What part of the hand is best for the examiner to use to palpate a superficial mass
detected in the skin?
A. Finger pads
B. Heel of the hand
C. Dorsal surface of the hand
D. Ulnar surface of the hand
Give this one a try later!
A: CorrectCertain parts of your hands and fingers are better than others for
specific types of palpation. To determine position, texture, size,
consistency, fluid, crepitis, form of a mass, or structure use the palmer
surface of the fingers and finger pads.
A young mother brings her infant to the emergency department with a high
temperature and dehydration. Which of the following responses by the health care
,provider is inappropriate and fails to demonstrate cultural awareness?
A. "How sick do you think your baby is?"
B. "Why didn't you bring your baby in sooner?"
C. "What do you think is causing this illness?"
D. "What have you done at home to treat the baby's illness?"
Give this one a try later!
B: CorrectCultural awareness is the deliberate self-examination and in-
depth exploration of the biases, stereotypes, prejudices, assumptions, and
"isms" that we hold about individuals and groups who are different from
ourselves. Answer b is a response that does not leave room for the mother
to divulge her cultural beliefs or practices.
Which behavior is least likely to facilitate an interview with a patient who is
dissembling?
A. Allow the topic to be changed.
B. State "I noticed that you changed the topic."
C. Use gentle questioning to help the patient explore the topic.
D. Return to the topic at later time in the interview.
Give this one a try later!
A:CorrectPatients may not always tell the whole story or even the truth,
either purposely or unconsciously. Do not push too hard when you think
this is happening. Allow the interview to go on and then come back to a
topic with gentle questioning. Unless there is concern about the safety of
the patient or another individual, learning all that is necessary may not
come in one sitting. You may have to pursue the topic at a later visit or
perhaps with other members of the family, the patient's friends, or your
professional associates.
,While interviewing an angry patient, you start to become annoyed and are beginning
to dislike the patient. The best way to resolve this is to:
A. spend the least amount of time possible with the patient.
B. displace your annoyance toward the patient on an inanimate object.
C. ignore the feelings and remain neutral in your interactions.
D. express concern and explore the problem with the patient.
Give this one a try later!
D: CorrectWhen dealing with the angry patient, it is appropriate to confront
or acknowledge the anger and explore the potential issue. Answer d is the
best example in the scenario given.
A 45-year-old patient presents with a complaint of anxiety related to his wife's
criticism of his drinking. During the history you ask several of the CAGE model
questions and the patient tells you that he wants to cut down on his drinking. Which
conclusion would you draw about this patient?
A. He is an alcoholic.
B. His drinking is caused by anxiety.
C. He may be an alcohol abuser.
D. He should be examined for symptoms of withdrawal.
Give this one a try later!
, C:CorrectThe CAGE questionnaire is one model for discussing the use of
alcohol. CAGE is an acronym for Cutting down, Annoyed by criticism, Guilty
feeling, Eye-openers. Its use does not ensure absolute sensitivity in the
detection of a problem. There is a difference between a screening and an
assessment interview. The goal of screening is to find out if a problem
exists. This is particularly true of CAGE, CRAFFT, and TACE screening tools.
They are effective, but they are only the start, and assessment goes on
from there.
The difference between a tuning fork for auditory screening and one for vibratory
sensation is:
A. the sound frequency generated.
B. the strike force placed by the examiner on the forks.
C. the length of the tuning forks.
D. the auditory screening fork is electric; the vibratory fork is not.
Give this one a try later!
A: CorrectFor auditory evaluation, use a fork with a frequency of 500 to
1000 Hz because it estimates hearing loss in the range of normal speech,
approximately 300 to 3000 Hz. For vibratory sensation, use a fork of lower
frequency. The greatest sensitivity to vibration occurs when the fork is
vibrating between 100 and 400 Hz.
Vital signs are an example of which type of data?
Give this one a try later!
Objective
detected in the skin?
A. Finger pads
B. Heel of the hand
C. Dorsal surface of the hand
D. Ulnar surface of the hand
Give this one a try later!
A: CorrectCertain parts of your hands and fingers are better than others for
specific types of palpation. To determine position, texture, size,
consistency, fluid, crepitis, form of a mass, or structure use the palmer
surface of the fingers and finger pads.
A young mother brings her infant to the emergency department with a high
temperature and dehydration. Which of the following responses by the health care
,provider is inappropriate and fails to demonstrate cultural awareness?
A. "How sick do you think your baby is?"
B. "Why didn't you bring your baby in sooner?"
C. "What do you think is causing this illness?"
D. "What have you done at home to treat the baby's illness?"
Give this one a try later!
B: CorrectCultural awareness is the deliberate self-examination and in-
depth exploration of the biases, stereotypes, prejudices, assumptions, and
"isms" that we hold about individuals and groups who are different from
ourselves. Answer b is a response that does not leave room for the mother
to divulge her cultural beliefs or practices.
Which behavior is least likely to facilitate an interview with a patient who is
dissembling?
A. Allow the topic to be changed.
B. State "I noticed that you changed the topic."
C. Use gentle questioning to help the patient explore the topic.
D. Return to the topic at later time in the interview.
Give this one a try later!
A:CorrectPatients may not always tell the whole story or even the truth,
either purposely or unconsciously. Do not push too hard when you think
this is happening. Allow the interview to go on and then come back to a
topic with gentle questioning. Unless there is concern about the safety of
the patient or another individual, learning all that is necessary may not
come in one sitting. You may have to pursue the topic at a later visit or
perhaps with other members of the family, the patient's friends, or your
professional associates.
,While interviewing an angry patient, you start to become annoyed and are beginning
to dislike the patient. The best way to resolve this is to:
A. spend the least amount of time possible with the patient.
B. displace your annoyance toward the patient on an inanimate object.
C. ignore the feelings and remain neutral in your interactions.
D. express concern and explore the problem with the patient.
Give this one a try later!
D: CorrectWhen dealing with the angry patient, it is appropriate to confront
or acknowledge the anger and explore the potential issue. Answer d is the
best example in the scenario given.
A 45-year-old patient presents with a complaint of anxiety related to his wife's
criticism of his drinking. During the history you ask several of the CAGE model
questions and the patient tells you that he wants to cut down on his drinking. Which
conclusion would you draw about this patient?
A. He is an alcoholic.
B. His drinking is caused by anxiety.
C. He may be an alcohol abuser.
D. He should be examined for symptoms of withdrawal.
Give this one a try later!
, C:CorrectThe CAGE questionnaire is one model for discussing the use of
alcohol. CAGE is an acronym for Cutting down, Annoyed by criticism, Guilty
feeling, Eye-openers. Its use does not ensure absolute sensitivity in the
detection of a problem. There is a difference between a screening and an
assessment interview. The goal of screening is to find out if a problem
exists. This is particularly true of CAGE, CRAFFT, and TACE screening tools.
They are effective, but they are only the start, and assessment goes on
from there.
The difference between a tuning fork for auditory screening and one for vibratory
sensation is:
A. the sound frequency generated.
B. the strike force placed by the examiner on the forks.
C. the length of the tuning forks.
D. the auditory screening fork is electric; the vibratory fork is not.
Give this one a try later!
A: CorrectFor auditory evaluation, use a fork with a frequency of 500 to
1000 Hz because it estimates hearing loss in the range of normal speech,
approximately 300 to 3000 Hz. For vibratory sensation, use a fork of lower
frequency. The greatest sensitivity to vibration occurs when the fork is
vibrating between 100 and 400 Hz.
Vital signs are an example of which type of data?
Give this one a try later!
Objective
