NUR 504 ACTUAL FINAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT
ANSWERS RATED A+
What do Coulehan and Block define as "listening to the total
communication . . . and letting the patient know that you are really
hearing"?
a. Cultural competence
b. Patience
c. Empathy
d. Top-tier communication Correct Answer c. Empathy
The provider is preparing to take a health history for a new
patient. He takes the patient to a private room and asks the
patient to don a hospital gown. After stepping outside to give the
patient sufficient time to change, he then comes back in and asks
permission to conduct the history. He sits next to the patient at
eye level, discreetly observes the patient for any sensory deficits,
and asks the patient if he may take brief notes of the
conversation. During the conversation, he gives the patient time
to answer questions fully. He makes sure that his questions do
not contain technical terms and quietly observes the patient's
nonverbal behaviors throughout. Which mistake did the provider
make?
,a. He should have allowed the patient to remain fully clothed in
their own clothing for their comfort.
b. He should not have omitted technical terminology. Patients like
having a chance to learn.
c. He should have seated Correct Answer a. He should have
allowed the patient to remain fully clothed in their own clothing for
their comfort.
Which of the following is true of both comprehensive and focused
health histories?
a. They both include identifying data.
b. They both include a social history.
c. They both include a family history.
d. They are both conducted in emergency situations. Correct
Answer a. They both include identifying data.
In the mnemonic devise PQRST, which of the following includes
describing the location of the symptoms?
a. Precipitating factors
b. Quality
c. Radiation
d. Severity Correct Answer b. Quality
What is the current mnemonic device for taking a health history?
,a. PQRST
b. CLIENT OUTCOMES
c. PRACTICE
d. GOOD MEDICINE Correct Answer b. CLIENT OUTCOMES
When taking a PMI, which of the following is correct?
a. Do not take the statement "I'm allergic to. . . " at face value.
b. Ask the patient for a very brief summary of their current health.
c. If a patient states that they have been vaccinated with BCG,
make sure to administer a PPD test.
d. CAM documentation is no longer a requirement. Correct
Answer a. Do not take the statement "I'm allergic to. . . " at face
value.
Which of the following is a first-degree relative to the patient who
has experienced premature onset of CVD?
a. Sister at 62
b. Cousin at 62
c. Aunt at 59
d. Grandfather at 44 Correct Answer a. Sister at 62
Recording the patient's occupation falls under which category?
a. PHI
, b. FH
c. SH
d. ROS Correct Answer c. SH
A focused ROS:
a. involves a wider range and shallower level of questions than a
comprehensive ROS.
b. includes questions directed toward the systems most likely to
be involved in the patient's symptoms.
c. includes questions seeking significant positives to narrow down
the body systems affected.
d. covers all body systems. Correct Answer b. includes questions
directed toward the systems most likely to be involved in the
patient's symptoms.
A patient comes to the clinic complaining of repeated headaches
and lightheadedness. As the provider takes a health history, he or
she should:
a. perform a comprehensive ROS.
b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic
system.
d. spend a good deal of time assessing the reliability of the
information she is getting. Correct Answer c. focus her interest
and questions on the patient's neurologic system.
COMPLETE QUESTIONS AND CORRECT
ANSWERS RATED A+
What do Coulehan and Block define as "listening to the total
communication . . . and letting the patient know that you are really
hearing"?
a. Cultural competence
b. Patience
c. Empathy
d. Top-tier communication Correct Answer c. Empathy
The provider is preparing to take a health history for a new
patient. He takes the patient to a private room and asks the
patient to don a hospital gown. After stepping outside to give the
patient sufficient time to change, he then comes back in and asks
permission to conduct the history. He sits next to the patient at
eye level, discreetly observes the patient for any sensory deficits,
and asks the patient if he may take brief notes of the
conversation. During the conversation, he gives the patient time
to answer questions fully. He makes sure that his questions do
not contain technical terms and quietly observes the patient's
nonverbal behaviors throughout. Which mistake did the provider
make?
,a. He should have allowed the patient to remain fully clothed in
their own clothing for their comfort.
b. He should not have omitted technical terminology. Patients like
having a chance to learn.
c. He should have seated Correct Answer a. He should have
allowed the patient to remain fully clothed in their own clothing for
their comfort.
Which of the following is true of both comprehensive and focused
health histories?
a. They both include identifying data.
b. They both include a social history.
c. They both include a family history.
d. They are both conducted in emergency situations. Correct
Answer a. They both include identifying data.
In the mnemonic devise PQRST, which of the following includes
describing the location of the symptoms?
a. Precipitating factors
b. Quality
c. Radiation
d. Severity Correct Answer b. Quality
What is the current mnemonic device for taking a health history?
,a. PQRST
b. CLIENT OUTCOMES
c. PRACTICE
d. GOOD MEDICINE Correct Answer b. CLIENT OUTCOMES
When taking a PMI, which of the following is correct?
a. Do not take the statement "I'm allergic to. . . " at face value.
b. Ask the patient for a very brief summary of their current health.
c. If a patient states that they have been vaccinated with BCG,
make sure to administer a PPD test.
d. CAM documentation is no longer a requirement. Correct
Answer a. Do not take the statement "I'm allergic to. . . " at face
value.
Which of the following is a first-degree relative to the patient who
has experienced premature onset of CVD?
a. Sister at 62
b. Cousin at 62
c. Aunt at 59
d. Grandfather at 44 Correct Answer a. Sister at 62
Recording the patient's occupation falls under which category?
a. PHI
, b. FH
c. SH
d. ROS Correct Answer c. SH
A focused ROS:
a. involves a wider range and shallower level of questions than a
comprehensive ROS.
b. includes questions directed toward the systems most likely to
be involved in the patient's symptoms.
c. includes questions seeking significant positives to narrow down
the body systems affected.
d. covers all body systems. Correct Answer b. includes questions
directed toward the systems most likely to be involved in the
patient's symptoms.
A patient comes to the clinic complaining of repeated headaches
and lightheadedness. As the provider takes a health history, he or
she should:
a. perform a comprehensive ROS.
b. skip the social history in order to focus on the current issue.
c. focus her interest and questions on the patient's neurologic
system.
d. spend a good deal of time assessing the reliability of the
information she is getting. Correct Answer c. focus her interest
and questions on the patient's neurologic system.
