|||\\\
Health Assessment Exam 2 PRACTICE |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
QUESTIONS NSG3160 with correct |||\\\ |||\\\ |||\\\ |||\\\
answers
During a mental status assessment, which question by the nurse would best assess a person's
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
judgment?
A "Do you feel that you are being watched, followed, or controlled?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "What would you do if you found a stamped, addressed envelope lying on the sidewalk?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "What does the statement, 'People in glass houses shouldn't throw stones,' mean to you?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "Tell me what you plan to do once you are discharged from the hospital." - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔D "Tell me what you plan to do once you are discharged from the hospital." |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is conducting a patient interview. Which statement made by the patient should the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse more fully explore to assess the mental status during the interview?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A "I have no health problems."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "I never did too good in school."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "I am not currently taking any medications."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "I sleep like a baby." - correct answer✔✔B "I never did too good in school."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
During an examination, the nurse can assess mental status by which activity?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,|||\\\
A Observing the patient as he or she performs an intelligence quotient (IQ) test
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B Examining the patient's response to a specific set of questions
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C Observing the patient and inferring health or dysfunction
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D Examining the patient's electroencephalogram - correct answer✔✔C Observing the patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
and inferring health or dysfunction
|||\\\ |||\\\ |||\\\ |||\\\
When taking the health history on a patient with a seizure disorder, the nurse assesses
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
whether the patient has an aura. Which of these would be the best question for obtaining this
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
information?
A "After the seizure, do you spend a lot of time sleeping?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "Do you have any warning sign before your seizure starts?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "Do you experience any color change or incontinence during the seizure?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "Does your muscle tone seem tense or limp?" - correct answer✔✔B "Do you have any
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
warning sign before your seizure starts? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
During the assessment of an 80-year-old patient, the nurse notices that his hands show
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tremors when he reaches for something and his head is always nodding. No associated rigidity
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
is observed with movement. Which of these statements is most accurate?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A These findings are normal, resulting from aging.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B These findings could be r/t hyperthyroidism.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C These findings are the result of Parkinson disease.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,|||\\\
D This patient should be evaluated for a cerebellar lesion. - correct answer✔✔A These findings
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
are normal, resulting from aging.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A man who was found wandering in a park at 2 AM has been brought to the emergency
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
department for an examination; he said he fell and hit his head. During the examination, the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse asks him to use his index finger to touch the nurse's finger, then his own nose, then the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse's finger again (which has been moved to a different location). The patient is clumsy,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
unable to follow the instructions, and overshoots the mark, missing the finger. What does the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse suspect? |||\\\
A Cerebral injury
|||\\\ |||\\\
B Peripheral neuropathy
|||\\\ |||\\\
C Cerebrovascular accident
|||\\\ |||\\\
D Acute alcohol intoxication - correct answer✔✔D Acute alcohol intoxication
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When assessing the intensity of a patient's pain, which question by the nurse is appropriate?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A "How does pain limit your activities?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "What does your pain feel like?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "How much pain do you have now?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "What makes your pain better or worse?" - correct answer✔✔C "How much pain do you
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
have now?" |||\\\
The nurse is teaching a class on pain at a local retirement community. Which statement about
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the pain experienced by older adults should the nurse include in the instructions?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A "Pain is a normal process of aging and is to be expected."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "Pain indicates a pathologic condition or an injury and is not a normal process of aging."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, |||\\\
C "Older adults must learn to tolerate pain."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "Older individuals perceive pain to a lesser degree than do younger individuals." - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔B "Pain indicates a pathologic condition or an injury and is not a normal process of |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
aging."
The nurse is conducting an interview with an adult male patient. Which statement made by the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
patient indicates an alcohol use disorder?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A "I usually stay out longer and drink more than I intended but I still make it into work on
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
time."
B "I've been late to work a few times so now I limit myself to 2 drinks/day and stick to it."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "I have a strong urge to drink and I've tried to stop drinking several times but it doesn't last
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
long."
D "I crave alcohol but have successfully cut down on my alcohol consumption." - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔C "I have a strong urge to drink and I've tried to stop drinking several times but it |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
doesn't last long." |||\\\ |||\\\
The nurse has completed an assessment on a patient who came to the clinic for a leg injury. As
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a result of the assessment, the nurse has determined that the patient has at-risk alcohol use.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which action by the nurse is most appropriate at this time?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A State, "You are drinking more than is medically safe. I strongly recommend that you quit
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
drinking, and I'm willing to help you." |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Health Assessment Exam 2 PRACTICE |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
QUESTIONS NSG3160 with correct |||\\\ |||\\\ |||\\\ |||\\\
answers
During a mental status assessment, which question by the nurse would best assess a person's
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
judgment?
