NURS 307 EXAM 1QUESTIONS AND
ANSWERS
autonomy2f-2fANSWERS--pt2fself-determination
beneficence2fvs2fnonmaleficence2f-2fANSWERS--Beneficence
-
guides2fthe2factions2fand2fbehaviors2fof2fpractitioners2ftoward2fbeneficial2fpatient2foutcom
es2f
-ex.2fprovide2femergency2fmeds2fwithout2fregard2fto2flegal2fconsequence2f
Nonmaleficence2f
-
principle2fthat2furges2fpractitioners2fto2favoid2factions2fand2fbehaviors2fthat2fmight2fbring2f
harm2fto2ftheir2fpatients2f
-ex.2frefusing2fto2ffill2fa2fprescription2fthat2fpharmacist2fsays2fmay2fharm2fthe2fpatient
Utalitarianism2f-2fANSWERS--appropriately2fuse2fresources2ffor2fgreater2fgood
deontological2fimperatives2f-2fANSWERS--
Care2fdelivered2faccording2fto2ftraditions2fand2fin2fcultural2fcontexts
Positive2fpatient2frapport2fdepends2fon2fcommunication2fbuilt2fon...2f-2fANSWERS--
Courtesy,2fComfort,2fConnection,2fConfirmation,2fConfidentiality
open-ended2fquestion2f-2fANSWERS--pt2fdiscretion2fabout2fextent2fof2fan2fanswer
direct2fquestion2f-2fANSWERS--seeks2fout2fspecific2finformation
EX:2fOLDCART
leading2fquestion2f-2fANSWERS--
a2fquestion2fthat2fimplies2fthat2fone2fanswer2fwould2fbe2fbetter2fthan2fanother
what2fshould2fyou2fdo2fif2fa2fpt2fdoesnt2funderstand2fwhat2fyou2fare2fasking?2f-
2fANSWERS--Facilitate2f(encourage2fpt2fto2fsay2fmore)
Reflect2f(repeat2fwhat2fyou2fheard)
Clarify2f(ask2fpt2fto2freiterate)
Empathize2f(show2funderstanding)
Confront2f(address2fdisturbing2fpt2fbehavior
Interpret2f(repeat2fwhat2fyou2fhave2fheard2fto2fconfirm2fpt's2fmeaning)
examples2fof2fcommunication2ftensions2f-2fANSWERS--
curiosity,2fanxiety,2fsilence,2fdepression,2fcrying,2femotional2for2fphysical2fintimacy,2fsedu
ction,2fanger,2favoidance,2ffinancial2fconsiderations
,while2ftaking2fpt2fhistory,2fyou2fshould2fremain2fin2fa2fconstant2fstate2fof2f_____2fevaluation
2fof2fthe2fpt's2fwords2fand2fbehaviors
A.2fobjective
B.2fsubjective2f-2fANSWERS--subjective,2fyou2fare2fasking2fpt2ffor2ftheir2fown2fhistory
sensitive2fissues2fthat2fcome2fup2fduring2fthe2fhistory2ftaking2fprocess2finclude2f-
2fANSWERS--alcohol/drug 2fuse,2fdomestic2fviolence,2fspirituality,2fsexuality
what2ftools2fare2fused2fto2fscreen2ffor2falcohol2fabuse2fduring2fthe2fhistory2ftaking2fprocess
?2f-2fANSWERS--CAGE2f(cutting2fdown,2fannoyance2fby2fcriticism,2fguilty2ffeeling,2feye-
openers)
TACE2f(how2fmany2fdrinks2fdoes2fit2fTAKE2fto2ffeel2fdrunk?
2fhave2fpeople2fANNOYED2fyou2fby2fcriticizing2fyour2fdrinking?
2fhave2fyou2ffelt2fyou2fought2fto2fCUT2fdown2fon2fyour2fdrinking?
2fhave2fyou2fever2fhad2fan2fEYE-OPENER2fdrink2ffirst2fthing2fin2fthe2fmorning?)
