NR302 Health Assessment – Exam 1 Practice Questions Chamberlain University
Comprehensive Q&A Review
The |nurse |is |conducting |an |interview |in |an |outpatient |clinic |and |is |using |a |computer |to |record |data. |
Which |is |the |best |use |of |the |computer |in |this |situation? |Select |all |that |apply.
A) |Collect |the |patient's |data |in |a |direct, |face-to-face |manner.
B) |Enter |all |the |data |as |the |patient |states |it.
C) |Ask |the |patient |to |wait |as |the |nurse |enters |data.
D) |Type |the |data |into |the |computer |after |the |narrative |is |fully |explored.
E) |Allow |the |patient |to |see |the |monitor |during |typing. |- |answersA) |Collect |the |patient's |data |in |a |
direct, |face-to-face |manner.
D) |Type |the |data |into |the |computer |after |the |narrative |is |fully |explored.
E) |Allow |the |patient |to |see |the |monitor |during |typing.
Page: |32 |The |use |of |a |computer |can |become |a |barrier. |The |nurse |should |begin |the |interview |as |usual
|by |greeting |the |patient, |establishing |rapport, |and |collecting |the |patient's |narrative |story |in |a |direct |
face-to-face |manner. |Only |after |the |narrative |is |fully |explored |should |the |nurse |type |data |into |the |
computer. |When |typing, |the |nurse |should |position |the |monitor |so |that |the |patient |can |see |it.
A |nurse |is |taking |complete |health |histories |on |all |of |the |patients |attending |a |wellness |workshop. |On |
the |history |form, |one |of |the |written |questions |asks, |"You |don't |smoke, |drink, |or |take |drugs, |do |you?" |
This |question |is |an |example |of:
A) |talking |too |much.
B) |using |confrontation.
C) |using |biased |or |leading |questions.
D) |using |blunt |language |to |deal |with |distasteful |topics. |- |answersC) |using |biased |or |leading |questions.
Page: |36 |This |is |an |example |of |using |leading |or |biased |questions. |Asking, |"You |don't |smoke, |do |you?"
|implies |that |one |answer |is |"better" |than |another. |If |the |person |wants |to |please |someone, |he |or |she |
,is |either |forced |to |answer |in |a |way |corresponding |to |their |implied |values |or |is |made |to |feel |guilty |
when |admitting |the |other |answer.
The |nurse |is |performing |a |health |interview |on |a |patient |who |has |a |language |barrier, |and |no |
interpreter |is |available. |Which |is |the |best |example |of |an |appropriate |question |for |the |nurse |to |ask |in |
this |situation?
A) |"Do |you |take |medicine?"
B) |"Do |you |sterilize |the |bottles?"
C) |"Do |you |have |nausea |and |vomiting?"
D) |"You |have |been |taking |your |medicine, |haven't |you?" |- |answersA) |"Do |you |take |medicine?"
Page: |46 |In |a |situation |where |there |is |a |language |barrier |and |no |interpreter |available, |use |simple |
words |avoiding |medical |jargon. |Avoid |using |contractions |and |pronouns. |Use |nouns |repeatedly |and |
discuss |one |topic |at |a |time.
The |mother |of |a |16-month-old |toddler |tells |the |nurse |that |her |daughter |has |an |earache. |What |would |
be |an |appropriate |response?
A. |"Maybe |she |is |just |teething."
B. |"I |will |check |her |ear |for |an |ear |infection."
C. |"Are |you |sure |she |is |really |having |pain?"
D. |"Please |describe |what |she |is |doing |to |indicate |she |is |having |pain." |- |answersD. |"Please |describe |
what |she |is |doing |to |indicate |she |is |having |pain."
Page: |60. |With |a |very |young |child, |ask |the |parent, |"How |do |you |know |the |child |is |in |pain?" |Pulling |at |
ears |alerts |parent |to |ear |pain. |The |statements |about |teething |and |questioning |whether |the |child |is |
really |having |pain |do |not |explore |the |symptoms, |which |should |be |done |before |a |physical |
examination.
The |Nurse |is |interviewing |a |patient |with |acute |pain. |Which |of |the |following |actions |by |the |nurse |
should |be |preformed |first?
