NUR 307 Exam 1 Questions With Complete Solutions
-a subjective report by the patient about all body systems
---head-to-toe survey
-patient may "report" or "deny" symptoms
-symptoms should be fully described
-relevant positives/negatives Correct Answers Review of
systems
-a type of care that places the emphasis on the person needing
care and his or her individuality and capabilities
-the ultimate goal of health assessment Correct Answers
Person-centered care
-absent at birth, but are fairly well-developed between ages 7
and 8
-reach full size after puberty Correct Answers Frontal sinuses
-active listening
-clarification
-empathy
-respect
-reflection
-silence
-summarizing Correct Answers Effective communication
techniques
-ADULTS: pull pinna up and back
-INFANTS - pull the pinna down
-tympanic membranes should be translucent
,-if infected, the tympanic membrane will be bulging and red
Correct Answers Inspect with otoscope
-air-filled pockets that communicate with the nasal cavity and
serve as resonators for sound and mucus production
-openings are narrow and easily occluded
---can cause inflammation or sinusitis
-frontal and maxillary accessible for examination
-ethmoid and sphenoid are smaller and deeper Correct Answers
Paranasal sinuses
-also called the tuning fork test
-measures hearing by air conduction or bone conduction
-traditionally used to distinguish conductive hearing loss from
sensorineural hearing loss
-up to 40% of people lateralize this test, which means that they
hear the tone louder in one ear Correct Answers Weber test
-anterior hard palate
-posterior soft palate
-observe uvula
-ask patient to say "ahhh" and note soft palate and uvula rise in
midline Correct Answers Palate assessment
-anterior portion of the roof of the mouth
-made up of bone Correct Answers Hard palate
-apex of lungs 3-4 cm above inner 3rd clavicle
-base of lungs rests on diaphragm, 6th rib MCL Correct
Answers Anterior location of lungs
,-are they aligned in the socket
-if patient has a glass eye, note which socket it's in
-eyes should not be protruding out (can indicate thyroid issues)
or sunken in (dehydration, poor nutrition) Correct Answers
Eyeballs
-asking too many questions
-using medical jargon
-asking "why" questions
-giving advice
-stereotyping
-offering false reassurance
-using patronizing language Correct Answers Barriers to
communication
-be prepared to have all necessary equipment in place before
starting examination
-protective equipment including but not limited to gloves
-height, weight, and vital sign equipment
-penlight, nasal speculum, tongue depressor, cotton balls,
flexible tape measure and ruler, reflex hammer Correct Answers
Standard equipment
-biographical data
-source of history
-reason for seeking care
-present health or history of present illness
-past health
-family history
-review of systems
, -functional assessment including ADLs Correct Answers Health
history sequence
-C7 marks apex of lung tissue, and T10 usually corresponds to
base (T12 with deep inspiration)
-posterior portion of lung base lies at about 10th rib
-posterior chest is almost all lower lobe
-right middle lobe does not project onto posterior chest at all
Correct Answers Posterior location of lungs
-can affect cognitive functioning
-Any recent falls? History of concussions? Do you play contact
sports? Correct Answers Head injury
-can have residual impact on present (and future) health status
-focus on obtaining specific, pertinent information relative to
each of the identified categories
-more accurate and detailed information obtained will lead to
better clinical decision making
-will provide cues as to how patients cope with illness and/or
health concerns Correct Answers Past medical history
-childhood illness - experience or exposure
-accidents or injuries - type and nature of event, acute and/or
residual deficit noted
-serious or chronic illnesses/presence of comorbidities
-hospitalizations/surgeries
-mental or emotional illness
-obstetric history
-immunizations
-a subjective report by the patient about all body systems
---head-to-toe survey
-patient may "report" or "deny" symptoms
-symptoms should be fully described
-relevant positives/negatives Correct Answers Review of
systems
-a type of care that places the emphasis on the person needing
care and his or her individuality and capabilities
-the ultimate goal of health assessment Correct Answers
Person-centered care
-absent at birth, but are fairly well-developed between ages 7
and 8
-reach full size after puberty Correct Answers Frontal sinuses
-active listening
-clarification
-empathy
-respect
-reflection
-silence
-summarizing Correct Answers Effective communication
techniques
-ADULTS: pull pinna up and back
-INFANTS - pull the pinna down
-tympanic membranes should be translucent
,-if infected, the tympanic membrane will be bulging and red
Correct Answers Inspect with otoscope
-air-filled pockets that communicate with the nasal cavity and
serve as resonators for sound and mucus production
-openings are narrow and easily occluded
---can cause inflammation or sinusitis
-frontal and maxillary accessible for examination
-ethmoid and sphenoid are smaller and deeper Correct Answers
Paranasal sinuses
-also called the tuning fork test
-measures hearing by air conduction or bone conduction
-traditionally used to distinguish conductive hearing loss from
sensorineural hearing loss
-up to 40% of people lateralize this test, which means that they
hear the tone louder in one ear Correct Answers Weber test
-anterior hard palate
-posterior soft palate
-observe uvula
-ask patient to say "ahhh" and note soft palate and uvula rise in
midline Correct Answers Palate assessment
-anterior portion of the roof of the mouth
-made up of bone Correct Answers Hard palate
-apex of lungs 3-4 cm above inner 3rd clavicle
-base of lungs rests on diaphragm, 6th rib MCL Correct
Answers Anterior location of lungs
,-are they aligned in the socket
-if patient has a glass eye, note which socket it's in
-eyes should not be protruding out (can indicate thyroid issues)
or sunken in (dehydration, poor nutrition) Correct Answers
Eyeballs
-asking too many questions
-using medical jargon
-asking "why" questions
-giving advice
-stereotyping
-offering false reassurance
-using patronizing language Correct Answers Barriers to
communication
-be prepared to have all necessary equipment in place before
starting examination
-protective equipment including but not limited to gloves
-height, weight, and vital sign equipment
-penlight, nasal speculum, tongue depressor, cotton balls,
flexible tape measure and ruler, reflex hammer Correct Answers
Standard equipment
-biographical data
-source of history
-reason for seeking care
-present health or history of present illness
-past health
-family history
-review of systems
, -functional assessment including ADLs Correct Answers Health
history sequence
-C7 marks apex of lung tissue, and T10 usually corresponds to
base (T12 with deep inspiration)
-posterior portion of lung base lies at about 10th rib
-posterior chest is almost all lower lobe
-right middle lobe does not project onto posterior chest at all
Correct Answers Posterior location of lungs
-can affect cognitive functioning
-Any recent falls? History of concussions? Do you play contact
sports? Correct Answers Head injury
-can have residual impact on present (and future) health status
-focus on obtaining specific, pertinent information relative to
each of the identified categories
-more accurate and detailed information obtained will lead to
better clinical decision making
-will provide cues as to how patients cope with illness and/or
health concerns Correct Answers Past medical history
-childhood illness - experience or exposure
-accidents or injuries - type and nature of event, acute and/or
residual deficit noted
-serious or chronic illnesses/presence of comorbidities
-hospitalizations/surgeries
-mental or emotional illness
-obstetric history
-immunizations