CRAFFT2f(have2fyou2fridden2fin2fa2fCAR2fdriven2fby2fsomeone2for2fyourself2fwho2fwas2fint
oxicated?2fdo2fyou2ftake2fdrugs2fto2fRELAX2for2fto2ffit2fin?
2fdo2fyou2fever2fuse2fdrugs2fwhen2fyour2fALONE?
2fdo2fyou2fever2fFORGET2fthings2fwhile2fusing?
2fhas2fa2fFAMILy2fmember2for2fFRIEND2ftold2fyou2fto2fcut2fdown?
2fhave2fyou2fever2fgotten2finto2fTROUBLE2ffrom2fusing2fdrugs?)
screening2fvs2fassessment2f-2fANSWERS--
Screening2fis2fthe2fprocess2ffor2fEVALUATING2fthe2fpossible2fpresence2fof2fa2fproblem2fV
S2fAssessment2fis2fthe2fprocess2ffor2fDEFINING2fthe2fnature2fof2fthe2fproblem.
what2ftools2fare2fused2fto2fscreen2ffor2fdomestic2fviolence2fduring2fthe2fhistory2ftaking2fpro
cess?2f-2fANSWERS--HITS
The2fwording2fof2fthe2fquestion2fis2f"In2fthe2flast2fyear2fhow2foften2fdid2fyour2fpartner:
1.2fHurt2fyou2fphysically?"
2.2fInsult2for2ftalk2fdown2fto2fyou?"
3.2fThreaten2fyou2fwith2fphysical2fharm?"2f
4.2fScream2for2fcurse2fat2fyou?"
what2ftools2fcan2fbe2fused2fto2fapproach2fspirituality2fduring2fthe2fhistory2ftaking2fprocess?
2f-2fANSWERS--FICA
1.2fFaith,2fbelief,2fmeaning2f(what2fis2fyour2fspiritual2fheritage?
2fwhat2fwritings2fare2fimportant2fto2fyou?)
2.2fImportance2fand2fInfluenc2f(how2fhave2fthese2fbeliefs2finfluenced2fhow2fyou2fhandle2fst
ress?)
3.2fCommunity2f(do2fyou2fbelong2fto2fa2fspiritual2fcommunity?)
4.2fAddress/
Action2fin2fcare2f(how2fdo2fyour2freligious2fbeliefs2faffect2fyour2fhealthcare2fdecisions?)
what2fis2fthe2fbasic2foutline/sequence2fof2ftaking2fthe2fhistory?2f-2fANSWERS--
1.2fChief2fComplaint2f(CC)
, 2.2fHistory2fof2fPresent2fIllness2f(HPI)
3.2fPast2fMedical2fHistory2f(PMH)
4.2fFamily2fHistory2f(FH)
5.2fPersonal2fand2fSocial2fHistory2f(PSH)
6.2fReview2fof2fSystems
chief2fcomplaint2f(CC)2f-2fANSWERS--the2fmain2freason2ffor2fthe2fpatient's2fvisit.
History2fof2fPresent2fIllness2f(HPI)2f-2fANSWERS--
information2fgathered2fregarding2fthe2fsymptoms2fand2fnature2fof2fthe2fpatient's2fcurrent2f
concern.2f
can2fask2fabout2fchronology2fof2fevents,2fhealth2fstate2fbefore2fpresent2fproblem,2ffirst2fsy
mptoms,2fexposure2fto2finfection2for2ftoxic2fagents,2ftypical2fattack2fetc.