A "Do you feel that you are being watched, followed, or controlled?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "What would you do if you found a stamped, addressed envelope lying on the sidewalk?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "What does the statement, 'People in glass houses shouldn't throw stones,' mean to you?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "Tell me what you plan to do once you are discharged from the hospital." - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔D "Tell me what you plan to do once you are discharged from the hospital." |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is conducting a patient interview. Which statement made by the patient should the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse more fully explore to assess the mental status during the interview?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A "I have no health problems."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "I never did too good in school."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "I am not currently taking any medications."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "I sleep like a baby." - correct answer✔✔B "I never did too good in school."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
During an examination, the nurse can assess mental status by which activity?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,|||\\\
A Observing the patient as he or she performs an intelligence quotient (IQ) test
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B Examining the patient's response to a specific set of questions
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C Observing the patient and inferring health or dysfunction
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D Examining the patient's electroencephalogram - correct answer✔✔C Observing the patient
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
and inferring health or dysfunction
|||\\\ |||\\\ |||\\\ |||\\\
When taking the health history on a patient with a seizure disorder, the nurse assesses
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
whether the patient has an aura. Which of these would be the best question for obtaining this
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
information?
A "After the seizure, do you spend a lot of time sleeping?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "Do you have any warning sign before your seizure starts?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "Do you experience any color change or incontinence during the seizure?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "Does your muscle tone seem tense or limp?" - correct answer✔✔B "Do you have any
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
warning sign before your seizure starts? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
During the assessment of an 80-year-old patient, the nurse notices that his hands show
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tremors when he reaches for something and his head is always nodding. No associated rigidity
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
is observed with movement. Which of these statements is most accurate?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A These findings are normal, resulting from aging.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B These findings could be r/t hyperthyroidism.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C These findings are the result of Parkinson disease.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,|||\\\
D This patient should be evaluated for a cerebellar lesion. - correct answer✔✔A These findings
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
are normal, resulting from aging.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A man who was found wandering in a park at 2 AM has been brought to the emergency
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
department for an examination; he said he fell and hit his head. During the examination, the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse asks him to use his index finger to touch the nurse's finger, then his own nose, then the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse's finger again (which has been moved to a different location). The patient is clumsy,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
unable to follow the instructions, and overshoots the mark, missing the finger. What does the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nurse suspect? |||\\\
A Cerebral injury
|||\\\ |||\\\
B Peripheral neuropathy
|||\\\ |||\\\
C Cerebrovascular accident
|||\\\ |||\\\
D Acute alcohol intoxication - correct answer✔✔D Acute alcohol intoxication
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When assessing the intensity of a patient's pain, which question by the nurse is appropriate?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A "How does pain limit your activities?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "What does your pain feel like?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "How much pain do you have now?"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "What makes your pain better or worse?" - correct answer✔✔C "How much pain do you
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
have now?" |||\\\
The nurse is teaching a class on pain at a local retirement community. Which statement about
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the pain experienced by older adults should the nurse include in the instructions?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A "Pain is a normal process of aging and is to be expected."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B "Pain indicates a pathologic condition or an injury and is not a normal process of aging."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, |||\\\
C "Older adults must learn to tolerate pain."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D "Older individuals perceive pain to a lesser degree than do younger individuals." - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔B "Pain indicates a pathologic condition or an injury and is not a normal process of |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
aging."
The nurse is conducting an interview with an adult male patient. Which statement made by the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
patient indicates an alcohol use disorder?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A "I usually stay out longer and drink more than I intended but I still make it into work on
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
time."
B "I've been late to work a few times so now I limit myself to 2 drinks/day and stick to it."
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C "I have a strong urge to drink and I've tried to stop drinking several times but it doesn't last
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
long."
D "I crave alcohol but have successfully cut down on my alcohol consumption." - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔C "I have a strong urge to drink and I've tried to stop drinking several times but it |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
doesn't last long." |||\\\ |||\\\
The nurse has completed an assessment on a patient who came to the clinic for a leg injury. As
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a result of the assessment, the nurse has determined that the patient has at-risk alcohol use.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which action by the nurse is most appropriate at this time?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A State, "You are drinking more than is medically safe. I strongly recommend that you quit
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
drinking, and I'm willing to help you." |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
