NUR 305 EXAM 1 QUESTIONS & ANSWERS
List and describe the pieces, functions, and purpose of the following assessment
instruments:
· Stethoscope - Answer -• Pieces-ear tips, earpiece, flexible tubing, chest piece w/bell
(smaller) & diaphragm (larger)
• Functions- conducts sound from pt's body to listener & blocks environmental noise to
more clearly pinpoint pt's body sounds
List and describe the pieces, functions, and purpose of the following assessment
instruments: Penlight - Answer -look into eyes, nose, throat, assess pupils
What are the broad goals of nursing? - Answer -· Promote health
· Prevent illness
· Treat human responses to health/illness
· Advocate for individuals, families, communities, populations
when patients words are unclear, "what do you mean" - Answer -clarification
helps patients to describe difficulties more in depth "go on" - Answer -facilitation
ask pt to elaborate, this allows further explanation, "repeat pt statement" - Answer -
restatement
end of interview, nurse reviews & condenses important info, progress made toward
problem solving, "anything else you would like to add' - Answer -summarization
unwanted advice to pt from POV of provider - Answer -unsolicited advice
biased questions, "you don't smoke do you?" - Answer -leading questions
Describe the difference between primary and secondary data? Which is preferred? -
Answer -· Primary- comes from patient (preferred)
· Secondary- charts, information from family
Data collection from various sources- medical record, current medication list, H&P's -
Answer -pre-interaction phase
Introduction, purpose of interview, ask how patient would like to be addressed, provide
privacy (HIPAA) - Answer -beginning phase
• To achieve a balance between listening and documenting
• Data collection with open/close ended questions
• Close ended- yes/no answers
, • Open ended- allow patients to give more information
• Avoid "why" questions- nontherapeutic/biased - Answer -working phase
• End interview by summarizing & stating 2-3 main patterns or problems
• Ask patient if there is anything else they might need (gives patient final opportunity to
express needs, they feel heard)
• Thank patient/family for their time - Answer -closing phase
• Annual physical exam (sports, hospital admission)
• Demographic data
• Reason for seeking care
• Individual health hx
• Family hx
• Functional status
• Hx of physical/psychosocial areas - Answer -comprehensive health hx
• Involves questions that relate to current situation
• "Patient visiting PCP for a cough"
• Length, severity, timing, other related factors to "cough"
• Nurse does not perform review of systems - Answer -focused health hx
• Nurses should be aware of differences in eye contact, facial expressions, gestures,
posture, timing, touch, space, voice volume, tone, pronunciation, accents. *Polite and
courteous manners should show respect for others* - Answer -intercultural
communication
• Limits are not reflective of intellectual functioning
• Expect Delays
• Be patient with Interpretation: Cultural beliefs could alter intent
• Include written information if possible
• US law mandates interpreter availability
• Avoid using children or other relatives
• Interpreters should remain neutral
• Look at the patient, not the interviewer - Answer -limited english skills
• Some cultures will have a "Male" family leader
• Be considerate of social biases when working with LGBTQ community (high incidence
of smoking, substance abuse, mental health issues, suicide)
• Gender Identity Questions - Answer -gender related issues
• Many cultures honor wisdom of elders, use title, then ask what patient would like to be
called - Answer -age related issues
Describe a functional assessment. - Answer -· Focus on effects of health & illness on a
person's quality of life; assess strengths & areas for improvement
• Health perception/management
List and describe the pieces, functions, and purpose of the following assessment
instruments:
· Stethoscope - Answer -• Pieces-ear tips, earpiece, flexible tubing, chest piece w/bell
(smaller) & diaphragm (larger)
• Functions- conducts sound from pt's body to listener & blocks environmental noise to
more clearly pinpoint pt's body sounds
List and describe the pieces, functions, and purpose of the following assessment
instruments: Penlight - Answer -look into eyes, nose, throat, assess pupils
What are the broad goals of nursing? - Answer -· Promote health
· Prevent illness
· Treat human responses to health/illness
· Advocate for individuals, families, communities, populations
when patients words are unclear, "what do you mean" - Answer -clarification
helps patients to describe difficulties more in depth "go on" - Answer -facilitation
ask pt to elaborate, this allows further explanation, "repeat pt statement" - Answer -
restatement
end of interview, nurse reviews & condenses important info, progress made toward
problem solving, "anything else you would like to add' - Answer -summarization
unwanted advice to pt from POV of provider - Answer -unsolicited advice
biased questions, "you don't smoke do you?" - Answer -leading questions
Describe the difference between primary and secondary data? Which is preferred? -
Answer -· Primary- comes from patient (preferred)
· Secondary- charts, information from family
Data collection from various sources- medical record, current medication list, H&P's -
Answer -pre-interaction phase
Introduction, purpose of interview, ask how patient would like to be addressed, provide
privacy (HIPAA) - Answer -beginning phase
• To achieve a balance between listening and documenting
• Data collection with open/close ended questions
• Close ended- yes/no answers
, • Open ended- allow patients to give more information
• Avoid "why" questions- nontherapeutic/biased - Answer -working phase
• End interview by summarizing & stating 2-3 main patterns or problems
• Ask patient if there is anything else they might need (gives patient final opportunity to
express needs, they feel heard)
• Thank patient/family for their time - Answer -closing phase
• Annual physical exam (sports, hospital admission)
• Demographic data
• Reason for seeking care
• Individual health hx
• Family hx
• Functional status
• Hx of physical/psychosocial areas - Answer -comprehensive health hx
• Involves questions that relate to current situation
• "Patient visiting PCP for a cough"
• Length, severity, timing, other related factors to "cough"
• Nurse does not perform review of systems - Answer -focused health hx
• Nurses should be aware of differences in eye contact, facial expressions, gestures,
posture, timing, touch, space, voice volume, tone, pronunciation, accents. *Polite and
courteous manners should show respect for others* - Answer -intercultural
communication
• Limits are not reflective of intellectual functioning
• Expect Delays
• Be patient with Interpretation: Cultural beliefs could alter intent
• Include written information if possible
• US law mandates interpreter availability
• Avoid using children or other relatives
• Interpreters should remain neutral
• Look at the patient, not the interviewer - Answer -limited english skills
• Some cultures will have a "Male" family leader
• Be considerate of social biases when working with LGBTQ community (high incidence
of smoking, substance abuse, mental health issues, suicide)
• Gender Identity Questions - Answer -gender related issues
• Many cultures honor wisdom of elders, use title, then ask what patient would like to be
called - Answer -age related issues
Describe a functional assessment. - Answer -· Focus on effects of health & illness on a
person's quality of life; assess strengths & areas for improvement
• Health perception/management