OLDCARTS2fis2fa2fgood2ftool2fto2fstart2fwith2f(onset,2flocation,2fduration,2fcharacteristics,2f
aggravating2ffactors,2frelieving2ffactors,2ftreatment,2fseverity2fof2fsymptoms)
past2fmedical2fhistory2f(PMH)2f-2fANSWERS--
information2fgathered2fregarding2fthe2fpatient's2fhealth2fproblems2fin2fthe2fpast
ask2fabout2fgeneral2fhealth,2fchildhood2fillnesses,2fadult2fillnesses,2fimmunizations,2fsurg
eries,2finjuries/accidents,2fpast2fmedications,2fallergies,2femotional2fstatus2fetc
family2fhistory2f(FH)2f-2fANSWERS--
A2freview2fof2fmedical2fevents2fin2fthe2fpatient's2ffamily2fincluding2fdiseases2fthat2fmay2fbe2
fhereditary2for2fplace2fthe2fpatient2fat2frisk
can2freveal2fchronic2fillnesses2fsuch2fas2fcancer,2fdiabetes,2fheart2fdiseases,2fetc.2falway
s2fnote2fthe2fage2fand2foutcome2fof2fany2fillness
a2f*genogram2f(AKA2fpedigree)*2fcan2fhelp2fillustrate2fthe2ffamily2ftimeline2fof2fdisease2fan
d2fdeath,2fand2fgive2fus2fa2fvisual2fof2fchronic2fillnesses2fthat2fmay2frun2fin2fthe2ffamily.2fther
e2fshould2fbe2fat2fleast2f32fgenerations2fincluded2fin2fa2fpedigree
personal2fand2fsocial2fhistory2f(PSH)2f-2fANSWERS--
occupation,2fdiet,2fexercise,2fcaffeine,2fself2fexams,2fforeign2ftravel,2fsmoking,2falcohol,2fr
ecreational2fdrugs,2fand2fsexual2fhistory2f(use2fterm2fpartner,2fkeep2fit2fgender2fneutral)
review2fof2fsystems2f(ROS)2f-2fANSWERS--
physical2fexamination2fof2fall2fbody2fsystems2fin2fa2fsystematic2fmanner2fas2fpart2fof2fthe2fn
ursing2fassessment
JUST2fFOR2fREFERENCE:2f
ask2fabout2fgeneral2fconstitutional2fsymptoms,2fskin/hair/
nails2f(rash,2fitching,2fpigmentation),2fhead/
neck2f(headache,2fdizziness,2fvision,2fnose,2for2fear2fissues),2flymph2fnodes2f(enlargeme
nt,2ftenderness),2fchest/
lungs2f(pain,2fdyspnea,2fwheezing,2fcough,2fsputum),2fbreasts2f(pain,2ftenderness,2fdisch
arge,2flumps),2fheart/
ANSWERS
autonomy2f-2fANSWERS--pt2fself-determination
beneficence2fvs2fnonmaleficence2f-2fANSWERS--Beneficence
-
guides2fthe2factions2fand2fbehaviors2fof2fpractitioners2ftoward2fbeneficial2fpatient2foutcom
es2f
-ex.2fprovide2femergency2fmeds2fwithout2fregard2fto2flegal2fconsequence2f
Nonmaleficence2f
-
principle2fthat2furges2fpractitioners2fto2favoid2factions2fand2fbehaviors2fthat2fmight2fbring2f
harm2fto2ftheir2fpatients2f
-ex.2frefusing2fto2ffill2fa2fprescription2fthat2fpharmacist2fsays2fmay2fharm2fthe2fpatient
Utalitarianism2f-2fANSWERS--appropriately2fuse2fresources2ffor2fgreater2fgood
deontological2fimperatives2f-2fANSWERS--
Care2fdelivered2faccording2fto2ftraditions2fand2fin2fcultural2fcontexts
Positive2fpatient2frapport2fdepends2fon2fcommunication2fbuilt2fon...2f-2fANSWERS--
Courtesy,2fComfort,2fConnection,2fConfirmation,2fConfidentiality
open-ended2fquestion2f-2fANSWERS--pt2fdiscretion2fabout2fextent2fof2fan2fanswer
direct2fquestion2f-2fANSWERS--seeks2fout2fspecific2finformation
EX:2fOLDCART
