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NUR 504 / NUR504 EXAM 1. QUESTIONS WITH 100% CORRECT ANSWERS.

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In the "Plan" section, the text singles out which component of the plan as critical for legal reasons? a. Education b. Nonpharmacological interventions c. "Rule outs" d. Follow-up Which component of the treatment plan is typically reserved for hospitalized patients? a. Pharmacological interventions b. Referrals c. Nonpharmacological interventions d. Follow-ups Documentation that just indicates that the healthcare provider found "no problems" is unacceptable because of lack of precision and clarity of what was asked and what was assessed True HIPAA regulations permit healthcare institutions to share a patient's information without their consent, but only to other accredited healthcare institutions and only if strict security measures are in place. False The format and extent of information gathered are different for each subclassification of the SOAP approach False If the patient reports that 5 years ago she had a "heart attack," it is important for the physician to note this using the patient's own terminology. False "Patient holds an M.A. in art history and curates a small museum; occupation calls for standing 6-7 hours a day" is an example of documentation of a patient's social history True The assessment plan for all patients will contain new diagnoses, differential diagnoses, and a problem list. False Explain what each step of SOAP stands for and why they appear in the particular order they do. Subjective: Any information or facts that the patient presents or that the chart provides. Objective: Data and information obtained by the examiner with his or her eyes, ears, and hands. Assessment: Pulls together the findings presented in the subjective and objective sections to form a diagnosis. Plan: Outlines the treatment plan. Each step builds chronologically on the previous one. What are the five broad categories usually explored in a patient's family history? Cancer Diabetes Cerebrovascular accidents Myocardial infarctions Genetic defects

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NUR 504 EXAM 1
Which of the following is an example of subjective data that may be collected
during a health assessment?
a. Height and weight
b. A patient's recall of his or her past health conditions
c. Results from an abdominal CT scan
d. Complete blood count




Which of the following is true regarding the data taken in a health history?
a. Most health history data are objective and measurable.
b. Objective data are error-free, quantifiable data.
c. Subjective data, being inherently less accurate, are of less value than objective
data.
d. A successful individualized plan of care must incorporate subjective data.




What do Coulehan and Block define as "listening to the total communication . . .
and letting the patient know that you are really hearing"?
a. Cultural competence
b. Patience
c. Empathy

,d. Top-tier communication




The provider is preparing to take a health history for a new patient. He takes the
patient to a private room and asks the patient to don a hospital gown. After stepping
outside to give the patient sufficient time to change, he then comes back in and asks
permission to conduct the history. He sits next to the patient at eye level, discreetly
observes the patient for any sensory deficits, and asks the patient if he may take brief
notes of the conversation. During the conversation, he gives the patient time to
answer questions fully. He makes sure that his questions do not contain technical
terms and quietly observes the patient's nonverbal behaviors throughout. Which
mistake did the provider make?
a. He should have allowed the patient to remain fully clothed in their own clothing for
their comfort.
b. He should not have omitted technical terminology. Patients like having a chance to
learn.
c. He should have seated




Which of the following is true of both comprehensive and focused health
histories?
a. They both include identifying data.
b. They both include a social history.
c. They both include a family history.
d. They are both conducted in emergency situations.

, In the mnemonic devise PQRST, which of the following includes describing the
location of the symptoms?
a. Precipitating factors
b. Quality
c. Radiation
d. Severity




What is the current mnemonic device for taking a health history?
a. PQRST
b. CLIENT OUTCOMES
c. PRACTICE
d. GOOD MEDICINE




When taking a PMI, which of the following is correct?
a. Do not take the statement "I'm allergic to. . . " at face value.
b. Ask the patient for a very brief summary of their current health.
c. If a patient states that they have been vaccinated with BCG, make sure to
administer a PPD test.
d. CAM documentation is no longer a requirement.

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