ch 26

Question 1

T/F: A nurse who asks a patient to raise his eyebrows, smile, and show his teeth is assessing cranial nerve VII.

Answer 1

True

Question 2

A _____________ health assessment focuses on the effects of health or illness on a patient’s quality of life, including the strengths of the patient and areas that need to improve.

Answer 2

functional

Question 3

A health ____________ is a collection of subjective information about the patient’s health status, whereas a physical assessment is a collection of objective data that provides information about changes in the patient’s body systems.

Answer 3

history

Question 4

Cyanosis is a bluish or grayish discoloration of the skin in response to inadequate _____________, whereas jaundice is a yellow color of the skin resulting from elevated amounts of bilirubin in the blood.

Answer 4

oxygenation

Question 5

T/F: Turgor, a term used to describe the fullness or elasticity of the skin, is usually assessed on the sternum or under the clavicle.

Answer 5

True

Question 6

Abnormal “swooshing or blowing” sounds heard over a blood vessel are known as __________, caused by blood that is swirling in a vessel rather than exhibiting a normal smooth flow.

Answer 6

bruits

Question 7

The four characteristics of sound heard when using auscultation are pitch, loudness, ___________, and duration.

Answer 7

quality

Question 8

T/F: A patient who exhibits decorticate or decerebrate posturing would receive a score of 3 or below in motor response on the Glasgow Coma Scale.

Answer 8

True

Question 9

T/F: Adventitious breath sounds are heard over the mainstem bronchus and are described as “blowing” sounds.

Answer 9

False

Question 10

T/F: A nurse would use the technique of inspection to assess the consistency, texture, and tenderness of a mass.

Answer 10

False

It’s Palpation