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UF NUR3066C-Health Assessment Exam 1 Study Guide Latest Update - Actual Exam 250 Questions and 100% Verified Correct Answers Guaranteed A+
5 rights of delegation - CORRECT ANSWER: 1. Right task
- Right circumstance
- Right person
- Right direction/communication
- Right supervision/evaluation
A patient with no history of hypertension has a blood pressure reading of 190/100. Why might this be possible? - CORRECT ANSWER: - A blood pressure cuff that is too small can cause a falsely high reading.
- The nurse would determine if the appropriate cuff size is being used before repeating the blood
pressure
A preschooler with autism spectrum disorder exhibits.... - CORRECT ANSWER: irritable mood, poor eye contact, repetitive speech, strict adherence to routines, and difficulty in making friends
A, B, C, T - CORRECT ANSWER: Components of a mental assessment.
Appearance, Behavior, Cognition, Thought process
abnormality observed in a child with oppositional defiant disorder (ODD) - CORRECT ANSWER: mental health disorder seen in children who are extremely irritable
- tend to lose their tempers, argue with adults, and disobey set rules
According to Piaget, a child who has developed logical thinking and is able to use numbers for calculation is in which stage of cognitive development? - CORRECT ANSWER: Concrete operations
- 7- to 11-year-old
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According to Piaget, what age is in the range for the preoperational stage of cognitive development? -
CORRECT ANSWER: age group of 2 to 6 years
According to Piaget's theory of cognitive development, what age is a child considered to be in presymbolic language development? - CORRECT ANSWER: children younger than the age of 2 years
action cues - CORRECT ANSWER: posture, facial expressions, and gestures
Ad hoc interpreter - CORRECT ANSWER: friend or relative of the patient, and the patient may be stressed while talking about the problems with such an interpreter
ADPIE - CORRECT ANSWER: Assessment.
Diagnosis.Planning.Implementation.Evaluation.
Affect - CORRECT ANSWER: temporary expression of feelings or state of mind
agoraphobia - CORRECT ANSWER: an irrational fear of being out in the open or in any place from which it would be difficult to escape
- patient is reluctant to move home
aphasia - CORRECT ANSWER: speech disorder in which the patient has difficulty understanding or producing language
Assessment - CORRECT ANSWER: What do I think the problem is?
- Nurses interpretation of data relative to patient issue
attention deficit/hyperactivity disorder - CORRECT ANSWER: child is unable to complete tasks because he or she is easily distracted 2 / 4
Axillary Temperature - CORRECT ANSWER: measures 1° F lower than oral
Background - CORRECT ANSWER: What is the clinical background?
- Providing context and assessment data relative to patient issue
Bradycardia - CORRECT ANSWER: slow heart rate, less than 50 beats per minute in the adult
Checking pulse force - CORRECT ANSWER: Use a rating scale of 0-4+ or 0-3+, 2+ pulse is Normal
Checking pulse rate - CORRECT ANSWER: number per minute
Checking pulse rhythm - CORRECT ANSWER: If regular rhythm---count number of beats in 30 seconds & multiply by 2.If irregular rhythm---count number of beats for full minute.
Circumlocution - CORRECT ANSWER: thought process abnormality in which the patient substitutes a word or phrase, such as "thing," to denote an object, such as glasses, instead of asking directly for it
Circumstantiality - CORRECT ANSWER: refers to excessive talking and unnecessary detail that delays in answering the questions
Communication techniques in adolescents - CORRECT ANSWER: puberty - communication is transparent.Use honest & respectful approach.
Communication techniques in infants - CORRECT ANSWER: birth to 1 years - nonverbal communication.Handle gently & use quiet, calm voice, face infants directly
Communication techniques in older adults - CORRECT ANSWER: communication is adjusted for older adults if sensory or physical deficits. 3 / 4
Be respectful; no "elderspeak" of honey, sweetie, dearie.
Communication techniques in preschoolers - CORRECT ANSWER: 3-6 years - developing communication with 6-8 words.Short simple sentences.Education & explanations through play, puppet shows, dress up, drawings.
Communication techniques in school age children - CORRECT ANSWER: 7-12 years - communication is functional.Use nonjudgmental approach; child wants to know how & why.
Communication techniques in toddlers - CORRECT ANSWER: 1-3 years - developing communication with 6-8 word sentences.Keep simple, one direction at a time, simple choices.
Comprehensive assessment - CORRECT ANSWER: Includes all data - subjective & objective - and holistic assessment
Confabulation - CORRECT ANSWER: Falsification of events to fill in memory gaps
- While describing the actual event to the nurse, the patient adds false information because he or she
- patient creates story
cannot remember the actual cause of injury
Cons of using an EHR - CORRECT ANSWER: Work arounds - copying previous assessments.Risk for privacy.Diminishes Rapport if too distracted.Redundancy.More costly.System errors/going down - natural disasters?
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