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Advanced Health Assessment Final

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During a comprehensive health history interview, the MSN prepared nurse must ask about sensitive topics, guidelines for broaching sensitive topics, include which of the following?











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June 15, 2025
Number of pages
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Written in
2024/2025
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Advanced Health Assessment
Final Exam With Correct
ANSWERS 2025
During a comprehensive health history interview, the MSN prepared nurse
must ask about sensitive topics, guidelines for broaching sensitive topics,
include which of the following?<correct answers>Do not be judgmental


Which situation calls for a comprehensive health assessment versus a
focused assessment?<correct answers>A new patient office visit


What is the first step in performing a comprehensive health history?<correct
answers>Identifying data


During a comprehensive adult health history, which is part of the past history
portion of the interview? (Select all that apply.)<correct answers>Adult
illnesses
Childhood illnesses
Health maintenance


When interviewing an older adult patient, which is important to keep in
mind?<correct answers>Older adults may underreport symptomatology.


Review of systems generally consists of yes-or-no questions.<correct
answers>True


Which health interview question is the most open-ended?<correct
answers>How would you describe your back pain?

,A patient is having difficulty describing the characteristics of their symptoms.
What is the best approach?<correct answers>Offer the patient multiple-
choice answers.


The MSN-prepared nurse is unfamiliar with the patient's chronic illness. What
is the nurse's best response?<correct answers>"I don't know a lot about
your illness, but I will learn now."


Which statement by the clinician to a patient best conveys empathy?
<correct answers>"That sounds really challenging."


When using a trained interpreter during a health interview, always address
your questions to the patient.<correct answers>True


The "T" in OLDCARTS stands for which of the following terms?<correct
answers>Timing


Which of the following is not a stage of the health interview?<correct
answers>Musculoskeletal maneuvers


Which of the following is the final stage of the health interview?<correct
answers>Self-reflection


Which are effective strategies that let the patient know you are listening?
(Select all that apply.)<correct answers>Nod your head.
Follow the patient's lead.
Say, "Tell me more about..."


Clinical reasoning begins during the health interview.<correct answers>True


"Tell me about your cough"<correct answers>Open-ended

, "When did the pain begin"<correct answers>Focused


""What brought you in today"<correct answers>Open-ended


"Does your cough bring up mucous"<correct answers>Focused


"How can I help you"<correct answers>Open-ended


"Show me where it hurts"<correct answers>Focused


Interview Stages<correct answers>Stage 1 - Greeting and establishing
rapport
Stage 2 - Establishing agenda
Stage 3 - Inviting the patient's story
Stage 4 - Exploring the patient's perspective
Stage 5 - Identifying and responding to the patient's emotional cues
Stage 6 - Expanding and clarifying the patient's story
Stage 7 - Generating and testing a diagnostic hypothesis
Stage 8- Sharing the treatment plan
Stage 9 - Closing the interview and visit
Stage 10 - Taking time for self-reflection


A teraful patient tells you they are worried that the lump on their forearm is
cancerous. Which response best conveys empathy?<correct answers>"It
must be frightening to find a lump on your skin"


Which of the following is a question that elicits a graded response?<correct
answers>"How many feet can you walk before feeling short of breath?"
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