Exam Newest - NUR 631 Advanced Health Assessment

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NUR 631 Advanced Health Assessment D’Youville University Actual Exam Newest - /NUR 631 Advanced Health Assessment D’Youville University Exam Preparation/NUR 631 Advanced Health Assessment D’Youville University Practice Exam With Complete Questions And Correct Answers| Brand New Version!

Mrs. R. is a 92-year-old retired teacher who comes to your clinic accompanied by her daughter. You ask Mrs. R. why she came to your clinic today. She looks at her daughter and doesn't say anything in response to your question. This is an example of which type of challenging patient?

• Talkative patient
• Angry patient
• Silent patient
• Hearing-impaired patient - ANSWER-C) silent patient

Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular provider is on vacation and she wanted to be seen.You have heard about her many times from your colleague and are aware that she is a very talkative person. Which of the following is a helpful technique to improve the quality of the interview for both the provider and the patient?

• Allow the patient to speak uninterrupted for the duration of the

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• Briefly summarize what you heard from the patient in the first 5

minutes and then try to have her focus on one aspect of what she told you.

• Set the time limit at the beginning of the interview and stick with it,

no matter what occurs in the course of the interview.

• Allow your impatience to show so that the patient picks up on your

nonverbal cue that the appointment needs to end. - ANSWER-B) briefly summarize what you heard from the patient in the first 5 minutes and then try to have her focus on one aspect of what she told you

Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection.When you enter the room, she appears to be very angry. She has a raised tone of voice and states that she has been waiting for the past hour and has to get back to work. She states that she is unimpressed by the reception staff, the nurse, and the clinic in general and wants to know why the office wouldn't call in an antibiotic for her. Which of the following techniques is not useful in helping to calm this patient?

• Avoiding admission that you had a part in provoking her anger

because you were late

• Accepting angry feelings from the patient and trying not to get angry

in return

• Staying calm
• Keeping your posture relaxed - ANSWER-A) avoiding admission

that you had a part in provoking her anger because you were late

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A 23-year-old graduate student comes to your clinic for evaluation of a urethral discharge. As the provider, you need to get a sexual history.Which one of the following questions is inappropriate for eliciting the information?

• Are you sexually active?
• When was the last time you had intimate physical contact with

someone, and did that contact include sexual intercourse?

• Do you have sex with men, women, or both?
• How many sexual partners have you had in the last 6 months? -

ANSWER-A) are you sexually active?

the question is too vague

Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has come to the office many times in the past with a variety of injuries, and you suspect that he has a problem with alcohol. Which one of the following questions will be most helpful in diagnosing this problem?

• You are an alcoholic, aren't you?
• When was your last drink?
• Do you drink 2 to 3 beers every weekend?
• Do you drink alcohol when you are supposed to be working? -

ANSWER-B) when was your last drink?

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On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual visit for her blood pressure. She is on a low-dose diuretic chronically and denies any side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are writing her script, she mentions that it is hard not having her husband Bill around anymore.What would you do next?

• Hand her the script and make sure she has a 3-month follow-up

appointment.

• Make sure she understands the script.
• Ask why Bill is not there.
• Explain that you will have more time at the next visit to discuss this.
• ANSWER-C) ask why bill is not there?

patient is looking for support and empathy

A patient is describing a very personal part of her history very quickly and in great detail. How should you react to this?

• Write down as much as you can, as quickly as possible.
• Ask her to repeat key phrases or to pause at regular intervals, so you

can get almost every word.

• Tell her that she can go over the notes later to make sure they are

accurate.

• Push away from the keyboard or put down your pen and listen. -

ANSWER-D) push away from the keyboard and put down your pen and listen

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