NSG 3160 EXAM 1/NSG3160 EXAM 1:
HEALTH ASSESSMENT REVIEW |
QUESTIONS & ANSWERS GRADED A+|
2025/ 2026 UPDATE)
What type of statements should be documented verbatim in abuse
histories? - Correct Answer - Histories need to capture exceptionally
poignant phrases, including reported perpetrator's threats, especially
severe ones, and any curses and expletives.
What should be used to describe sensitive areas in patient
documentation? - Correct Answer - Use the exact terms an abused
patient uses to describe sexual organs or sexually assaultive behaviors.
How should paraphrased information be documented in abuse histories?
- Correct Answer - Other aspects of abuse history, including past
incidents, can be paraphrased with partial direct quotations.
What is the approach to documenting physical examination findings in
suspected abuse cases? - Correct Answer - Document findings
thoroughly and unbiasedly, including observations and what the victim
said, without speculating on the cause of injury.
What characteristics of bruises should be documented? - Correct
Answer - Document the size, color, and pattern of bruises, but do not
guess the timing of the injury based on color.
,What should be confirmed during screening regarding interpreters? -
Correct Answer - Document who was used as an interpreter (if
applicable) and whether it was the client's choice.
What laboratory tests should be included for suspected elder abuse or
neglect? - Correct Answer - Include a complete blood count (CBC), basic
blood chemistries, serum liver function tests, a coagulation panel, and a
urinalysis.
What screenings should be performed on patients with suspected sexual
abuse or sex trafficking? - Correct Answer - STI screening should be
done on all patients, and pregnancy screening should be done for
women and transgender men of reproductive age with intact female
reproductive organs.
What are some indicators of child abuse based on subjective data? -
Correct Answer - Inconsistent or vague explanations, delayed treatment,
avoidance of eye contact, and bruising in suspicious areas.
What does the U.S. Preventive Services Task Force recommend
regarding intimate partner violence (IPV) screening? - Correct Answer -
They recommend screening all women of childbearing age (14 to 46
years) for IPV, regardless of signs of abuse or neglect.
What is the scoring system for the Hurt, Insult, Threaten, Scream (HITS)
tool? - Correct Answer - Each question is scored from 0 (never) to 5
(frequently), with a total score greater than 10 indicating IPV.
,What are some validated IPV screening tools reviewed by the USPSTF?
- Correct Answer - HITS, Extended-HITS (E-HITS), Humiliation, Afraid,
Rape, Kick (HARK), Partner Violence Screen (PVS), and Woman Abuse
Screening Tool (WAST).
What is an appropriate response during IPV screening? - Correct
Answer - Normalize the questions by asking every patient about IPV
without singling out any gender or ethnic group.
What type of questions should be used during screening for suspected
abuse? - Correct Answer - Use open-ended questions, such as 'Tell me
what happened,' to encourage detailed responses.
Why is it important to interview the victim separately from the potential
perpetrator? - Correct Answer - To ensure the victim feels safe and can
provide accurate information without influence or intimidation.
What should be done if there are inconsistent stories or explanations
during an interview? - Correct Answer - Be attentive and listen for cues
that may indicate abuse.
What is the requirement for mandatory reporting of suspected abuse? -
Correct Answer - Know your state laws; you only need suspicion, not
proof, to file a report.
What is the benefit of early intervention through screening? - Correct
Answer - It may result in fewer long-term physical and mental health
consequences.
, What are the underlying causes of teen dating violence? - Correct
Answer - Victims are at higher risk for depression, anxiety, unhealthy
behaviors (smoking, alcohol), and suicidal thoughts; early identification
and intervention are needed.
What should documentation include when assessing for dating violence?
- Correct Answer - Use direct quotes, describe injuries objectively, note
emotional state, and do not interpret or speculate.
What does the HITS screening tool stand for? - Correct Answer - Hurt,
Insult, Threaten, Scream.
What does the STaT screening tool assess? - Correct Answer - Slapped,
Threatened, and Throw.
What is the purpose of the Danger Assessment (DA) tool? - Correct
Answer - It identifies homicide risk.
What is the first skill used in a physical examination? - Correct Answer -
Inspection.
What is the description of the inspection technique? - Correct Answer -
Concentrated watching; close, careful scrutiny of the individual as a
whole and then of each body system.
What are the expectations and what can be learned from inspection? -
Correct Answer - Yields a surprising amount of data, helps in developing
a 'general survey' and initial impressions, allows comparison of body
symmetry.
