NSG 351 Health Assessment (JARVIS) Weeks 1-
4 Questions With Complete Solutions
(T/F): A stethoscope magnifies sounds Correct Answer false; it
blocks out extraneous room sounds
(T/F): Each patient interaction involves an assessment Correct
Answer True
(t/f): Infants feel pain more than adults Correct Answer false;
infants have the same capacity for pain as adults. In fetal
development, ascending sensory fibers, neurotransmitters, and
connections to the thalamus are developed by 20 weeks.
However, the immaturity if the cortex and lack of conscious
awareness may prevent the fetus from experiencing "pain" until
30 weeks gestation.
(t/f): sleeping respiratory rate is the most accurate in infants
Correct Answer true
12 + years Correct Answer Formal Operations
Abstract thinking, futuristic, takers broader, more theoretical
perspective.
2 - 6 years Correct Answer Preoperational
Beginning to use symbolic thinking. Imaginative play
(symbolic). Use of structured grammar and language to
communicate
,3 beliefs about the cause of an illness Correct Answer i.
biomedical/scientific (germ theory)
ii. naturalistic/holistic (yin-yang theory)
iii. magicoreligous (supernatural forces dominate)
4 basic characteristics of culture Correct Answer learned,
shared, adapted, dynamic
4 steps of nociceptive pain Correct Answer transduction,
transmission, perception, modulation
7 - 11 years Correct Answer Concrete Operations
Logical thinking. Mastery of passive tense and complex
grammatical skills
a hyperactive moro reflex occurs with Correct Answer tetany
or CNS infection
A patient asks the nurse, "May I ask you a question?" This is an
example of? Correct Answer A closed ended question
A patient has recently received health insurance and would like
to know how often should be visit the provider. How do you
respond? Correct Answer "Your visits may vary, depending on
your level of wellness." Of course, as providers, we want to
promote health and disease prevention and these visits.
However, the frequency of visitation will mostly depend on the
person's need to seek care.
- The term annual checkup is vague. Is it necessary or cost
effective? How can we provide primary care deliver service to
someone with no signs or symptoms?
,A patient is in the emergency department with nausea and
vomiting. What would you include in the database? Correct
Answer A diet and GI history—what could be causing this?
Although the patient is in the ED, they do not need lifesaving
measures and therefore, an emergency database is not necessary.
We are using more of a focused or problem-centered database
approach.
a pulse oximeter reading is less accurate in which patients?
Correct Answer those with low perfusion (passage of blood --
hypothermia and vasoconstriction) and those with darker nail
polish.....use the ear or forehead instead
A-B-C-T Correct Answer - Appearance
- Behavior
- Cognition
- Thought processes
- Integrating mental status examination into the health history
interview is sufficient for most people.
A8 fibers Correct Answer myelinated and larger in diameter
and transmit pain signal more rapidly to the CNS.
- localized, short term, and sharp in nature
ABCDE of moles Correct Answer to avoid skin cancers catch
early
A: asymmetry
B: irregular borders
C: change in color (especially blue or black... or 2 different
colors in the same mole)
, D: Diameter; if it is larger than a pencil eraser (greater or equal
to 6 mm)
E: evolving; changing in size, color, or shape
abnormal findings-- muscle movements Correct Answer -
Paralysis: can't move one side/part of body
- Fasciculation: muscle twitch/jerking
- Myoclonus: looks like a startle reflex
- Seizure disorder: not breathing well, sometimes they throw
up... keep patient safe until the seizure is over, then decreased
level of consciousness after seizure
- Tourette's syndrome: uncontrolled verbalization, ticks
- Dyskinesia: uncontrolled movement of the body
- Chorea: dance like motion that is a dyskinesia
- Resting tremor: tremor at rest; may go away when body part is
being used
- Intention tremor: okay at rest, but when you go to use it,
tremor acts up
Acculturation Correct Answer the process of adopting the
culture and behavior of the majority culture
achondroplastic dwarfism Correct Answer a genetic disorder in
converting cartilage to bone results in normal trunk size and
short statue. Thoracic kyphosis, prominent lumbar lordosis, and
abdominal protrusion. (mean height is 131.5 in men and 125 cm
in women)
acoustic test Correct Answer Hearing acuity
- Whispered voice test
- Rinne (air and bone conduction); tuning fork back of ear
4 Questions With Complete Solutions
(T/F): A stethoscope magnifies sounds Correct Answer false; it
blocks out extraneous room sounds
(T/F): Each patient interaction involves an assessment Correct
Answer True
(t/f): Infants feel pain more than adults Correct Answer false;
infants have the same capacity for pain as adults. In fetal
development, ascending sensory fibers, neurotransmitters, and
connections to the thalamus are developed by 20 weeks.
