NUR2092 Health Assessment Final Exam Questions and Answers 2023

Activity of Daily Living - Correct answer-Tasks that are necessary for self-care, such as eating/feeding, bathing, grooming, toileting, walking, and transferring. Advanced Activities of Daily Living - Correct answer-Activities that an older adult performs as a family member or as a member of society or community, including occupational and recreational activities. Caregiver Assessment - Correct answer-Assessment of the health and well-being of an individual's caregiver. Caregiver Burden - Correct answer-The perceived strain by the person who cares for an older, chronically ill, or disabled person. Domains of Cognition - Correct answer-Domains included in mental status assessments, such as attention, memory, orientation, language, visuospatial skills, and higher cognitive functions. Environment - Correct answer-Assessment of an indovodual's home environment and community systems, including hazards at home. Functional Ability - Correct answer-The ability of a person to perform activities necessary to live in modern society; may include driving, using the telephone, or performing personal tasks such as baking or toileting. Functional Assessment - Correct answer-A systematic assessment that includes assessment of an individual's activities of daily living, instrumental activities of daily living, and mobility. Functional Status - Correct answer-A person's actual performance of activities and tasks associated with current life roles. Geriatric Assessment - Correct answer-Multidimensional assessment; physical examination and assessments of mental status, functional status, social and economical status, pain, and physical environment safety. Home Care - Correct answer-Supportive services provided in the home: skilled nursing care, primary care, therapy (physical, occupational, speech), social work, nutrition, case management, ADL assistance, durable medical equipment. Instrumental Activities of Daily Living - Correct answer-Functional abilities necessary for independent community living, such as, shopping, meal preparation, housekeeping, laundry, managing finances, taking medications, and using transportation. Katz Index of Independence in Activities of Daily Living - Correct answer-An instrument used to measure physical function in older adults and the chronically ill. Lawton Instrumental Activities of Daily Living - Correct answer-An instrument used to measure an individual's ability to perform instrumental activities of daily living; may assist in assessing one's ability to live independently. Physical Performance Measures - Correct answer-Tests that measure balance, gait, motor coordination, and endurance. Social Domain - Correct answer-The domain that focuses on an individual's relationships within family, social groups, and the community. Social Networks - Correct answer-Informal supports accessed by older adults, such as family members and close friends, neighbors, church societies, neighborhood groups, and senior centers. Spiritual Assessment - Correct answer-Assessment of the individual's spiritual health. An appropriate tool to assess an individual's instrumental activities of daily living is a tool by: - Correct answer-a. Katz b. Lawton *CORRECT ANSWER* c. Tinetti d. Norbeck Which statement is true regarding an individual's functional status? - Correct answer-a. Functional status refers to one's ability to care for another person. b. An older adult's functional status is usually static over time. c. An older adult's functional status may vary from independence to disability. *CORRECT ANSWER* d. Dementia is an example of functional status. An older person is experiencing an acute change in cognition. You recognize that this disorder is? - Correct answer-a. Alzheimer dementia b. Attention deficit disorder c. Depression d. Delirium *CORRECT ANSWER* Assessment of the social domain includes: - Correct answer-a. Family relationships *CORRECT ANSWER* b. Ability to cook meals c. Ability to balance the checkbook and pay bills d. Hazards found in the home You will use which technique when assessing an older individual who has cognitive impairment? - Correct answer-a. Ask open-ended questions b. Complete the entire assessment in one session c. Ask the family members for information instead of the older individual d. Ask simple questions that have yes or no answers. *CORRECT ANSWER* An older person needs to be assessed before going home as to whether he or she is able to go outside alone safely. Which test is best for this assessment? - Correct answer-a. Up and go test *CORRECT ANSWER* b. Performance of activities of daily living c. Older americans resources and services multidimensional functional assessment questionnaire d. Lawton IADL Instrument An older adult has had surgery for a fractured hip and has a history of dementia. You should keep in mind that older adults with cognitive impairment: - Correct answer-a. Experience less pain b. can provide a self-report of pain *CORRECT ANSWER8 c. Cannot be relied on to self-report pain