NUR2092 Health Assessment Final Exam /
The Most Recent Exam Version with
Concrete Questions and Solid Answers / Get
it 100% Correct Answers / Already Graded
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The nurse is preparing to conduct a health history. Explain this to
the patient.
Answer-
The purpose of a health history is to provide a database of
subjective information about the patient's past and current health
history. You might say to the patient, "I will be asking you
questions about your past and present health." This information
will help the provider along with the physical exam (objective data)
to develop a diagnosis or health status.
The nurse is evaluating the reliability of a patient's responses,
which of these statements would be correct? The patient:
Provided consistent information and therefore is reliable
A patient tells the nurse that she has had abdominal pain for the
past week. What would be the nurse's best response?
"Can you point to where it hurts?"
A 29-year-old woman tells the nurse that she has "excruciating
pain" in her back. Which would be the nurse's appropriate
response to the woman's statement?
"How would you say the pain affects your ability to do your daily
activities?"
A patient tells the nurse that he is allergic to penicillin. What would
be the nurse's best response to this information?
"Describe what happens (or the reaction) to you when you take
Penicillin."
,The nurse is taking a family history. Important diseases or
problems about which the patient should be specifically asked
include:
Mental illness.
The review of systems provides the nurse with...
Information regarding health promotion practices, the information
helps to evaluate the past and present health state of each body
system, to obtain any data that may have been omitted in the
section about present illness, and to evaluate health promotion and
teaching opportunities.
Which of these statements represents subjective data the nurse
obtained from the patient regarding the patient's skin?
Patient denies any color change.
The nurse is obtaining a history from a 30-year old male patient and
is concerned about health promotion activities. Which of these
questions would be appropriate to use to assess health promotion
activities for this patient?
"Do you perform testicular self-examinations?"
Functional Assessment-- What information would you ask if the
patient's leg was in a cast?
A functional assessment includes the activities of daily living and
the person's ability to take care of their needs. This area will help to
formulate a nursing diagnosis. This could be present to the patient
in a standardized form and will include data on the lifestyle and
type of living environment. (Page 57) self-esteem, activity/exercise,
sleep/rest, nutrition/elimination, interpersonal
relationships/resources, spiritual resources, coping and stress
management, personal habits, environmental hazards, violence
questions, and occupational health questions. If a patient had a
cast on their leg, appropriate questions would include how they
transfer to bed, another chair, bathing technique, coping with the
situation, support during the situation.
Regarding the use of alcohol, a patient asks the nurse why the
nurse needs to know. What is the reason why?
Alcohol can interact with all medications and make some diseases
worse.
Describe a genogram.
,Graphic family tree that uses symbols to depict the gender,
relationship, and age of immediate family. Usually 3 generations-
parents, grandparents, siblings. Also highlight the health of close
family members and more details such as communicable disease,
environmental hazards (smoke), tobacco use, and alcohol use. Any
additional information includes the family history.
The nurse is obtaining health history on an 87-year-old woman.
Which of the following areas of questioning would be most useful
at this time?
Current health promotion activities.
A 90-year-old patient tells the nurse that he cannot remember the
names of the medication he is taking or why he is taking them. An
appropriate response from the nurse would be..
Would you have a family member bring in your medications
please?
The nurse is performing a functional assessment on an 82-year-old
patient who recently had a stroke. Which of these questions would
be most important to ask?
"Are you able to dress yourself?"
A patient is describing his symptoms to the nurse. Which of these
statements reflects a description of the setting of his symptoms?
"This pain happens every time I sit down to use the computer."
In performing a breast examination, the nurse knows that
examining the upper outer quadrant of the breast is especially
important. The reason why is...
This is the location for most breast tumors.
In performing an assessment of a woman's elixir lymph system, the
nurse should assess which of these nodes?
Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage
drains into the axillary nodes. There are groups of axillary nodes
central, pectoral and subscapular.
A 65-year-old patient remarks that she just cannot believe that her
breasts "sag so much". She states it must be from a lack of
exercise. What explanation should the nurse offer her? After
menopause:
, The glandular and fat tissue atrophies, causing breast size and
elasticity to diminish, resulting in sagging (flat and gabby) breasts.
In examining a 70-year-old male patient, the nurse notices that he
has bilateral gynecomastia. Which of the following describes the
nurse's best course of action?
Explain that this is the result of hormonal changes (testosterone)
and recommend a visit to their provider.
During a breast health interview, a patient states that she has
noticed pain in her left breast. The nurse's most appropriate
response to this would be:
To seek more specific information about the pain, such as: When
did you first notice it? Is the pain localized or all over? Is it painful
to touch? Is the pain in relation to your menstrual cycle? Is the pain
associated with activity or exercise?
During a physical examination, a 45-year-old woman states that she
has had a crusty, itchy rash on her breast for approximately 2
weeks. In trying to find the cause of the rash, which questions
would be important for the nurse to ask?
Where did the rash first appear- on the nipple, areola, or the
surrounding skin? When did you first notice this?
During an annual physical examination, a 43-year-old patient states
that she does not perform monthly breast self-examinations
(BSEs). She tells the nurse that she believes that mammograms
"do a much better job than I ever could to find a lump." The nurse
should explain to her that:
Breast self-exams may detect lumps that appear between
mammograms
List risk factors for breast cancer
History of breast cancer - family history—first-degree relative
Medications such as estrogen and progestin combined
Certain tumor suppressor genes called BRCA1 and BRCA2
(inherited mutation)
Age
During an examination of a woman, the nurse notices that her left
breast is slightly larger than her right breast. Which of these
statements is true about this finding?
