NURS 307 Exam 1 – UPDATED Questions with 100% Verified Answers
NURS 307 Exam 1 – UPDATED Questions with
100% Verified Answers
University of Nevada-Las Vegas
NURS 307
Section 1: Question, Taking, History (Q1–Q13)
Question & Answer
Q1 autonomy
A pt self-determination
Q2 beneficence vs nonmaleficence
A Beneficence -guides the actions and behaviors of practitioners toward beneficial patient outcomes
-ex. provide emergency meds without regard to legal consequence
Nonmaleficence -principle that urges practitioners to avoid actions and behaviors that might bring
harm to their patients -ex. refusing to fill a prescription that pharmacist says may harm the patient
Q3 Utalitarianism
A appropriately use resources for greater good
Q4 deontological imperatives
A Care delivered according to traditions and in cultural contexts
Q5 Positive patient rapport depends on communication built on...
A Courtesy, Comfort, Connection, Confirmation, Confidentiality
Q6 open-ended question
A pt discretion about extent of an answer
Q7 direct question
A seeks out specific information EX: OLDCART
Q8 leading question
A a question that implies that one answer would be better than another
Q9 what should you do if a pt doesnt understand what you are asking?
A Facilitate (encourage pt to say more) Reflect (repeat what you heard) Clarify (ask pt to reiterate)
Empathize (show understanding) Confront (address disturbing pt behavior Interpret (repeat what
you have heard to confirm pt's meaning)
Q10 examples of communication tensions
A curiosity, anxiety, silence, depression, crying, emotional or physical intimacy, seduction, anger,
avoidance, financial considerations
Page 1 of 26
,NURS 307 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q11 while taking pt history, you should remain in a constant state of _____ evaluation of the
pt's words and behaviors
A. objective
B. subjective
A subjective, you are asking pt for their own history
Q12 sensitive issues that come up during the history taking process include
A alcohol/drug use, domestic violence, spirituality, sexuality
Q13 what tools are used to screen for alcohol abuse during the history taking process?
A CAGE (cutting down, annoyance by criticism, guilty feeling, eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people ANNOYED you by criticizing your
drinking? have you felt you ought to CUT down on your drinking? have you ever had an EYE-OPENER
drink first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself who was intoxicated? do you take
drugs to RELAX or to fit in? do you ever use drugs when your ALONE? do you ever FORGET things
while using? has a FAMILy member or FRIEND told you to cut down? have you ever gotten into
TROUBLE from using drugs?)
Section 2: History, Taking, Tools (Q14–Q26)
Question & Answer
Q14 screening vs assessment
A Screening is the process for EVALUATING the possible presence of a problem VS Assessment is the
process for DEFINING the nature of the problem.
Q15 what tools are used to screen for domestic violence during the history taking process?
A HITS
The wording of the question is "In the last year how often did your partner: 1. Hurt you physically?"
2. Insult or talk down to you?" 3. Threaten you with physical harm?" 4. Scream or curse at you?"
Q16 what tools can be used to approach spirituality during the history taking process?
A FICA 1. Faith, belief, meaning (what is your spiritual heritage? what writings are important to you?)
2. Importance and Influenc (how have these beliefs influenced how you handle stress?) 3.
Community (do you belong to a spiritual community?) 4. Address/Action in care (how do your
religious beliefs affect your healthcare decisions?)
Q17 what is the basic outline/sequence of taking the history?
A 1. Chief Complaint (CC) 2. History of Present Illness (HPI) 3. Past Medical History (PMH) 4. Family
History (FH) 5. Personal and Social History (PSH) 6. Review of Systems
Q18 chief complaint (CC)
A the main reason for the patient's visit.
Page 2 of 26
, NURS 307 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q19 History of Present Illness (HPI)
A information gathered regarding the symptoms and nature of the patient's current concern.
can ask about chronology of events, health state before present problem, first symptoms, exposure
to infection or toxic agents, typical attack etc.
