NUR2092 Health Assessment Final Exam 2024

NUR2092 Health Assessment Final Exam 2024 The nurse is preparing to conduct a health history. Explain this to the patient. - Correct Answers Answer- The purpose of a health history is to provide a database of subjective information about the patient's past and current health history. You might say to the patient, "I will be asking you questions about your past and present health." This information will help the provider along with the physical exam (objective data) to develop a diagnosis or health status. The nurse is evaluating the reliability of a patient's responses, which of these statements would be correct? The patient: - Correct Answers Provided consistent information and therefore is reliable A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse's best response? - Correct Answers "Can you point to where it hurts?" A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which would be the nurse's appropriate response to the woman's statement? - Correct Answers "How would you say the pain affects your ability to do your daily activities?" A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this information? - Correct Answers "Describe what happens (or the reaction) to you when you take Penicillin." The nurse is taking a family history. Important diseases or problems about which the patient should be specifically asked include: - Correct Answers Mental illness. The review of systems provides the nurse with... - Correct Answers Information regarding health promotion practices, the information helps to evaluate the past and present health state of each body system, to obtain any data that may have been omitted in the section about present illness, and to evaluate health promotion and teaching opportunities. Which of these statements represents subjective data the nurse obtained from the patient regarding the patient's skin? - Correct Answers Patient denies any color change. The nurse is obtaining a history from a 30-year old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient? - Correct Answers "Do you perform testicular self-examinations?" Functional Assessment-- What information would you ask if the patient's leg was in a cast? - Correct Answers A functional assessment includes the activities of daily living and the person's ability to take care of their needs. This area will help to formulate a nursing diagnosis. This could be present to the patient in a standardized form and will include data on the lifestyle and type of living environment. (Page 57) self-esteem, activity/exercise, sleep/rest, nutrition/elimination, interpersonal relationships/resources, spiritual resources, coping and stress management, personal habits, environmental hazards, violence questions, and occupational health questions. If a patient had a cast on their leg, appropriate questions would include how they transfer to bed, another chair, bathing technique, coping with the situation, support during the situation. Regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason why? - Correct Answers Alcohol can interact with all medications and make some diseases worse. Describe a genogram. - Correct Answers Graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family. Usually 3 generations- parents, grandparents, siblings. Also highlight the health of close family members and more details such as communicable disease, environmental hazards (smoke), tobacco use, and alcohol use. Any additional information includes the family history. The nurse