The Most Recent Exam Version with
Concrete Questions and Solid Answers / Get
it 100% Correct Answers / Already Graded
A+
The nurse is preparing to conduct a health history. Explain this to
the patient.
Answer-
The purpose of a health history is to provide a database of
subjective information about the patient's past and current health
history. You might say to the patient, "I will be asking you
questions about your past and present health." This information
will help the provider along with the physical exam (objective data)
to develop a diagnosis or health status.
The nurse is evaluating the reliability of a patient's responses,
which of these statements would be correct? The patient:
Provided consistent information and therefore is reliable
A patient tells the nurse that she has had abdominal pain for the
past week. What would be the nurse's best response?
"Can you point to where it hurts?"
A 29-year-old woman tells the nurse that she has "excruciating
pain" in her back. Which would be the nurse's appropriate
response to the woman's statement?
"How would you say the pain affects your ability to do your daily
activities?"
A patient tells the nurse that he is allergic to penicillin. What would
be the nurse's best response to this information?
"Describe what happens (or the reaction) to you when you take
Penicillin."
,The nurse is taking a family history. Important diseases or
problems about which the patient should be specifically asked
include:
Mental illness.
The review of systems provides the nurse with...
Information regarding health promotion practices, the information
helps to evaluate the past and present health state of each body
system, to obtain any data that may have been omitted in the
section about present illness, and to evaluate health promotion and
teaching opportunities.
Which of these statements represents subjective data the nurse
obtained from the patient regarding the patient's skin?
Patient denies any color change.
The nurse is obtaining a history from a 30-year old male patient and
is concerned about health promotion activities. Which of these
questions would be appropriate to use to assess health promotion
activities for this patient?
"Do you perform testicular self-examinations?"
Functional Assessment-- What information would you ask if the
patient's leg was in a cast?
A functional assessment includes the activities of daily living and
the person's ability to take care of their needs. This area will help to
formulate a nursing diagnosis. This could be present to the patient
in a standardized form and will include data on the lifestyle and
type of living environment. (Page 57) self-esteem, activity/exercise,
sleep/rest, nutrition/elimination, interpersonal
relationships/resources, spiritual resources, coping and stress
management, personal habits, environmental hazards, violence
questions, and occupational health questions. If a patient had a
cast on their leg, appropriate questions would include how they
transfer to bed, another chair, bathing technique, coping with the
situation, support during the situation.
Regarding the use of alcohol, a patient asks the nurse why the
nurse needs to know. What is the reason why?
Alcohol can interact with all medications and make some diseases
worse.
Describe a genogram.
,Graphic family tree that uses symbols to depict the gender,
relationship, and age of immediate family. Usually 3 generations-
parents, grandparents, siblings. Also highlight the health of close
family members and more details such as communicable disease,
environmental hazards (smoke), tobacco use, and alcohol use. Any
additional information includes the family history.
The nurse is obtaining health history on an 87-year-old woman.
Which of the following areas of questioning would be most useful
at this time?
Current health promotion activities.
A 90-year-old patient tells the nurse that he cannot remember the
names of the medication he is taking or why he is taking them. An
appropriate response from the nurse would be..
Would you have a family member bring in your medications
please?
The nurse is performing a functional assessment on an 82-year-old
patient who recently had a stroke. Which of these questions would
be most important to ask?
"Are you able to dress yourself?"
A patient is describing his symptoms to the nurse. Which of these
statements reflects a description of the setting of his symptoms?
"This pain happens every time I sit down to use the computer."
In performing a breast examination, the nurse knows that
examining the upper outer quadrant of the breast is especially
important. The reason why is...
This is the location for most breast tumors.
In performing an assessment of a woman's elixir lymph system, the
nurse should assess which of these nodes?
Central, lateral, pectoral, and subscapular.
The breast has extensive lymphatic drainage, 75% of the drainage
drains into the axillary nodes. There are groups of axillary nodes
central, pectoral and subscapular.
A 65-year-old patient remarks that she just cannot believe that her
breasts "sag so much". She states it must be from a lack of
exercise. What explanation should the nurse offer her? After
menopause:
, The glandular and fat tissue atrophies, causing breast size and
elasticity to diminish, resulting in sagging (flat and gabby) breasts.
In examining a 70-year-old male patient, the nurse notices that he
has bilateral gynecomastia. Which of the following describes the
nurse's best course of action?
Explain that this is the result of hormonal changes (testosterone)
and recommend a visit to their provider.
During a breast health interview, a patient states that she has
noticed pain in her left breast. The nurse's most appropriate
response to this would be:
To seek more specific information about the pain, such as: When
did you first notice it? Is the pain localized or all over? Is it painful
to touch? Is the pain in relation to your menstrual cycle? Is the pain
associated with activity or exercise?
During a physical examination, a 45-year-old woman states that she
has had a crusty, itchy rash on her breast for approximately 2
weeks. In trying to find the cause of the rash, which questions
would be important for the nurse to ask?
Where did the rash first appear- on the nipple, areola, or the
surrounding skin? When did you first notice this?
During an annual physical examination, a 43-year-old patient states
that she does not perform monthly breast self-examinations
(BSEs). She tells the nurse that she believes that mammograms
"do a much better job than I ever could to find a lump." The nurse
should explain to her that:
Breast self-exams may detect lumps that appear between
mammograms
List risk factors for breast cancer
History of breast cancer - family history—first-degree relative
Medications such as estrogen and progestin combined
Certain tumor suppressor genes called BRCA1 and BRCA2
(inherited mutation)
Age
During an examination of a woman, the nurse notices that her left
breast is slightly larger than her right breast. Which of these
statements is true about this finding?