leading2fquestion2f-2fANSWERS--
a2fquestion2fthat2fimplies2fthat2fone2fanswer2fwould2fbe2fbetter2fthan2fanother
what2fshould2fyou2fdo2fif2fa2fpt2fdoesnt2funderstand2fwhat2fyou2fare2fasking?2f-
2fANSWERS--Facilitate2f(encourage2fpt2fto2fsay2fmore)
Reflect2f(repeat2fwhat2fyou2fheard)
Clarify2f(ask2fpt2fto2freiterate)
Empathize2f(show2funderstanding)
Confront2f(address2fdisturbing2fpt2fbehavior
Interpret2f(repeat2fwhat2fyou2fhave2fheard2fto2fconfirm2fpt's2fmeaning)
examples2fof2fcommunication2ftensions2f-2fANSWERS--
curiosity,2fanxiety,2fsilence,2fdepression,2fcrying,2femotional2for2fphysical2fintimacy,2fsedu
ction,2fanger,2favoidance,2ffinancial2fconsiderations
,while2ftaking2fpt2fhistory,2fyou2fshould2fremain2fin2fa2fconstant2fstate2fof2f_____2fevaluation
2fof2fthe2fpt's2fwords2fand2fbehaviors
A.2fobjective
B.2fsubjective2f-2fANSWERS--subjective,2fyou2fare2fasking2fpt2ffor2ftheir2fown2fhistory
sensitive2fissues2fthat2fcome2fup2fduring2fthe2fhistory2ftaking2fprocess2finclude2f-
2fANSWERS--alcohol/drug 2fuse,2fdomestic2fviolence,2fspirituality,2fsexuality
what2ftools2fare2fused2fto2fscreen2ffor2falcohol2fabuse2fduring2fthe2fhistory2ftaking2fprocess
?2f-2fANSWERS--CAGE2f(cutting2fdown,2fannoyance2fby2fcriticism,2fguilty2ffeeling,2feye-
openers)
TACE2f(how2fmany2fdrinks2fdoes2fit2fTAKE2fto2ffeel2fdrunk?
2fhave2fpeople2fANNOYED2fyou2fby2fcriticizing2fyour2fdrinking?
2fhave2fyou2ffelt2fyou2fought2fto2fCUT2fdown2fon2fyour2fdrinking?
2fhave2fyou2fever2fhad2fan2fEYE-OPENER2fdrink2ffirst2fthing2fin2fthe2fmorning?)
CRAFFT2f(have2fyou2fridden2fin2fa2fCAR2fdriven2fby2fsomeone2for2fyourself2fwho2fwas2fint
oxicated?2fdo2fyou2ftake2fdrugs2fto2fRELAX2for2fto2ffit2fin?
2fdo2fyou2fever2fuse2fdrugs2fwhen2fyour2fALONE?
2fdo2fyou2fever2fFORGET2fthings2fwhile2fusing?
2fhas2fa2fFAMILy2fmember2for2fFRIEND2ftold2fyou2fto2fcut2fdown?
2fhave2fyou2fever2fgotten2finto2fTROUBLE2ffrom2fusing2fdrugs?)
screening2fvs2fassessment2f-2fANSWERS--
Screening2fis2fthe2fprocess2ffor2fEVALUATING2fthe2fpossible2fpresence2fof2fa2fproblem2fV
S2fAssessment2fis2fthe2fprocess2ffor2fDEFINING2fthe2fnature2fof2fthe2fproblem.
what2ftools2fare2fused2fto2fscreen2ffor2fdomestic2fviolence2fduring2fthe2fhistory2ftaking2fpro
cess?2f-2fANSWERS--HITS
The2fwording2fof2fthe2fquestion2fis2f"In2fthe2flast2fyear2fhow2foften2fdid2fyour2fpartner:
1.2fHurt2fyou2fphysically?"
2.2fInsult2for2ftalk2fdown2fto2fyou?"
3.2fThreaten2fyou2fwith2fphysical2fharm?"2f
4.2fScream2for2fcurse2fat2fyou?"
what2ftools2fcan2fbe2fused2fto2fapproach2fspirituality2fduring2fthe2fhistory2ftaking2fprocess?
2f-2fANSWERS--FICA
1.2fFaith,2fbelief,2fmeaning2f(what2fis2fyour2fspiritual2fheritage?
2fwhat2fwritings2fare2fimportant2fto2fyou?)
2.2fImportance2fand2fInfluenc2f(how2fhave2fthese2fbeliefs2finfluenced2fhow2fyou2fhandle2fst
ress?)
3.2fCommunity2f(do2fyou2fbelong2fto2fa2fspiritual2fcommunity?)