However, the immaturity if the cortex and lack of conscious
awareness may prevent the fetus from experiencing "pain" until
30 weeks gestation.
(t/f): sleeping respiratory rate is the most accurate in infants
Correct Answer true
12 + years Correct Answer Formal Operations
Abstract thinking, futuristic, takers broader, more theoretical
perspective.
2 - 6 years Correct Answer Preoperational
Beginning to use symbolic thinking. Imaginative play
(symbolic). Use of structured grammar and language to
communicate
,3 beliefs about the cause of an illness Correct Answer i.
biomedical/scientific (germ theory)
ii. naturalistic/holistic (yin-yang theory)
iii. magicoreligous (supernatural forces dominate)
4 basic characteristics of culture Correct Answer learned,
shared, adapted, dynamic
4 steps of nociceptive pain Correct Answer transduction,
transmission, perception, modulation
7 - 11 years Correct Answer Concrete Operations
Logical thinking. Mastery of passive tense and complex
grammatical skills
a hyperactive moro reflex occurs with Correct Answer tetany
or CNS infection
A patient asks the nurse, "May I ask you a question?" This is an
example of? Correct Answer A closed ended question
A patient has recently received health insurance and would like
to know how often should be visit the provider. How do you
respond? Correct Answer "Your visits may vary, depending on
your level of wellness." Of course, as providers, we want to
promote health and disease prevention and these visits.
However, the frequency of visitation will mostly depend on the
person's need to seek care.
- The term annual checkup is vague. Is it necessary or cost
effective? How can we provide primary care deliver service to
someone with no signs or symptoms?
,A patient is in the emergency department with nausea and
vomiting. What would you include in the database? Correct
Answer A diet and GI history—what could be causing this?
Although the patient is in the ED, they do not need lifesaving
measures and therefore, an emergency database is not necessary.
We are using more of a focused or problem-centered database
approach.
a pulse oximeter reading is less accurate in which patients?
Correct Answer those with low perfusion (passage of blood --
hypothermia and vasoconstriction) and those with darker nail
polish.....use the ear or forehead instead
A-B-C-T Correct Answer - Appearance
- Behavior
- Cognition
- Thought processes
- Integrating mental status examination into the health history
interview is sufficient for most people.
A8 fibers Correct Answer myelinated and larger in diameter
and transmit pain signal more rapidly to the CNS.
- localized, short term, and sharp in nature
ABCDE of moles Correct Answer to avoid skin cancers catch
early
A: asymmetry
B: irregular borders
C: change in color (especially blue or black... or 2 different
colors in the same mole)
, D: Diameter; if it is larger than a pencil eraser (greater or equal
to 6 mm)
E: evolving; changing in size, color, or shape
abnormal findings-- muscle movements Correct Answer -
Paralysis: can't move one side/part of body
- Fasciculation: muscle twitch/jerking
- Myoclonus: looks like a startle reflex
- Seizure disorder: not breathing well, sometimes they throw
up... keep patient safe until the seizure is over, then decreased
level of consciousness after seizure
- Tourette's syndrome: uncontrolled verbalization, ticks
- Dyskinesia: uncontrolled movement of the body
- Chorea: dance like motion that is a dyskinesia
- Resting tremor: tremor at rest; may go away when body part is
being used
- Intention tremor: okay at rest, but when you go to use it,
tremor acts up
Acculturation Correct Answer the process of adopting the
culture and behavior of the majority culture
achondroplastic dwarfism Correct Answer a genetic disorder in
converting cartilage to bone results in normal trunk size and
short statue. Thoracic kyphosis, prominent lumbar lordosis, and
abdominal protrusion. (mean height is 131.5 in men and 125 cm
in women)
acoustic test Correct Answer Hearing acuity
- Whispered voice test
- Rinne (air and bone conduction); tuning fork back of ear