d. Will not express pain sensations. An appropriate use of the caregiver strain index would be which situation? - Correct answer-a. A daughter who is taking her older father home to live with her b. An older patient who lives alone c. A wife who has cared for her husband for the past 4 years at home *CORRECT ANSWER* d. A son whose parents live in an assisted living facility Which is an example of a formal social support network for the aging adult? - Correct answer-a. A neighbor who drops by with newspapers and magazines on a regular basis b. An area church that offers a weekly activity an luncheon for seniors in the neighborhood c. A home health care agency that provides weekly blood pressure screenings at the church luncheon *CORRECT ANSWER* d. A senior citizen chess club whose members hold classes at the local boys club When completing a spiritual assessment you should? - Correct answer-a. Use yes and no questions as the foundation for future dialogue b. Use open-ended questions to help the patient understand potential coping mechanisms *CORRECT ANSWER* c. Try to complete this assessment as soon as possible after meeting the patient d. Wait until a member of the clergy can be involved in the assessment When you perform a functional assessment of an older patient, which is most appropriate? - Correct answer-a. Observe the patient's ability to perform the tasks *CORRECT ANSWER* b. Ask the patient's wife or husband how he or she does when performing tasks c. Review the medical record for information on the patient's abilities d. Ask the pastient's physician for information on the patient's ability The Lawton IADL instrument is described by which of the following? - Correct answer-a. The nurse uses direct observation to implement this tool b. It is designed as a self-report measure of performance rather than ability *CORRECT ANSWER* c. It is not useful in the acute hospital setting d. It is best used for those residing in an institutional setting An older adult's advanced activities of daily living would include: - Correct answer-a. Recreational activities *CORRECT ANSWER* b. Meal Preparation c. Balancing the checkbook d. Self-grooming activities When using the various instruments to assess an older person's activities of daily living, remember that a disadvantage of these instruments includes: - Correct answer-a. The reliability of the tools b. Self or proxy report of functional activities *CORRECT ANSWER* c. Lack of confidentiality during the assessment d. Insufficient detail about the deficiencies identified Acculturation - Correct answer-Process of social and psychological exchanges with encounters between persons of different cultures, resulting in changes in either group. Cultural and Linguistic Competence - Correct answer-A set of congruent behaviors, attitudes and policies that come together in a system among professionals that enables work in cross-cultural situations. Culture - Correct answer-The nonphysical attributes of a person-the thoughts, communications, actions, beliefs, values, and institutions of racial, ethnic, religious, or social groups. Cultural Care - Correct answer-Professional health care that is culturally sensitive, appropriate, and competent. Ethnicity - Correct answer-A social group within the social system that claims to possess variable traits such as common geographic origin, migratory status, and religion. Ethnocentrism - Correct answer-Tendency to view your own life as the most desirable, acceptable, or best and to act superior to another culture's way of life. Folk Healer - Correct answer-Lay healer in the person's culture apart from the biomedical or scientific health care system Health or Illness - Correct answer-the balance or imbalance of the person, both within one's being (physical, mental, and/or spiritual) and in the outside world (natural, communal, and/or metaphysical) Religion - Correct answer-The belief in a divine subhuman power or powers to be obeyed and worshiped as the creator and ruler of the universe and a system of beliefs, practices, and ethical values Socialization - Correct answer-The process of being raised within a culture and acquiring the characteristics of that group Spirituality - Correct answer-A person's personal effort to find purpose and meaning in life Title VI of the Civil Rights Act of 1964 - Correct answer-A federal law that mandates that when people with limited English proficiency (LEP) seek health care settings such as hospitals, nursing homes, clinics, daycare centers, and mental health centers, services cannot be denied to them Values - Correct answer-A desirable or undesirable state of affairs and a universal feature of all cultures Which statement best describes religion? - Correct answer-a. an organized system of beliefs concerning the cause, nature, and purpose of the universe *CORRECT ANSWER* b. Belief in a divine or superhuman to be obeyed and worshiped c. Affiliation with one of the 1200 recognized religions in the United states d. The following of established rituals, especially in conjunction with health