A) |Attempt |to |reduce |the |pain |and |complete |the |interview |later
B) |Interview |the |family |to |get |the |information |needed
C) |Document |why |the |interview |could |not |be |completed |at |this |time
,D) |Proceed |very |quickly |with |the |interview |- |answersA) |Attempt |to |reduce |the |pain |and |complete |the
|interview |later
An |individual |who |takes |the |magicoreligious |perspective |of |illness |and |disease |is |likely |to |believe |that |
his |or |her |illness |was |caused |by:
A) |germs |and |viruses.
B) |supernatural |forces.
C) |eating |imbalanced |foods.
D) |an |imbalance |within |his |or |her |spiritual |nature. |- |answersB) |supernatural |forces.
Page: |21 |The |basic |premise |of |the |magicoreligious |perspective |is |that |the |world |is |seen |as |an |arena |in
|which |supernatural |forces |dominate. |The |fate |of |the |world |and |those |in |it |depends |on |the |actions |of
|supernatural |forces |for |good |or |evil. |The |other |answers |do |not |reflect |the |magicoreligious |
perspective.
The |nurse |is |performing |a |functional |assessment |on |an |82-year-old |patient |who |recently |had |a |stroke.
|Which |of |these |questions |would |be |most |important |to |ask?
A. |"Do |you |wear |glasses?"
B. |"Are |you |able |to |dress |yourself?"
C. |"Do |you |have |any |thyroid |problems?"
D. |"How |many |times |a |day |do |you |have |a |bowel |movement?" |- |answersB. |"Are |you |able |to |dress |
yourself?"
Page: |67. |Functional |assessment |measures |how |a |person |manages |day-to-day |activities. |For |the |older |
person, |the |meaning |of |health |becomes |those |activities |that |they |can |or |cannot |do. |The |other |
responses |do |not |relate |to |functional |assessment.
During |a |mental |status |examination, |the |nurse |wants |to |assess |a |patient's |affect. |The |nurse |should |
ask |the |patient |which |question?
A) |"How |do |you |feel |today?"
B) |"Would |you |please |repeat |the |following |words?"
C) |"Have |these |medications |had |any |effect |on |your |pain?"
, D) |"Has |this |pain |affected |your |ability |to |get |dressed |by |yourself?" |- |answersA) |"How |do |you |feel |
today?"
Page: |74. |Judge |mood |and |affect |by |body |language |and |facial |expression |and |by |asking |directly, |"How
|do |you |feel |today?" |or |"How |do |you |usually |feel?" |The |mood |should |be |appropriate |to |the |person's |
place |and |condition |and |should |change |appropriately |with |topics.
In |recording |the |childhood |illnesses |of |a |patient |who |denies |having |had |any, |which |note |by |the |nurse
|would |be |most |accurate?
A. |Patient |denies |usual |childhood |illnesses.
B. |Patient |states |he |was |a |"very |healthy" |child.
C. |Patient |states |sister |had |measles, |but |he |didn't.
D. |Patient |denies |measles, |mumps, |rubella, |chickenpox, |pertussis, |and |strep |throat. |- |answersD. |
Patient |denies |measles, |mumps, |rubella, |chickenpox, |pertussis, |and |strep |throat.
Page: |51. |Childhood |illnesses |include |measles, |mumps, |rubella, |chickenpox, |pertussis, |and |strep |
throat. |Avoid |recording |"usual |childhood |illnesses" |because |an |illness |common |in |the |person's |
childhood |may |be |unusual |today |(e.g., |measles).
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:
A) |will |have |no |decrease |in |any |of |his |abilities, |including |response |time.
B) |will |have |difficulty |on |tests |of |remote |memory |because |this |typically |decreases |with |age.
C) |may |take |a |little |longer |to |respond, |but |his |general |knowledge |and |abilities |should |not |have |
declined.
D) |will |have |had |a |decrease |in |his |response |time |because |of |language |loss |and |a |decrease |in |general |
knowledge. |- |answersC) |may |take |a |little |longer |to |respond, |but |his |general |knowledge |and |abilities |
should |not |have |declined.
Page: |72. |The |aging |process |leaves |the |parameters |of |mental |status |mostly |intact. |There |is |no |
decrease |in |general |knowledge |and |little |or |no |loss |in |vocabulary. |Response |time |is |slower |than |in |
youth. |It |takes |a |bit |longer |for |the |brain |to |process |information |and |to |react |to |it. |Recent |memory, |
which |requires |some |processing |is |somewhat |decreased |with |aging, |but |remote |memory |is |not |
affected.