OLDCARTS is a good tool to start with (onset, location, duration, characteristics, aggravating
factors, relieving factors, treatment, severity of symptoms)
Q20 past medical history (PMH)
A information gathered regarding the patient's health problems in the past
ask about general health, childhood illnesses, adult illnesses, immunizations, surgeries,
injuries/accidents, past medications, allergies, emotional status etc
Q21 family history (FH)
A A review of medical events in the patient's family including diseases that may be hereditary or
place the patient at risk
can reveal chronic illnesses such as cancer, diabetes, heart diseases, etc. always note the age and
outcome of any illness
a genogram (AKA pedigree) can help illustrate the family timeline of disease and death, and give us
a visual of chronic illnesses that may run in the family. there should be at least 3 generations
included in a pedigree
Q22 personal and social history (PSH)
A occupation, diet, exercise, caffeine, self exams, foreign travel, smoking, alcohol, recreational drugs,
and sexual history (use term partner, keep it gender neutral)
Q23 review of systems (ROS)
A physical examination of all body systems in a systematic manner as part of the nursing assessment
JUST FOR REFERENCE: ask about general constitutional symptoms, skin/hair/nails (rash, itching,
pigmentation), head/neck (headache, dizziness, vision, nose, or ear issues), lymph nodes
(enlargement, tenderness), chest/lungs (pain, dyspnea, wheezing, cough, sputum), breasts (pain,
tenderness, discharge, lumps), heart/blood vessels 9chest pain, edema, hypertension, last EKG), GI
(appetite, digestion, heartburn, N/V, BM pattern), hematologic (anemia, past transfusions),
endocrine (thyroids, heat/cold intolerance, weight change), genitourinary (STDs, pain, frequency,
passage of stone, polyuria, hematuria), musculoskeletal (joint pain, restriction of motion, swelling),
neurological (seizures, paralysis, tremors, loss of memory), psychiatric (depression, mood swings,
tension, suicidal thought)
Q24 what does ADL tool measure?
A functional status
Q25 when taking the history of an adolescent, what tools would be useful to explore the PSH
of the teen?
A HEEADSSS (Home environment, Education, Eating, Activities, Drugs, Sexuality, Suicide/depression,
safety) or PACES (Parents/peers, Accidents/Alcohol, Cigarettes, Emotional issues, School/Sexuality)
Q26 complete history
A Most often recorded the first time you see the patient
Page 3 of 26
NURS 307 Exam 1 – UPDATED Questions with
100% Verified Answers
University of Nevada-Las Vegas
NURS 307
Section 1: Question, Taking, History (Q1–Q13)
Question & Answer
Q1 autonomy
A pt self-determination
Q2 beneficence vs nonmaleficence
A Beneficence -guides the actions and behaviors of practitioners toward beneficial patient outcomes
-ex. provide emergency meds without regard to legal consequence
Nonmaleficence -principle that urges practitioners to avoid actions and behaviors that might bring
harm to their patients -ex. refusing to fill a prescription that pharmacist says may harm the patient
Q3 Utalitarianism
A appropriately use resources for greater good
Q4 deontological imperatives
A Care delivered according to traditions and in cultural contexts
Q5 Positive patient rapport depends on communication built on...
A Courtesy, Comfort, Connection, Confirmation, Confidentiality
Q6 open-ended question
A pt discretion about extent of an answer
Q7 direct question
A seeks out specific information EX: OLDCART
Q8 leading question
A a question that implies that one answer would be better than another
Q9 what should you do if a pt doesnt understand what you are asking?
A Facilitate (encourage pt to say more) Reflect (repeat what you heard) Clarify (ask pt to reiterate)
Empathize (show understanding) Confront (address disturbing pt behavior Interpret (repeat what
you have heard to confirm pt's meaning)
Q10 examples of communication tensions
A curiosity, anxiety, silence, depression, crying, emotional or physical intimacy, seduction, anger,
avoidance, financial considerations
Page 1 of 26
,NURS 307 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q11 while taking pt history, you should remain in a constant state of _____ evaluation of the
pt's words and behaviors
A. objective
B. subjective
A subjective, you are asking pt for their own history
Q12 sensitive issues that come up during the history taking process include
A alcohol/drug use, domestic violence, spirituality, sexuality
Q13 what tools are used to screen for alcohol abuse during the history taking process?
