient tells the examiner, "My mother had glaucoma. What can I do to prevent myself from getting it?" Which of the following responses is most appropriate? - ANSWER "Although it can't be prevented, regular screening and testing assist in early detection." Which examination finding may be indicative of a retro-orbital tumor? - ANSWER Unilateral exophthalmos A patient tells the examiner, "I have a loss of vision in the outer half of each eye." Which of the following underlying problems should the examiner consider? - ANSWER glaucoma Which of the following would be applicable to a family history? - ANSWER Retinoblastoma Mrs. Carter has vision that, at best, is 20/210. Mrs. Carter is considered - ANSWER legally blind Which of the following is the correct technique while performing an ophthalmosc [Show More]

Last updated: 1 year ago

Preview 1 out of 14 pages