Comprehensive Q&A Review
The |nurse |is |conducting |an |interview |in |an |outpatient |clinic |and |is |using |a |computer |to |record |data. |
Which |is |the |best |use |of |the |computer |in |this |situation? |Select |all |that |apply.
A) |Collect |the |patient's |data |in |a |direct, |face-to-face |manner.
B) |Enter |all |the |data |as |the |patient |states |it.
C) |Ask |the |patient |to |wait |as |the |nurse |enters |data.
D) |Type |the |data |into |the |computer |after |the |narrative |is |fully |explored.
E) |Allow |the |patient |to |see |the |monitor |during |typing. |- |answersA) |Collect |the |patient's |data |in |a |
direct, |face-to-face |manner.
D) |Type |the |data |into |the |computer |after |the |narrative |is |fully |explored.
E) |Allow |the |patient |to |see |the |monitor |during |typing.
Page: |32 |The |use |of |a |computer |can |become |a |barrier. |The |nurse |should |begin |the |interview |as |usual
|by |greeting |the |patient, |establishing |rapport, |and |collecting |the |patient's |narrative |story |in |a |direct |
face-to-face |manner. |Only |after |the |narrative |is |fully |explored |should |the |nurse |type |data |into |the |
computer. |When |typing, |the |nurse |should |position |the |monitor |so |that |the |patient |can |see |it.
A |nurse |is |taking |complete |health |histories |on |all |of |the |patients |attending |a |wellness |workshop. |On |
the |history |form, |one |of |the |written |questions |asks, |"You |don't |smoke, |drink, |or |take |drugs, |do |you?" |
This |question |is |an |example |of:
A) |talking |too |much.
B) |using |confrontation.
C) |using |biased |or |leading |questions.
D) |using |blunt |language |to |deal |with |distasteful |topics. |- |answersC) |using |biased |or |leading |questions.
Page: |36 |This |is |an |example |of |using |leading |or |biased |questions. |Asking, |"You |don't |smoke, |do |you?"
|implies |that |one |answer |is |"better" |than |another. |If |the |person |wants |to |please |someone, |he |or |she |
,is |either |forced |to |answer |in |a |way |corresponding |to |their |implied |values |or |is |made |to |feel |guilty |
when |admitting |the |other |answer.
The |nurse |is |performing |a |health |interview |on |a |patient |who |has |a |language |barrier, |and |no |
interpreter |is |available. |Which |is |the |best |example |of |an |appropriate |question |for |the |nurse |to |ask |in |
this |situation?
A) |"Do |you |take |medicine?"
B) |"Do |you |sterilize |the |bottles?"
C) |"Do |you |have |nausea |and |vomiting?"
D) |"You |have |been |taking |your |medicine, |haven't |you?" |- |answersA) |"Do |you |take |medicine?"
Page: |46 |In |a |situation |where |there |is |a |language |barrier |and |no |interpreter |available, |use |simple |
words |avoiding |medical |jargon. |Avoid |using |contractions |and |pronouns. |Use |nouns |repeatedly |and |
discuss |one |topic |at |a |time.
The |mother |of |a |16-month-old |toddler |tells |the |nurse |that |her |daughter |has |an |earache. |What |would |
be |an |appropriate |response?
A. |"Maybe |she |is |just |teething."
B. |"I |will |check |her |ear |for |an |ear |infection."
C. |"Are |you |sure |she |is |really |having |pain?"
D. |"Please |describe |what |she |is |doing |to |indicate |she |is |having |pain." |- |answersD. |"Please |describe |
what |she |is |doing |to |indicate |she |is |having |pain."
Page: |60. |With |a |very |young |child, |ask |the |parent, |"How |do |you |know |the |child |is |in |pain?" |Pulling |at |
ears |alerts |parent |to |ear |pain. |The |statements |about |teething |and |questioning |whether |the |child |is |
really |having |pain |do |not |explore |the |symptoms, |which |should |be |done |before |a |physical |
examination.
The |Nurse |is |interviewing |a |patient |with |acute |pain. |Which |of |the |following |actions |by |the |nurse |
should |be |preformed |first?
