NUR350 Week 1 Question and Answers

NUR350 Week 1 Question and Answers 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 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? 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 be direct, firm, and to the point Direct questions are designed to obtain or clarify specific details about an answer Interviewers should identify and assess their own feelings, such as hostility and prejudice, in order to 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? "Tell me what you mean by often." Developing cultural sensitivity is vital in order for the examiner to be successful in 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 is believed by members of many cultures, including Arabs, Asians, Filipinos, and Hispanics. Developing a knowledge base about cultural groups allows the practitioner to understand the behaviors, practices, and problems observed Which of the following is an example of a cultural characteristic? 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? What do you think is causing the illness? A common mistake made by health care professionals is to? stereotype individuals based on color or ethnic group All of the following are cultural considerations that affect health care except eye color, temperature, and visual acuity Which of the following is an example of a physical, as opposed to a cultural, characteristic? 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? 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 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)? standard precautions A patient presents with multiple raised lesions on her skin. Which instrument should be used to examine these lesions ruler In an outpatient setting such as a clinic, how should infection control practice differ from that in the acute care setting? Infection control practice is applicable in all healthcare settings. In which of the following situations is transillumination an appropriate examination technique 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? penlight On first meeting, the examiner notices that the patient has an obvious odor. Which examination technique is the examiner using in this scenario? Inspection Focused visual attention obtains data from inspection Which technique is applied throughout the entire examination and interview process inspection As a component of palpation, which surface is most sensitive to vibration ulnar surface of the hand How deep should the examiner's hands press while performing deep palpation? 4 cm The term intensity, when used in relation to percussion tones, refers to 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? fingertips Ideally, auscultation should be carried out last, except when examining the abdomen Which of the following techniques is incorrect and affects the accuracy of auscultation? Auscultating through clothing Which of the following is true regarding the correct use of a stethoscope? 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 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? grid light An ophthalmoscope has positive and negative magnification in order to 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? 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 intuition When determining a need for additional examination, testing, or procedures, the examiner knows that these should be done if they relate to the examiner's hypothesis After an examiner has identified and confirmed a problem, the next step is to determine the managment plan The use of a computer could potentially be detrimental to the examiner because it may become a substitute for critical thinking. To identify problems based on clinical examination, the examiner should organize the data by body systems Each of the following could become a barrier to the critical thinking process, except for the examiner's objectivity (feelings, attitudes, and values could be barriers) Which statement best characterizes a belief that supports a sound decision-making process? Common problems occur commonly, and rare ones occur rarely Laboratory tests should be used to develop a list of potential problems EBP is defined as the best available scientific evidence to clinical decision making. Which of the following examples illustrates a vague or nondescriptive term "skin color is normal" How are "normal findings" best documented Document what was actually assessed in specific terms. Which of the following statements is true regarding use of abbreviations? 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 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 characteristic Before instilling a mydriatic eyedrop, the examiner should observe the eye with focused light tangentially The examiner screens a 5-year-old child for nystagmus by inspecting movement of the eyes to the six cardinal fields of gaze Which of the following correctly describes the method to assess accommodation? 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? Rosenbaum chart To visualize the macula, the examiner should ask the patient to 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? "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? 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? glaucoma Which of the following would be applicable to a family history? Retinoblastoma Mrs. Carter has vision that, at best, is 20/210. Mrs. Carter is considered legally blind Which of the following is the correct technique while performing an ophthalmoscopic examination? Examine the patient's right eye with your right eye and the pt's left eye with your left eye A cobblestone appearance of the conjunctiva is most likely related to allergic or infectious conjunctivitis Mr. Barclay is a 48-year-old patient who presents to the office for follow up. On his eye examination, you note peripheral fundus changes and vessels that appear whitish. The most likely cause for these findings is lipemia retinalis Which of the following cranial nerves innervate the six muscles that control eye movement? III, IV, VI When you are examining the eyelid, you note ptosis on the right side. Which cranial nerve innervates the muscle that elevated the upper eyelid? CN III Mr. Kasey is a 57-year-old patient who presents to your office. During the eye examination, you note that his pupils are not equal in size; however, they react to light and accommodation. This is called anisocoria When performing a Weber test, which of the following is considered a normal finding? The patient hears the tone equally in both ears. The examiner observes a blackish lesion on the top surface of the tongue of an adult patient. The patient indicates that his tongue is painful. Which question by the examiner would be helpful in explaining this finding? "Have you been taking antibiotics lately?" Which of the following situations is an indication for transillumination? The patient complains of pain over sinuses with palpation. The examiner notes that a patient's tonsils are enlarged and that they touch the uvula. This is documented as 3+ Which of the following statements made by a 72-year-old patient would indicate a normal process of aging? "Food does not taste the same as it used to." Chronic sniffling, nasal congestion, nosebleeds, mucosal scabs, and septum perforation are signs of cocaine abuse Mrs. Williams presents to the office for a follow-up visit. On examination, you note deep fissures at the corners of her mouth and identify this as cheilosis. You know this is a result of riboflavin deficiency