Walden University - NURS 6512 Week 3 Quiz. Questions and answers

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Walden University - NURS 6512Week 3 Quiz  Question 1 2 out of 2 points Which of the following formats would be used for visits that address problems not yet identified in the problemoriented ... medical record (POMR)? Selected Answer: Brief SOAP note Correct Answer: Brief SOAP note Response Feedback: Follow-up visits for problems identified in the POMR are recorded in the progress notes. Those visits not identified as problems are recorded using the SOAP format. Careful review of all SOAP notes on a regular basis will detect the emergence of a condition that explains the patient s complaints; at that point, SOAP documentation is stopped.  Question 2 2 out of 2 points Which of the following is not a characteristic of the plan portion of the problem-oriented medical record? Selected Answer: Differential diagnosis Correct Answer: Differential diagnosis Response Feedback: Develop a plan for each problem on the problem list. A differential diagnosis is part of the assessment phase. Diagnostics ordered, therapeutics, and patient education are all part of the plan related to the diagnosis given.  Question 3 2 out of 2 pointsBody mass index (BMI) is calculated by which of the following? Selected Answer: [(Weight in pounds ´ 703) ÷ height in inches] ÷ height in inches. Correct Answer: [(Weight in pounds ´ 703) ÷ height in inches] ÷ height in inches. Response Feedback: BMI is calculated by the weight in pounds multiplied by 703 divided by the height in inches squared.  Question 4 0 out of 2 points Objective data are usually recorded: Selected Answer: in the problem list. Correct Answer: by body systems.  Question 5 2 out of 2 points Subjective and symptomatic data are: Selected Answer: placed in the history sections. Correct Answer: placed in the history sections. Response Feedback: Subjective data, as well as symptomatic data, should not be part of the physical examination findings; rather, their documentation is appropriate for the history portion.  Question 6 2 out of 2 points Deficiency of which of the following is a concern in the vegetarian diet? Selected Answer: Vitamin B12 Correct Answer: Vitamin B12 Response Feedback: The nutrients that may be deficient in a vegetarian diet if not carefully planned include proteins, calcium, iron, vitamin B12, and vitamin D.  Question 7 2 out of 2 points You are using the rule of thumb for advising a 150-pound person regarding the appropriate number of calories to promote weight loss. Your advice is for the person to consume no more than _____ calories. Selected Answer:1700 Correct Answer: 1700 Response Feedback: The person weighs 68 kg, which multiplied by 25 (rule of thumb for weight loss) equals 1700 calories.  Question 8 2 out of 2 points Ms. S. reports that she is concerned about her loss of appetite. During the history, you learn that her last child recently moved out of her house to go to college. Rather than infer the cause of Ms. S. s loss of appetite, it would be better to: Selected Answer: quote her concerns verbatim. Correct Answer: quote her concerns verbatim. Response Feedback: It is best to document what you observe and what is said by the patient rather than document your interpretations. Listening and quoting exactly what the patient says is the better rule to follow; there is no indication that you should refer her or clarify with her husband.  Question 9 0 out of 2 points Differential diagnoses belong in the: Selected Answer: plan. Correct Answer: assessment.  Question 10 2 out of 2 points Which of the following should be assessed first in the patient with sustained rapid respirations? Selected Answer: Hydration Correct Answer: Hydration Response Feedback: A person hyperventilating would lose more insensible water, increasing the risk for dehydration. The most sensitive, rapid assessment tool is to weigh the patient to determine loss of fluids.  Question 11 2 out of 2 points The examiner s evaluation of a patient s mental status belongs in the:Selected Answer: physical examination. Correct Answer: physical examination. Response Feedback: Mental status assessment, including cognitive and emotional stability and speech and language are part of the physical examination.  Question 12 0 out of 2 points An anorexia patient is different from the bulimic patient because of the following characteristics: Selected Answer: Patients develop electrolye imbalance. Correct Answer: Patients have amenorrhea.  Question 13 2 out of 2 points When recording assessments during the construction of the problem-oriented medical record, the examiner should: Selected Answer: create an assessment for each problem on the problem list. Correct Answer: create an assessment for each problem on the problem list. Response Feedback: Once the examiner has a list of problems constructed, then an assessment is made for each unique problem.  Question 14 2 out of 2 points A problem may be defined as anything that will require: Selected Answer: evaluation. Correct Answer: evaluation. Response Feedback: The need for further evaluation or attention indicates a problem. If a problem is found, it does not necessarily warrant medication, surgery, treatment, or referral.  Question 15 0 out of 2 points The largest proportion of total energy expenditure by the body is through: Selected Answer: physical activity.Correct Answer: resting energy.  Question 16 2 out of 2 points A pregnant woman of normal prepregnancy weight should be expected to gain how much weight per week during the second and third trimesters of pregnancy? Selected Answer: A. 1 pound Correct Answer: A. 1 pound Response Feedback: Expected weight gain in the first trimester is variable, between 1 and 2 kg (2 to 4 pounds); however, in the second and third trimesters, weekly weight gain should be approximately 0.45 kg (1 pound) per week.  Question 17 0 out of 2 points Which breast Tanner stage corresponds to a secondary areola mound development above the breast? Selected Answer: B. Stage 3 Correct Answer: C. Stage 4 Response Feedback: Tanner stage 4 depicts the stage where the areola forms a second mound above the breast.  Question 18 2 out of 2 points During adolescence, the head size normally increases as a result of: Selected Answer: A. sinus development. Correct Answer: A. sinus development. Response Feedback: As the facial sinuses grow, the head size enlarges its surface area to accommodate this growth.  Question 19 2 out of 2 points In clinical practice, the Ballard Assessment Tool is used to assess a newborn's: Selected Answer: D. gestational age. Correct Answer: D. gestational age.Response Feedback: The Ballard Assessment Tool assesses six physical and six neuromuscular characteristics, administered within 36 hours of birth, in order to confirm the newborn's gestational age.  Question 20 2 out of 2 points Fifty percent of an individual's ideal weight is gained during: Selected Answer: C. adolescence. Correct Answer: C. adolescence. Response Feedback: During adolescence, the trunk and legs grow the most, causing organs and the skeletal mass to double in size. In pregnancy, weight gain is accounted for by the growing fetus and pregnancy organs (placenta and uterus). In preschool years, weight is gained at a steady rate, with fat tissue increasing slowly until about 7 years of age. In early adulthood, there is a reduction in size and weight. or during preschool years. In preschool years, weight is gained at a steady rate, with fat tissue increasing slowly until about 7 years of age. In early adulthood, there is a reduction in size and weight [Show More]

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