Health Assessment Exam 1- PPT and quiz and Correct Answers
A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black combat boots
and a black lace nightgown over the top of her other clothes. Her hair is dyed pink with black streaks
throughout. She has several pierced holes in her nares and ears and is wearing an earring through her eyebrow
and heavy black makeup.
The nurse concludes:
a. she probably doesn't have any problems at all
b. she is just trying to shock people and her dress should be ignored
c. she has manic syndrome because of her abnormal dress and grooming
d. that more information should be gathered to decide whether her dress is appropriate - ansAnswer: D
A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the
following would be the most appropriate choice?
a. A trained interpreter
b. A male family member
c. A female family member
d. A volunteer college student from the foreign language studies department - ansAnswer: A
A man has been admitted to the observation unit for observation after being treated for a large cut on his
forehead.
As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and
drug use.
When the nurse asks him about tobacco use, he states, "I quit smoking after my wife died 7 years ago."
However, the nurse
notices an open package of cigarettes in his shirt pocket. Using confrontation, the nurse could say:
a. "Mr. K, I know that you are lying
, b. "Mr. K, come on, tell me how much you smoke."
c. "Mr. K, I didn't realize that your wife had died. It must be difficult for you at this time. Please tell me more
about that."
d. "Mr. K, you have said that you don't smoke, but I see that you have an open package of cigarettes in your
pocket." - ansAnswer: D
A patient has been in the intensive care unit for 10 days. He has just been moved to the medical-surgical unit,
and the admitting nurse
is planning to perform a mental status examination on him. During the tests of cognitive function the nurse
would expect that he:
a. may display some disruption in thought content
b. will state " I am so relieved to be out of intensive care"
c. will be oriented to place and person but may not be certain of the date
d. may show evidence of come clouding of his level of consciousness - ansAnswer: C
A patient has had arthritic pain in her hips for several years since a hip fracture. She is able to move around in
her room and
has not offered any complaints so far this morning. However, when asked, she states that her pain is "bad this
morning" and rates
it an 8 on a 0 to 10 scale. What does the nurse suspect?
a. She is addicted to her pain medications and cannot obtain pain relief
b. She does not want to trouble the nursing staff with her complaints
c. She is not in pain but rates it high to receive pain medication
d. she has experienced chronic pain for years and has adapted to it. - ansAnswer: D
A pregnant woman states, "I just know labor will be so painful that I won't be able to stand it. I know it sounds
awful,
A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black combat boots
and a black lace nightgown over the top of her other clothes. Her hair is dyed pink with black streaks
throughout. She has several pierced holes in her nares and ears and is wearing an earring through her eyebrow
and heavy black makeup.
The nurse concludes:
a. she probably doesn't have any problems at all
b. she is just trying to shock people and her dress should be ignored
c. she has manic syndrome because of her abnormal dress and grooming
d. that more information should be gathered to decide whether her dress is appropriate - ansAnswer: D
A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the
following would be the most appropriate choice?
a. A trained interpreter
b. A male family member
c. A female family member
d. A volunteer college student from the foreign language studies department - ansAnswer: A
A man has been admitted to the observation unit for observation after being treated for a large cut on his
forehead.
As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and
drug use.
When the nurse asks him about tobacco use, he states, "I quit smoking after my wife died 7 years ago."
However, the nurse
notices an open package of cigarettes in his shirt pocket. Using confrontation, the nurse could say:
a. "Mr. K, I know that you are lying
, b. "Mr. K, come on, tell me how much you smoke."
c. "Mr. K, I didn't realize that your wife had died. It must be difficult for you at this time. Please tell me more
about that."
d. "Mr. K, you have said that you don't smoke, but I see that you have an open package of cigarettes in your
pocket." - ansAnswer: D
A patient has been in the intensive care unit for 10 days. He has just been moved to the medical-surgical unit,
and the admitting nurse
is planning to perform a mental status examination on him. During the tests of cognitive function the nurse
would expect that he:
a. may display some disruption in thought content
b. will state " I am so relieved to be out of intensive care"
c. will be oriented to place and person but may not be certain of the date
d. may show evidence of come clouding of his level of consciousness - ansAnswer: C
A patient has had arthritic pain in her hips for several years since a hip fracture. She is able to move around in
her room and
has not offered any complaints so far this morning. However, when asked, she states that her pain is "bad this
morning" and rates
it an 8 on a 0 to 10 scale. What does the nurse suspect?
a. She is addicted to her pain medications and cannot obtain pain relief
b. She does not want to trouble the nursing staff with her complaints
c. She is not in pain but rates it high to receive pain medication
d. she has experienced chronic pain for years and has adapted to it. - ansAnswer: D
A pregnant woman states, "I just know labor will be so painful that I won't be able to stand it. I know it sounds
awful,