4.2fAddress/
Action2fin2fcare2f(how2fdo2fyour2freligious2fbeliefs2faffect2fyour2fhealthcare2fdecisions?)
what2fis2fthe2fbasic2foutline/sequence2fof2ftaking2fthe2fhistory?2f-2fANSWERS--
1.2fChief2fComplaint2f(CC)
, 2.2fHistory2fof2fPresent2fIllness2f(HPI)
3.2fPast2fMedical2fHistory2f(PMH)
4.2fFamily2fHistory2f(FH)
5.2fPersonal2fand2fSocial2fHistory2f(PSH)
6.2fReview2fof2fSystems
chief2fcomplaint2f(CC)2f-2fANSWERS--the2fmain2freason2ffor2fthe2fpatient's2fvisit.
History2fof2fPresent2fIllness2f(HPI)2f-2fANSWERS--
information2fgathered2fregarding2fthe2fsymptoms2fand2fnature2fof2fthe2fpatient's2fcurrent2f
concern.2f
can2fask2fabout2fchronology2fof2fevents,2fhealth2fstate2fbefore2fpresent2fproblem,2ffirst2fsy
mptoms,2fexposure2fto2finfection2for2ftoxic2fagents,2ftypical2fattack2fetc.
OLDCARTS2fis2fa2fgood2ftool2fto2fstart2fwith2f(onset,2flocation,2fduration,2fcharacteristics,2f
aggravating2ffactors,2frelieving2ffactors,2ftreatment,2fseverity2fof2fsymptoms)
past2fmedical2fhistory2f(PMH)2f-2fANSWERS--
information2fgathered2fregarding2fthe2fpatient's2fhealth2fproblems2fin2fthe2fpast
ask2fabout2fgeneral2fhealth,2fchildhood2fillnesses,2fadult2fillnesses,2fimmunizations,2fsurg
eries,2finjuries/accidents,2fpast2fmedications,2fallergies,2femotional2fstatus2fetc
family2fhistory2f(FH)2f-2fANSWERS--
A2freview2fof2fmedical2fevents2fin2fthe2fpatient's2ffamily2fincluding2fdiseases2fthat2fmay2fbe2
fhereditary2for2fplace2fthe2fpatient2fat2frisk
can2freveal2fchronic2fillnesses2fsuch2fas2fcancer,2fdiabetes,2fheart2fdiseases,2fetc.2falway
s2fnote2fthe2fage2fand2foutcome2fof2fany2fillness
a2f*genogram2f(AKA2fpedigree)*2fcan2fhelp2fillustrate2fthe2ffamily2ftimeline2fof2fdisease2fan
d2fdeath,2fand2fgive2fus2fa2fvisual2fof2fchronic2fillnesses2fthat2fmay2frun2fin2fthe2ffamily.2fther
e2fshould2fbe2fat2fleast2f32fgenerations2fincluded2fin2fa2fpedigree
personal2fand2fsocial2fhistory2f(PSH)2f-2fANSWERS--
occupation,2fdiet,2fexercise,2fcaffeine,2fself2fexams,2fforeign2ftravel,2fsmoking,2falcohol,2fr
ecreational2fdrugs,2fand2fsexual2fhistory2f(use2fterm2fpartner,2fkeep2fit2fgender2fneutral)
review2fof2fsystems2f(ROS)2f-2fANSWERS--
physical2fexamination2fof2fall2fbody2fsystems2fin2fa2fsystematic2fmanner2fas2fpart2fof2fthe2fn
ursing2fassessment
JUST2fFOR2fREFERENCE:2f
ask2fabout2fgeneral2fconstitutional2fsymptoms,2fskin/hair/
nails2f(rash,2fitching,2fpigmentation),2fhead/
neck2f(headache,2fdizziness,2fvision,2fnose,2for2fear2fissues),2flymph2fnodes2f(enlargeme
nt,2ftenderness),2fchest/
lungs2f(pain,2fdyspnea,2fwheezing,2fcough,2fsputum),2fbreasts2f(pain,2ftenderness,2fdisch
arge,2flumps),2fheart/