A) |Attempt |to |reduce |the |pain |and |complete |the |interview |later
B) |Interview |the |family |to |get |the |information |needed
C) |Document |why |the |interview |could |not |be |completed |at |this |time
,D) |Proceed |very |quickly |with |the |interview |- |answersA) |Attempt |to |reduce |the |pain |and |complete |the
|interview |later
An |individual |who |takes |the |magicoreligious |perspective |of |illness |and |disease |is |likely |to |believe |that |
his |or |her |illness |was |caused |by:
A) |germs |and |viruses.
B) |supernatural |forces.
C) |eating |imbalanced |foods.
D) |an |imbalance |within |his |or |her |spiritual |nature. |- |answersB) |supernatural |forces.
Page: |21 |The |basic |premise |of |the |magicoreligious |perspective |is |that |the |world |is |seen |as |an |arena |in
|which |supernatural |forces |dominate. |The |fate |of |the |world |and |those |in |it |depends |on |the |actions |of
|supernatural |forces |for |good |or |evil. |The |other |answers |do |not |reflect |the |magicoreligious |
perspective.
The |nurse |is |performing |a |functional |assessment |on |an |82-year-old |patient |who |recently |had |a |stroke.
|Which |of |these |questions |would |be |most |important |to |ask?
A. |"Do |you |wear |glasses?"
B. |"Are |you |able |to |dress |yourself?"
C. |"Do |you |have |any |thyroid |problems?"
D. |"How |many |times |a |day |do |you |have |a |bowel |movement?" |- |answersB. |"Are |you |able |to |dress |
yourself?"
Page: |67. |Functional |assessment |measures |how |a |person |manages |day-to-day |activities. |For |the |older |
person, |the |meaning |of |health |becomes |those |activities |that |they |can |or |cannot |do. |The |other |
responses |do |not |relate |to |functional |assessment.
During |a |mental |status |examination, |the |nurse |wants |to |assess |a |patient's |affect. |The |nurse |should |
ask |the |patient |which |question?
A) |"How |do |you |feel |today?"
B) |"Would |you |please |repeat |the |following |words?"
C) |"Have |these |medications |had |any |effect |on |your |pain?"
, D) |"Has |this |pain |affected |your |ability |to |get |dressed |by |yourself?" |- |answersA) |"How |do |you |feel |
today?"
Page: |74. |Judge |mood |and |affect |by |body |language |and |facial |expression |and |by |asking |directly, |"How
|do |you |feel |today?" |or |"How |do |you |usually |feel?" |The |mood |should |be |appropriate |to |the |person's |
place |and |condition |and |should |change |appropriately |with |topics.
In |recording |the |childhood |illnesses |of |a |patient |who |denies |having |had |any, |which |note |by |the |nurse
|would |be |most |accurate?
A. |Patient |denies |usual |childhood |illnesses.
B. |Patient |states |he |was |a |"very |healthy" |child.
C. |Patient |states |sister |had |measles, |but |he |didn't.
D. |Patient |denies |measles, |mumps, |rubella, |chickenpox, |pertussis, |and |strep |throat. |- |answersD. |
Patient |denies |measles, |mumps, |rubella, |chickenpox, |pertussis, |and |strep |throat.
Page: |51. |Childhood |illnesses |include |measles, |mumps, |rubella, |chickenpox, |pertussis, |and |strep |
throat. |Avoid |recording |"usual |childhood |illnesses" |because |an |illness |common |in |the |person's |
childhood |may |be |unusual |today |(e.g., |measles).
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:
A) |will |have |no |decrease |in |any |of |his |abilities, |including |response |time.
B) |will |have |difficulty |on |tests |of |remote |memory |because |this |typically |decreases |with |age.
C) |may |take |a |little |longer |to |respond, |but |his |general |knowledge |and |abilities |should |not |have |
declined.
D) |will |have |had |a |decrease |in |his |response |time |because |of |language |loss |and |a |decrease |in |general |
knowledge. |- |answersC) |may |take |a |little |longer |to |respond, |but |his |general |knowledge |and |abilities |
should |not |have |declined.
Page: |72. |The |aging |process |leaves |the |parameters |of |mental |status |mostly |intact. |There |is |no |
decrease |in |general |knowledge |and |little |or |no |loss |in |vocabulary. |Response |time |is |slower |than |in |
youth. |It |takes |a |bit |longer |for |the |brain |to |process |information |and |to |react |to |it. |Recent |memory, |
which |requires |some |processing |is |somewhat |decreased |with |aging, |but |remote |memory |is |not |
affected.
