CHAMBERLAIN NR 302 Health Assessment Final

CHAMBERLAIN NR 302 Health Assessment Final Exam Latest Update - 335 Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor

______ is exhibiting an accurate understanding of the other person's feelings within a

communication context. - CORRECT ANSWER: empathy

"Positive consensual light reflex" means... - CORRECT ANSWER: simultaneous constriction

A 24 hour recall of dietary intake is used as: - CORRECT ANSWER: a questionnaire of everything eaten in last day

A 30 year old woman reports having persistent intense pain in her right arm related to trauma from a car accident 5 months ago. She states that the slightest touch or clothing exacerbates the pain. This report suggest: - CORRECT ANSWER: Complex regional pain I

A barrel-shaped chest is characterized by: - CORRECT ANSWER: equal anteroposterior transverse diameter and ribs being horizontal

A configuration of individual lesions arranged in circles or arcs, like ringworm, is: -

CORRECT ANSWER: annular lesions

A genogram is used for which reasons? - CORRECT ANSWER: family history

A major characteristic of dementia is: - CORRECT ANSWER: impairment of short and long term memory 1 / 4

A murmur heard after S1 and before S2 is classified as: - CORRECT ANSWER: systolic, possibly benign

A nasal polyp is distinguished from the nasal turbinates by 3 things - CORRECT

ANSWER: moveable, pale/gray, nontender

A patient asks the nurse "May I ask you a question?" This is an example of - CORRECT

ANSWER: a closed question

A patient has recently received health insurance and would like to know how often to

see his provider. How do you respond? - CORRECT ANSWER: Your visits may very,

depending on your level of wellness

A patient is in the emergency department with nausea and vomiting. Which would you

include in the database? - CORRECT ANSWER: A diet and GI history

A patient is requesting pain medication and says pain is 9/10, but is up and smiling.

How should you proceed? - CORRECT ANSWER: Use therapeutic communication to

determine patients pain scale goal and history of chronic pain

A patient presents with acute pain of the abdomen. After the initial exam, how would you

proceed? - CORRECT ANSWER: give pain meds as ordered

A patient says she is very nervous and nauseated, and she feels as if she will vomit.

This is what type of data? - CORRECT ANSWER: Subjective

A pregnant woman explains that she does not intend to stop drinking bc her friends

didnt and their kids are fine. How should you respond? - CORRECT ANSWER: No

amount of alcohol has been determined to be safe for a pregnant woman so i ask you to stop completely 2 / 4

A risk factor for melanoma is: - CORRECT ANSWER: skin that freckles or burns before tanning

A throbbing, unilateral pain associated with nausea, vomiting, and photophobia is

characteristic of:

• cluster headache
• subarachnoid hemorrhage
• migraine headache

D. tension headache - CORRECT ANSWER: migraine headache

ABCDE of skin cancer - CORRECT ANSWER: Asymmetry

Border Color Diameter Elevation

Abdomen / Genitourinary- bedside - CORRECT ANSWER: Abdomen•Assess contour of

abdomen: flat, rounded.•Listen to bowel sounds in all four quadrants.•Check any tube placement for drainage and insertion site integrity.•Inquire whether passing flatus or stool.•Be aware of dietary orders. •Genitourinary•Inquire whether voiding regularly.•Check urine for color, clarity.•If Foley catheter is in place: check color, quantity, clarity, and amount .•If urine output is below expected value, perform a bladder scan according to agency protocol.

Abdomen: infant - CORRECT ANSWER: Inspect ØShape of abdomen and skin condition ØUmbilicus, count cord vessels, condition of cord or stump, detection of hernia ØSkin turgor Palpate 3 / 4

ØLight palpation to note muscle tone, liver, spleen tip, and bladder ØDeep palpation to note kidneys and potential masses ØFemoral arteries and inguinal lymph nodes Percuss all quadrants

Abnormal finding of jugular venous pressure - CORRECT ANSWER: patient elevated to 45 degrees , Internal jugular vein pulsation at 4 cm above sternal angle

Acculturation - CORRECT ANSWER: process of social and psychological exchanges

with encounters between persons of different cultures, resulting in changes in either group

Acrocyanosis - CORRECT ANSWER: bluish color around the lips, hands and

fingernails, feet and toenails.

Activity- bedside - CORRECT ANSWER: Note activity order—If patient is on bed rest, HOB should be elevated.Note if SCDs are ordered and follow protocol.If ambulatory, assist patient to sitting level and move to chairNote any assistance needed and ability to transfer.Assess need for ambulatory aid or equipment.Complete any standardized scales per protocol to quantify fall risk.Initiate or continue appropriate plan of care and follow core measures as needed.Complete documentation.

Ad hoc interpreter - CORRECT ANSWER: using a patient's family member, friend, or child as interpreter for a patient with limited English proficiency (LEP)

african american with flat, 3cm, nontender, gray/white lesion on bucal mucosa -

CORRECT ANSWER: leukodema, normal

Although a full mental status examination may not be required for every patient, the health care provider must address the four main components during a health history and physical examination. The four components are:

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