HEALTH ASSESSMENT REVIEW |
QUESTIONS & ANSWERS GRADED A+|
2025/ 2026 UPDATE)
What type of statements should be documented verbatim in abuse
histories? - Correct Answer - Histories need to capture exceptionally
poignant phrases, including reported perpetrator's threats, especially
severe ones, and any curses and expletives.
What should be used to describe sensitive areas in patient
documentation? - Correct Answer - Use the exact terms an abused
patient uses to describe sexual organs or sexually assaultive behaviors.
How should paraphrased information be documented in abuse histories?
- Correct Answer - Other aspects of abuse history, including past
incidents, can be paraphrased with partial direct quotations.
What is the approach to documenting physical examination findings in
suspected abuse cases? - Correct Answer - Document findings
thoroughly and unbiasedly, including observations and what the victim
said, without speculating on the cause of injury.
What characteristics of bruises should be documented? - Correct
Answer - Document the size, color, and pattern of bruises, but do not
guess the timing of the injury based on color.
,What should be confirmed during screening regarding interpreters? -
Correct Answer - Document who was used as an interpreter (if
applicable) and whether it was the client's choice.
What laboratory tests should be included for suspected elder abuse or
neglect? - Correct Answer - Include a complete blood count (CBC), basic
blood chemistries, serum liver function tests, a coagulation panel, and a
urinalysis.
What screenings should be performed on patients with suspected sexual
abuse or sex trafficking? - Correct Answer - STI screening should be
done on all patients, and pregnancy screening should be done for
women and transgender men of reproductive age with intact female
reproductive organs.
What are some indicators of child abuse based on subjective data? -
Correct Answer - Inconsistent or vague explanations, delayed treatment,
avoidance of eye contact, and bruising in suspicious areas.
What does the U.S. Preventive Services Task Force recommend
regarding intimate partner violence (IPV) screening? - Correct Answer -
They recommend screening all women of childbearing age (14 to 46
years) for IPV, regardless of signs of abuse or neglect.
What is the scoring system for the Hurt, Insult, Threaten, Scream (HITS)
tool? - Correct Answer - Each question is scored from 0 (never) to 5
(frequently), with a total score greater than 10 indicating IPV.
,What are some validated IPV screening tools reviewed by the USPSTF?
- Correct Answer - HITS, Extended-HITS (E-HITS), Humiliation, Afraid,
Rape, Kick (HARK), Partner Violence Screen (PVS), and Woman Abuse
Screening Tool (WAST).
What is an appropriate response during IPV screening? - Correct
Answer - Normalize the questions by asking every patient about IPV
without singling out any gender or ethnic group.
What type of questions should be used during screening for suspected
abuse? - Correct Answer - Use open-ended questions, such as 'Tell me
what happened,' to encourage detailed responses.
Why is it important to interview the victim separately from the potential
perpetrator? - Correct Answer - To ensure the victim feels safe and can
provide accurate information without influence or intimidation.
What should be done if there are inconsistent stories or explanations
during an interview? - Correct Answer - Be attentive and listen for cues
that may indicate abuse.
What is the requirement for mandatory reporting of suspected abuse? -
Correct Answer - Know your state laws; you only need suspicion, not
proof, to file a report.
What is the benefit of early intervention through screening? - Correct
Answer - It may result in fewer long-term physical and mental health
consequences.
, What are the underlying causes of teen dating violence? - Correct
Answer - Victims are at higher risk for depression, anxiety, unhealthy
behaviors (smoking, alcohol), and suicidal thoughts; early identification
and intervention are needed.
What should documentation include when assessing for dating violence?
- Correct Answer - Use direct quotes, describe injuries objectively, note
emotional state, and do not interpret or speculate.
What does the HITS screening tool stand for? - Correct Answer - Hurt,
Insult, Threaten, Scream.
What does the STaT screening tool assess? - Correct Answer - Slapped,
Threatened, and Throw.
What is the purpose of the Danger Assessment (DA) tool? - Correct
Answer - It identifies homicide risk.
What is the first skill used in a physical examination? - Correct Answer -
Inspection.
What is the description of the inspection technique? - Correct Answer -
Concentrated watching; close, careful scrutiny of the individual as a
whole and then of each body system.
What are the expectations and what can be learned from inspection? -
Correct Answer - Yields a surprising amount of data, helps in developing
a 'general survey' and initial impressions, allows comparison of body
symmetry.
