NURS 5220: MODULE 1 EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS.
7 Variables of a Symptom Analysis - correct
answer - Timing
Location
Quality
Quantity/severity Setting
Aggravating/alleviating factors
Associated factors
Abdomen order of examination - correct answer
- Inspection
Auscultation
Percuss
Palpation
Adolescents - correct answer - Respect need
for confidentiality
Respect impending adult status
Do not force conversation
,Establish an alliance
Be flexible in approach
Factors impacting history taking Self-esteem,
acceptance by peers, tension with parents
Cover issues of special concern (Hint: Use
mnemonic HEEADSSS or PACES to zero in on
issues)
Anthropometrics - correct answer - Procedures
for accurately measuring:
Height Weight Triceps skinfold
**Mid Arm - skeletal mass
Table of norms for relevant age and gender groups
These measurements are useful in assessing
patients' nutritional status and risk for disease.
Body mass index (BMI) healthy 18.5-24.9
Formula used to assess nutritional status and total
body fat
Waist circumference
,Large waist circumference often associated with
increased risk for type 2 diabetes, dyslipidemia,
hypertension, and cardiovascular disease
Monitoring over time may aid in predicting disease
risk for cardiovascular and obesity-related
diseases.
Approaching Sensitive Issues - correct answer -
• Ensure privacy.
• Be direct and firm.
• Do not apologize for broaching the issue.
• Do not preach.
• Use language that is understandable.
• Do not push too hard.
Assign a probability - correct answer - • Cluster
and Trend
• How likely is this?
• Time of year?
• Other family members?
• Previous symptom?
, Associated factors - correct answer - Anything
else that happens with the CC
Auscultation - correct answer - • Sense of
hearing
• Stethoscope on bare skin (no fabric)
- High pitch sounds (diaphragm)
- Low pitch sounds (bell)
• Quiet environment
• Listen to characteristics of the sound
- Intensity - Duration - Pitch - Quality
Autonomy - correct answer - Patient's self-
determination
Barriers to communication - correct answer -
Curiosity about you
Anxiety
Silence
Depression
QUESTIONS WITH COMPLETE
SOLUTIONS.
7 Variables of a Symptom Analysis - correct
answer - Timing
Location
Quality
Quantity/severity Setting
Aggravating/alleviating factors
Associated factors
Abdomen order of examination - correct answer
- Inspection
Auscultation
Percuss
Palpation
Adolescents - correct answer - Respect need
for confidentiality
Respect impending adult status
Do not force conversation
,Establish an alliance
Be flexible in approach
Factors impacting history taking Self-esteem,
acceptance by peers, tension with parents
Cover issues of special concern (Hint: Use
mnemonic HEEADSSS or PACES to zero in on
issues)
Anthropometrics - correct answer - Procedures
for accurately measuring:
Height Weight Triceps skinfold
**Mid Arm - skeletal mass
Table of norms for relevant age and gender groups
These measurements are useful in assessing
patients' nutritional status and risk for disease.
Body mass index (BMI) healthy 18.5-24.9
Formula used to assess nutritional status and total
body fat
Waist circumference
,Large waist circumference often associated with
increased risk for type 2 diabetes, dyslipidemia,
hypertension, and cardiovascular disease
Monitoring over time may aid in predicting disease
risk for cardiovascular and obesity-related
diseases.
Approaching Sensitive Issues - correct answer -
• Ensure privacy.
• Be direct and firm.
• Do not apologize for broaching the issue.
• Do not preach.
• Use language that is understandable.
• Do not push too hard.
Assign a probability - correct answer - • Cluster
and Trend
• How likely is this?
• Time of year?
• Other family members?
• Previous symptom?
, Associated factors - correct answer - Anything
else that happens with the CC
Auscultation - correct answer - • Sense of
hearing
• Stethoscope on bare skin (no fabric)
- High pitch sounds (diaphragm)
- Low pitch sounds (bell)
• Quiet environment
• Listen to characteristics of the sound
- Intensity - Duration - Pitch - Quality
Autonomy - correct answer - Patient's self-
determination
Barriers to communication - correct answer -
Curiosity about you
Anxiety
Silence
Depression
