NUR 2065 PHYSICAL ASSESSMENT FINAL EXAM REVIEW:

NUR 2065 PHYSICAL ASSESSMENT FINAL EXAM REVIEW: 1. During an interview the nurse states, “you mentioned shortness of breath, tell me more about that”. Which verbal skill is used with this statement? • OPEN-ENDED QUESTIONS 2. Receiving is a part of the communication process. Which receiver is most likely to misinterpret a message sent by a health care professional? • A MAN WHOSE WIFE HAS JUST BEEN DIAGONSED WITH LUNG CANCER. 3. The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history? • TO PROVIDE A DATABASE OF SUBJECTIVE INFORMATIONABOUT THE PATIENT’S PAST AND CURRENTL HEALTH 4. The nurse is taking a family history. Important diseases or problems to ask the patient about specifically include: • MENTAL ILLNESS 5. During an assessment, the nurse uses the CAGE test. The patient answers “yes” to two of the questions. What could this be indicating? • THE NURSE SHOULD SUSPECT ALCOHOL ABUSE AND CONTINUE WITH A MORE THOROUGH SUBSTANCE ABUSE ASSESSMENT. 6. 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. During the tests of cognitive function, the nurse would expect that he: • WILL BE ORIENDTED TO PLACE AND PERSON, BUT THAT PATIENT MAY NOT BE CERTAIN OF THE DATE. 7. A 20-year-old construction worker has been brought into the emergency ... He has delirium as a result of a fluid and electrolyte imbalance. For the mental status examination, the nurse should first assess the patient's: • LEVEL OF CONSCIOUSNESS AND COGNITIVE ABILITIES 8. The nurse is assessing a patient who is admitted with possible delirium. Which of these are manifestations of delirium? Select all that apply. • DEVELOPS OVER A SHORT PERIOD • PERSON IS EXHIBITING MEMORY IMPAIRMENT OF DEFICITS • OCCURS AS A RESULT OF A MEDICAL CONDITION, SUCH AS SYSTEMATIC INFECTION 9. The nurse is administering a Mini-Cog test to an older adult woman. When asked to draw a clock showing the time of 10:45, the patient drew a clock with the numbers out of order and with an incorrect time. This result indicates which finding? • COGNITIVE IMPAIRMENT 10. The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient: • MAY TAKE A LITTLE LONGER TO RESPOND, BUT HIS GENERAL KNOWLEDGE AND ABILITIES SHOULD NOT HAVE DECLINED. 11. The nurse is preparing to conduct a mental status examination. Which statement is true regarding the mental status examination? • GATHERING MENTAL STATUS INFORMATION DURING THE HEALTH HISTORY INTERVIEW IS USUALLY SUFFICIENT.