NSG 214 – Midterm Questions With Complete Solutions
10 traps of interviewing Correct Answers 1. Providing false
assurance or reassurance
2. Giving unwanted advice
3. Using authority
4. Using avoidance language
5. Engaging in distancing
6. Using professional jargon
7. Using leading or biased questions
8. Talking too much
9. Interrupting
10. Using "why" questions
24 hour recall Correct Answers the individual or family
member completes a questionnaire or is interviewed and asked
to recall everything eaten within the last 24 hours
cons: may not be able to recall type/amount of food eaten, intake
in past 24 hours may be atypical, may alter truth, snack item and
condiments may be underreported
3 phases of interview Correct Answers 1) Introduction - begin
by introducing yourself and your role
2) Working phase - gather data by starting with open ended
questions (narrative info) then use closed or direct questions
(short, one- two-word answers)
3) Closing - signal that interview is ending to give patient final
moments to share concerns/express themself. Briefly summarize
what you learned during interview.
,3 purposes of nutritional assessment Correct Answers 1)
identifies people who are malnourished or are at risk for
malnutrition
2) provides data for designing a nutrition plan to prevent
malnutrition
3) establishes baseline data for evaluating nutritional care
4 components of diagnostic reasoning Correct Answers -
attending to available cues: signs, symptoms, or laboratory data
- formulating diagnostic
hypotheses: tentative explanations for cues and serve as basis for
further investigation
- gathering data: relative to tentative hypothesis
- evaluating each hypothesis with new data collected leading to
final diagnosis
4 types of databases Correct Answers 1) complete (total
history) includes health history, full physical examination,
yielding 1st diagnoses
2) focused (problem-centered) for limited or short term problem,
smaller in scope and more targeted
3) follow-up evaluates status of any identified problem at
regular intervals to f/u on short term and chronic health
problems
,4) emergency calls for rapid collection of crucial data, often
occurs while performing lifesaving measures
8 categories of health history Correct Answers 1) biographic
data:
2) source of history
3) reason for seeking care (chief complaint)
4) present health or history of present illness
5) past health events
6) family history
7) review of systems
8) functional assessment
ABCDEF Correct Answers - asymmetry
- border irregularity
- color variation
- diameter greater than 6 mm
- elevation
- funny looking, stands out/looks different
acromegaly Correct Answers excessive excretion of growth
hormone from pituitary gland after puberty creates an enlarged
skull and thickened cranial bones
addison disease Correct Answers cortisol deficiency stimulates
increased melanin production
all patients - health history Correct Answers screening tool for
abnormal symptoms, health problems & concerns, also records
health promotion behaviors and coping skills
, annular Correct Answers circular, begins in center and spreads
to periphery (ie ringworm_
assessment Correct Answers collection of subjective and
objective data about a patient's health
atrophic scar Correct Answers the resulting skin level is
depressed with loss of tissue; a thinning of the epidermis
Bell palsy Correct Answers a lower motor neuron lesion,
producing rapid onset of cranial nerve VII paralysis of facial
muscles, almost always unilateral
biographic data Correct Answers pt's name, DOB, address,
phone number, occupation, primary language, communication
needs
biomedical model Correct Answers the Western
European/North American tradition that views health as the
absence of disease
bitot spots Correct Answers foamy plaques of the cornea that
are a sign of vitamin A deficiency
bulla Correct Answers Larger than 1 cm diameter; usually
single chambered (unilocular); superficial in epidermis; thin
walled and ruptures easily.
Examples: friction blister, pemphigus, burns, contact dermatitis.
Cafe au lait spots Correct Answers caused by increased
melanin pigment in basal cell layer
10 traps of interviewing Correct Answers 1. Providing false
assurance or reassurance
2. Giving unwanted advice
3. Using authority
4. Using avoidance language
5. Engaging in distancing
6. Using professional jargon
7. Using leading or biased questions
8. Talking too much
9. Interrupting
10. Using "why" questions
24 hour recall Correct Answers the individual or family
member completes a questionnaire or is interviewed and asked
to recall everything eaten within the last 24 hours
cons: may not be able to recall type/amount of food eaten, intake
in past 24 hours may be atypical, may alter truth, snack item and
condiments may be underreported
3 phases of interview Correct Answers 1) Introduction - begin
by introducing yourself and your role
2) Working phase - gather data by starting with open ended
questions (narrative info) then use closed or direct questions
(short, one- two-word answers)
3) Closing - signal that interview is ending to give patient final
moments to share concerns/express themself. Briefly summarize
what you learned during interview.
,3 purposes of nutritional assessment Correct Answers 1)
identifies people who are malnourished or are at risk for
malnutrition
2) provides data for designing a nutrition plan to prevent
malnutrition
3) establishes baseline data for evaluating nutritional care
4 components of diagnostic reasoning Correct Answers -
attending to available cues: signs, symptoms, or laboratory data
- formulating diagnostic
hypotheses: tentative explanations for cues and serve as basis for
further investigation
- gathering data: relative to tentative hypothesis
- evaluating each hypothesis with new data collected leading to
final diagnosis
4 types of databases Correct Answers 1) complete (total
history) includes health history, full physical examination,
yielding 1st diagnoses
2) focused (problem-centered) for limited or short term problem,
smaller in scope and more targeted
3) follow-up evaluates status of any identified problem at
regular intervals to f/u on short term and chronic health
problems
,4) emergency calls for rapid collection of crucial data, often
occurs while performing lifesaving measures
8 categories of health history Correct Answers 1) biographic
data:
2) source of history
3) reason for seeking care (chief complaint)
4) present health or history of present illness
5) past health events
6) family history
7) review of systems
8) functional assessment
ABCDEF Correct Answers - asymmetry
- border irregularity
- color variation
- diameter greater than 6 mm
- elevation
- funny looking, stands out/looks different
acromegaly Correct Answers excessive excretion of growth
hormone from pituitary gland after puberty creates an enlarged
skull and thickened cranial bones
addison disease Correct Answers cortisol deficiency stimulates
increased melanin production
all patients - health history Correct Answers screening tool for
abnormal symptoms, health problems & concerns, also records
health promotion behaviors and coping skills
, annular Correct Answers circular, begins in center and spreads
to periphery (ie ringworm_
assessment Correct Answers collection of subjective and
objective data about a patient's health
atrophic scar Correct Answers the resulting skin level is
depressed with loss of tissue; a thinning of the epidermis
Bell palsy Correct Answers a lower motor neuron lesion,
producing rapid onset of cranial nerve VII paralysis of facial
muscles, almost always unilateral
biographic data Correct Answers pt's name, DOB, address,
phone number, occupation, primary language, communication
needs
biomedical model Correct Answers the Western
European/North American tradition that views health as the
absence of disease
bitot spots Correct Answers foamy plaques of the cornea that
are a sign of vitamin A deficiency
bulla Correct Answers Larger than 1 cm diameter; usually
single chambered (unilocular); superficial in epidermis; thin
walled and ruptures easily.
Examples: friction blister, pemphigus, burns, contact dermatitis.
Cafe au lait spots Correct Answers caused by increased
melanin pigment in basal cell layer
