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Exam (elaborations)

NSG 351 JMU Health Assessment Exam 1 Questions With Complete Solutions

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NSG 351 JMU Health Assessment Exam 1 Questions With Complete Solutions

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NSG 351 JMU Health Assessment Exam 1 Questions With
Complete Solutions

10 Traps of Interviewing Correct Answer 1. providing false
assurance or reassurance
2. giving unwanted advice
3. using authority
4. using avoidance language
5. distancing
6. using the professional jargon
7. using leading or biased questions
8. talking too much
9. interrupting
10. using "why" questions

3 Principal Motor Pathways Correct Answer 1. Corticospinal
(Pyramidal) Tract
2. Basal Ganglia System
3. Cerebellar System

5 Major Parts of the Objective Neuro Exam Correct Answer 1.
Mental Status
2. Cranial Nerves
3. Motor System
4. Sensory System
5. Reflex System

ABCDE: Assessing Moles Correct Answer A= asymmetry
B= irregular borders
C= change in color or variation in color (black or blue)
D= diameter; > or = 6mm

,E= evolving; changes in size, color, shape, etc.

Abnormalities of Mood and Affect Correct Answer

Abnormalities of Throught Process Correct Answer

Abscess Correct Answer caused by traumatic introduction of
bacteria to skin; usually larger and deeper that furuncle; red,
swollen, hard, tender, pus-filled lesions caused by acute
localized bacteria (usually staph)

Acute Otitis Media Correct Answer

Acute Pain Correct Answer - Short-term and self-limiting
- Surgery, trauma, kidney stones
- Self-protective purpose; it warns the individual of actual or
threatened tissue damage
- Incidence pain is a type of acute pain that occurs when certain
movements take place (Ex: pain in lower back when standing)

Admission Assessment Correct Answer Past medical history,
allergies, home medications, immunizations, cultural, spiritual,
domestic violence and physical assessment data is collected and
documented

Aging Adult: Nose, Mouth, Throat Correct Answer - Ear: cilia
become more coarse and stiff; drier cerumen; noise pollution;
nerve degeneration; increased auditory reaction time
- nose hairs grow stiff and coarse
- decreased sense of smell after age 60
- loss of taste buds

,- decreased salivation
- dental changes
- diminished sense of taste

Agromegaly Correct Answer - Thickening of the skin,
subcutaneous tissue and facial bones. Coarsening of facial
features.
- excessive secretion og growth hormone from the pituitary
gland after puberty creates an enlarged skull and thickened
cranial bones

Air Conduction Correct Answer the normal pathway of
hearing; most efficient pathway of hearing.

Alopecia Correct Answer

aneria Correct Answer pale conjunctiva

Anisocoria Correct Answer

annular lesions Correct Answer

Anterior Triangle of Neck Correct Answer Between the
sternomastoid and the midline of the body with its base up along
the lower border of the mandible and its apex down the
suprasternal notch
- mandible and midline of neck

Aphasia Correct Answer Disorder of language comprehension
and production secondary to brain damage; true language

, disturbance; defect in word choice and grammar or defect in
comprehension; defect is higher in integrative learning process.
o Expressive: difficulty producing language
(Broca's Area)
o Receptive: difficulty understanding language
(Wernicke's Area)

Assessment Correct Answer - collect data: review the clinical
record, health history, physical examination, functional
assessment, risk assessment, review of the literature
- uses evidence based assessment techniques
- document relevant data

Assessment Techniques: Infant Correct Answer Position:
parent should be present to understand normal growth and for
the child's sense of security; place infant on flat, padded
examination table (may also be placed of parent's chest for some
parts); parent must be in full view

Preparation: 1-2 hours after feeding when the baby is not too
drowsy or hungry; maintain a warm environment; infant will not
object to being nude (leave diaper on boy); infant will not object
being touched but be sure to warm hands and stethoscope; use a
soft, crooning voice; infants like eye contact; smile; keep
movements smooth and deliberate; use pacifier for crying or
during invasive steps; offer distractions (toys); let an older infant
touch the tongue blade or stethoscope

Sequence: seize the opportunity with a sleeping baby to listen to
heart, lungs, abdominal sounds first; perform least distressing
steps first; save invasive steps for last (eye, ear, nose, throat)

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