Health Assessment I Questions and
Answers 100% Correct [Grade A]–
Chamberlain
In an interview, the nurse may find it necessary to take notes to aid his or her memory
later. Which statement is true regarding note-taking?
A) Note-taking may impede the nurse's observation of the patient's nonverbal
behaviors.
B) Note-taking allows the patient to continue at his or her own pace as the nurse
records what is said.
C) Note-taking allows the nurse to shift attention away from the patient, resulting in an
increased comfort level.
D) Note-taking allows the nurse to break eye contact with the patient, which may
increase his or her level of comfort. - correct answer A) Note-taking may impede the
nurse's observation of the patient's nonverbal behaviors.
Page: 31 Some use of history forms and note-taking may be unavoidable. But be aware
that note-taking during the interview has disadvantages. It breaks eye contact too
often, and it shifts attention away from the patient, which diminishes his or her sense
of importance. It also may interrupt the patient's narrative flow, and it impedes the
observation of the patient's nonverbal behavior.
The nurse is interviewing her patient. The nurse says to the client "It sounds like you
do not like your new job because it is more stressful than you anticipated." Which of
the following types of communication is the nurse utilizing?
A) Questioning
B) Paraphrasing
C) Attending
D) Listening - correct answer B) Paraphrasing
The nurse is interviewing a patient who has a hearing impairment. What techniques
would be most beneficial in communicating with this patient?
A) Determine the communication method he prefers.
B) Avoid using facial and hand gestures because most hearing-impaired people find
this degrading.
C) Request a sign language interpreter before meeting with him to help facilitate the
communication.
D) Speak loudly and with exaggerated facial movement when talking with him because
this helps with lip reading. - correct answer A) Determine the communication method
he prefers.
,NR302 Exam 1 (Latest Update )
Health Assessment I Questions and
Answers 100% Correct [Grade A]–
Chamberlain
Pages: 40-41 The nurse should ask the deaf person the preferred way to
communicate—by signing, lip reading, or writing. If the person prefers lip reading, then
the nurse should be sure to face him or her squarely and have good lighting on the
nurse's face. The nurse should not exaggerate lip movements because this distorts
words. Similarly, shouting distorts the reception of a hearing aid the person may wear.
The nurse should speak slowly and should supplement his or her voice with
appropriate hand gestures or pantomime.
During an interview, a parent of a hospitalized child is sitting in an open position. As
the interviewer begins to discuss his son's treatment, however, he suddenly crosses
his arms against his chest and crosses his legs. This would suggest that the parent is:
A) just changing positions.
B) more comfortable in this position.
C) tired and needs a break from the interview.
D) uncomfortable talking about his son's treatment. - correct answer D) uncomfortable
talking about his son's treatment.
Page: 37 Note the person's position. An open position with the extension of large
muscle groups shows relaxation, physical comfort, and a willingness to share
information. A closed position with the arms and legs crossed tends to look defensive
and anxious. Note any change in posture. If a person in a relaxed position suddenly
tenses, it suggests possible discomfort with the new topic.
The nurse is preparing to do a functional assessment. Which statement best describes
the purpose of a functional assessment?
A. It assesses how the individual is coping with life at home.
B. It determines how children are meeting developmental milestones.
C. It can identify any problems with memory the individual may be experiencing.
D. It helps to determine how a person is managing day-to-day activities. - correct
answer D. It helps to determine how a person is managing day-to-day activities.
Page: 67. The functional assessment measures how a person manages day-to-day
activities. The other answers do not reflect the purpose of a functional assessment
,NR302 Exam 1 (Latest Update )
Health Assessment I Questions and
Answers 100% Correct [Grade A]–
Chamberlain
Among many Asians there is a belief in the yin/yang theory, rooted in the ancient
Chinese philosophy of Tao. The nurse recognizes which statement that most accurately
reflects "health" in an Asian with this belief?
A) A person is able to work and produce.
B) A person is happy, stable, and feels good.
C) All aspects of the person are in perfect balance.
D) A person is able to care for others and function socially. - correct answer C) All
aspects of the person are in perfect balance.
Page: 21 Many Asians believe in the yin/yang theory, in which health is believed to exist
when all aspects of the person are in perfect balance. The other statements do not
describe this theory.
The nurse is conducting an interview. Which of these statements is true regarding
open-ended questions? Select all that apply.
A) They elicit cold facts.
B) They allow for self-expression.
C) They build and enhance rapport.
D) They leave interactions neutral.
E) They call for short one- to two-word answers.
F) They are used when narrative information is needed. - correct answer B) They allow
for self-expression.
C) They build and enhance rapport.
F) They are used when narrative information
Page: 32 Open-ended questions allow for self-expression, build rapport, and obtain
narrative information. These features enhance communication during an interview. The
other statements are appropriate for closed or direct questions.
The nurse is performing a mental status examination. Which statement is true
regarding the assessment of mental status?
A) Mental status assessment diagnoses specific psychiatric disorders.
B) Mental disorders occur in response to everyday life stressors.
C) Mental status functioning is inferred through assessment of an individual's
behaviors.
, NR302 Exam 1 (Latest Update )
Health Assessment I Questions and
Answers 100% Correct [Grade A]–
Chamberlain
D) Mental status can be assessed directly, just like other systems of the body (e.g.,
cardiac and breath sounds). - correct answer C) Mental status functioning is inferred
through assessment of an individual's behaviors.
Page: 71. Mental status functioning is inferred through assessment of an individual's
behaviors. It cannot be assessed directly like characteristics of the skin or heart
sounds.
A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which
information should the nurse collect before this procedure?
A. The child's birth weight
B. The age at which he crawled
C. Whether he has had the measles
D. Reactions to previous hospitalizations - correct answer D. Reactions to previous
hospitalizations
Assess how the child reacted to hospitalization and any complications. If the child
reacted poorly, he or she may be afraid now and will need special preparation for the
examination that is to follow. The other items are not significant for the procedure.
When providing culturally competent care, nurses must incorporate cultural
assessments into their health assessments. Which statement is most appropriate to
use when initiating an assessment of cultural beliefs with an elderly American Indian
patient?
A) "Are you of the Christian faith?"
B) "Do you want to see a medicine man?"
C) "How often do you seek help from medical providers?"
D) "What cultural or spiritual beliefs are important to you?" - correct answer D) "What
cultural or spiritual beliefs are important to you?"
Page: 17. The nurse needs to assess the cultural beliefs and practices of the patient.
American Indians may seek assistance from a medicine man or shaman, but the nurse
should not assume this. An open-ended question regarding cultural and spiritual
beliefs is best used initially when performing a cultural assessment.