A CAGE (cutting down, annoyance by criticism, guilty feeling, eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people ANNOYED you by criticizing your
drinking? have you felt you ought to CUT down on your drinking? have you ever had an EYE-OPENER
drink first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself who was intoxicated? do you take
drugs to RELAX or to fit in? do you ever use drugs when your ALONE? do you ever FORGET things
while using? has a FAMILy member or FRIEND told you to cut down? have you ever gotten into
TROUBLE from using drugs?)
Section 2: History, Taking, Tools (Q14–Q26)
Question & Answer
Q14 screening vs assessment
A Screening is the process for EVALUATING the possible presence of a problem VS Assessment is the
process for DEFINING the nature of the problem.
Q15 what tools are used to screen for domestic violence during the history taking process?
A HITS
The wording of the question is "In the last year how often did your partner: 1. Hurt you physically?"
2. Insult or talk down to you?" 3. Threaten you with physical harm?" 4. Scream or curse at you?"
Q16 what tools can be used to approach spirituality during the history taking process?
A FICA 1. Faith, belief, meaning (what is your spiritual heritage? what writings are important to you?)
2. Importance and Influenc (how have these beliefs influenced how you handle stress?) 3.
Community (do you belong to a spiritual community?) 4. Address/Action in care (how do your
religious beliefs affect your healthcare decisions?)
Q17 what is the basic outline/sequence of taking the history?
A 1. Chief Complaint (CC) 2. History of Present Illness (HPI) 3. Past Medical History (PMH) 4. Family
History (FH) 5. Personal and Social History (PSH) 6. Review of Systems
Q18 chief complaint (CC)
A the main reason for the patient's visit.
Page 2 of 26
, NURS 307 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q19 History of Present Illness (HPI)
A information gathered regarding the symptoms and nature of the patient's current concern.
can ask about chronology of events, health state before present problem, first symptoms, exposure
to infection or toxic agents, typical attack etc.
OLDCARTS is a good tool to start with (onset, location, duration, characteristics, aggravating
factors, relieving factors, treatment, severity of symptoms)
Q20 past medical history (PMH)
A information gathered regarding the patient's health problems in the past
ask about general health, childhood illnesses, adult illnesses, immunizations, surgeries,
injuries/accidents, past medications, allergies, emotional status etc
Q21 family history (FH)
A A review of medical events in the patient's family including diseases that may be hereditary or
place the patient at risk
can reveal chronic illnesses such as cancer, diabetes, heart diseases, etc. always note the age and
outcome of any illness
a genogram (AKA pedigree) can help illustrate the family timeline of disease and death, and give us
a visual of chronic illnesses that may run in the family. there should be at least 3 generations
included in a pedigree
Q22 personal and social history (PSH)
A occupation, diet, exercise, caffeine, self exams, foreign travel, smoking, alcohol, recreational drugs,
and sexual history (use term partner, keep it gender neutral)
Q23 review of systems (ROS)
A physical examination of all body systems in a systematic manner as part of the nursing assessment
JUST FOR REFERENCE: ask about general constitutional symptoms, skin/hair/nails (rash, itching,
pigmentation), head/neck (headache, dizziness, vision, nose, or ear issues), lymph nodes
(enlargement, tenderness), chest/lungs (pain, dyspnea, wheezing, cough, sputum), breasts (pain,
tenderness, discharge, lumps), heart/blood vessels 9chest pain, edema, hypertension, last EKG), GI
(appetite, digestion, heartburn, N/V, BM pattern), hematologic (anemia, past transfusions),
endocrine (thyroids, heat/cold intolerance, weight change), genitourinary (STDs, pain, frequency,
passage of stone, polyuria, hematuria), musculoskeletal (joint pain, restriction of motion, swelling),
neurological (seizures, paralysis, tremors, loss of memory), psychiatric (depression, mood swings,
tension, suicidal thought)
Q24 what does ADL tool measure?
A functional status
Q25 when taking the history of an adolescent, what tools would be useful to explore the PSH
of the teen?
A HEEADSSS (Home environment, Education, Eating, Activities, Drugs, Sexuality, Suicide/depression,
safety) or PACES (Parents/peers, Accidents/Alcohol, Cigarettes, Emotional issues, School/Sexuality)
Q26 complete history
A Most often recorded the first time you see the patient
Page 3 of 26