seeking behaviors The major factor contributing to the need for cultural care nursing is? - Correct answera. an increasing birth rate b. limited access to health care services c. demographic change *CORRECT ANSWER* d. a decreasing rate of immigration The term culturally competent implies that the nurse: - Correct answer-a. is prepared in nursing b. possesses knowledge of the traditions of diverse peoples c. applies underlying knowledge to providing nursing care d. understands the cultural context of the patient's situation *CORRECT ANSWER* You are the triage nurse in the emergency department and perform the initial intake assessment on a patient who does not speak English. Based on your understanding of linguistic competence, which action would present as a barrier to effective communication? - Correct answer-a. maintaining a professional respectful demeanor b. allowing for additional time to complete the process c. providing the patient with a paper and pencil so he or she can write down the questions that you are going to ask *CORRECT ANSWER* d. seeing if there are any family members present who may assist with the interview process Which culture would describe illness as hot and cold imbalance? - Correct answer-a. Asian-American heritage b. African-American heritage c. Hispanic-American heritage *CORRECT ANSWER* d. American Indian heritage Of what does the patient believe the amulet is protective? - Correct answer-a. the evil eye *CORRECT ANSWER* b. being kidnapped c. exposure to bacterial infections d. an unexpected fall Which statement best illustrates the difference between religion and spirituality? - Correct answer-a. religion reflects an individual's reaction to life events whereas spirituality is based on whether the individual attends religious services b. religion is characterized by identification of a higher being shaping one's destiny while spirituality reflects the individual's perception of one's life having worth or meaning *CORRECT ANSWER* c. Religion is the expression of spiritual awakening whereas spirituality is based on belief in divine right d. religion is the active interpretation of one's spirituality The first step to cultural competency by a nurse is to: - Correct answer-understand your own heritage and its basis in cultural values Which statement is true in regard to pain? - Correct answer-The cultural background of the patient is important in a nurses's assessment of that patient's pain. Which factor is identified as a priority influence on a patient's health status? - Correct answer-Poverty Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an older American Indian patient? - Correct answer-What cultural or spiritual beliefs are important to you. Which statement best describes ethnocentrism? - Correct answer-The tendency to view your own way of life as the most desirable. Which category is appropriate in a cultural assessment? - Correct answer-Healthrelated beliefs Which health belief practice is associated with patients who are of American Indian heritage? - Correct answer-Eating compatible foods in one's diet. Which statement best reflects the Magicoreligious causation of illness? - Correct answer-Belief in the struggle between good and evil is reflected in the regulation of health and illness. Auscultatory gap - Correct answer-A brief period when Korotkoff sounds disappear during auscultation of blood pressure; common with hypertension. Bradycardia - Correct answer-Heart rate fewer than 50 or 60 beats per minute in the adult (depending on agency). Sphygmomanometer - Correct answer-Instrument for measuring arterial blood pressure. Stroke Volume - Correct answer-Amount of blood pumped out of the heart with each heartbeat. Trachycardia - Correct answer-Heart rate greater than 95 beats per minute in the adult. The 4 areas to consider during the general survey include: - Correct answer-Physical appearance, body structure, mobility, and behavior. You are assessing a patient's gait. What do you expect to find? - Correct answer-Gait is as wide as the shoulder width. An 18-month old child is brought into the clinic for a health screening visit. To assess the height of the child: - Correct answer-Use a horizontal measuring board. Which changes in head circumference measurements in relation to chest measurements will occur from infancy through early childhood? - Correct answer-The newborn's head will be 2 cm larger than the chest circumference, but between 6 months and 2 years, they will be about the same. Which changes regarding height and weight occur during the 80's and 90's? - Correct answer-Both decrease. During an initial home visit, the patient's temperature is noted to be 97.4 degrees F. How would you interpret this? - Correct answer-It cannot be evaluated without knowledge of the person's age. Select the best description of an accurate assessment of a patient's pulse: - Correct answer-Begin counting with zero; count for 30 seconds. After assessing the patient's pulse, the practitioner determines it to be normal. This would be recorded: - Correct answer-2+