c4 CNURSING 295 - Questions & Answers (100% Correct)

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N295 ch 4 MULTIPLE CHOICE 1. The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history? 2. When the nurse is evaluating ... the reliability of a patient’s responses, which of these statements would be correct? The patient: 3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having “black stools” for the last 24 hours. How would the nurse best document his reason for seeking care? 4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse’s best response? 5. A 29-year-old woman tells the nurse that she has “excruciating pain” in her back. Which would be the nurse’s appropriate response to the woman’s statement? 6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate? 7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information? 8. A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information? 9. The nurse is taking a family history. Important diseases or problems about which the patient should be specifically asked include: 10. The review of systems provides the nurse with: DIF: Cognitive Level: Remembering (Knowledge) REF: p. 54 11. Which of these statements represents subjective data the nurse obtained from the patient regarding the patient’s skin? 12. The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health pro-motion activities for this patient? 13. Which of these responses might the nurse expect during a functional assessment of a patient whose leg is in a cast? 14. In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate? 15. In response to a question regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information? 16. The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response? 17. During an assessment of a patient’s family history, the nurse constructs a genogram. Which statement best describes a genogram? 18. A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which infor-mation should the nurse collect before this procedure? 19. As part of the health history of a 6-year-old boy at a clinic for a sports physical examination, the nurse reviews his immunization record and notes that his last measles-mumps-rubella (MMR) vaccination was at 15 months of age. What recommendation should the nurse make? 20. In obtaining a review of systems on a “healthy” 7-year-old girl, the health care provider knows that it would be important to include the: 21. When the nurse asks for a description of who lives with a child, the method of discipline, and the support system of the child, what part of the assessment is being performed? 22. The nurse is obtaining a health history on an 87-year-old woman. Which of the following areas of questioning would be most useful at this time? 23. The nurse is performing a review of systems on a 76-year-old patient. Which of these statements is correct for this situation? 24. A 90-year-old patient tells the nurse that he cannot remember the names of the medications he is taking or for what reason he is taking them. An appropriate response from the nurse would be: 25. The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke. Which of these questions would be most important to ask? 26. The nurse is preparing to do a functional assessment. Which statement best describes the purpose of a functional assessment? 27. The nurse is asking a patient for his reason for seeking care and asks about the signs and symptoms he is experiencing. Which of these is an example of a symptom? 28. A patient is describing his symptoms to the nurse. Which of these statements reflects a descrip-tion of the setting of his symptoms? 29. During an assessment, the nurse uses the CAGE test. The patient answers “yes” to two of the questions. What could this be indicating? 30. The nurse is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the “community” portion of the FICA (faith and belief, importance and in-fluence, community, and addressing or applying in care) questions? 31. The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the inter-view begins? 32. The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to add to the health history? MULTIPLE RESPONSE 1. The nurse is assessing a patient’s headache pain. Which questions reflect one or more of the critical characteristics of symptoms that should be assessed? Select all that apply. 2. The nurse is conducting a developmental history on a 5-year-old child. Which questions are appropriate to ask the parents for this part of the assessment? Select all that apply. 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