NSG 200 Test 1 Prep

Question 1

What is the first step of the physical examination?

Answer 1

Inspection

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 2

______ involves observing the patient from front to back and from each side, as well as checking for symmetry of body parts, obvious injuries, or abnormalities and overall appearance.

Answer 2

General inspection

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 3

____ is the inspection of each body region systematically from head to toe.

Answer 3

Systematic inspection.

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 4

Perform the _____ inspection followed by the _____ inspection.

Answer 4

General then systematic

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 5

____ is a technique using the hands and fingers to gather information through the sense of touch.

Answer 5

Palpation

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 6

Perform ____ palpation before _____ palpation.

Answer 6

Shallow then deep

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 7

____ uses sound waves to determine the density of tissue

Answer 7

Percussion

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 8

Percussion tones include:
“ThrdF”

Answer 8

Tympany, resonance, hyperresonance, dullness, and flatness

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 9

Percuss from an area of _____ to an area of ____.

Answer 9

Resonance to dullness.

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 10

Use ______, _____, or ____ percussion to elicit appropriate findings.

Answer 10

Direct, indirect, or fist.

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 11

Place the stethoscope on _______ to ensure accurate findings.

Answer 11

Patient’s bare skin

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 12

What are the 4 characteristics of sound?

“DIPq”

Answer 12

“DIPq”

Duration, intensity, pitch, and quality

(Jarvis Sherpath Lesson Key Points: Exam Technique Chapter 8)

Question 13

The _____ is an essential piece of equipment used in health assessment to auscultate body sounds.

Answer 13

Stethoscope

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 14

What are the four types of stethoscopes?
“s-a-m-e”

Answer 14

”s-a-m-e”
Stereophoneic, acoustic, magnetic, and electronic.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 15

The four main points of the acoustic stethoscope are:

“T-H-E-B”

Answer 15

“T-H-E-B”

Tubing, head, earpieces, and binaurals,

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 16

The stethoscope head includes:

Answer 16

the diaphragm and the bell.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 17

The diaphragm auscultates ___-pitched body sounds such as:

Answer 17

high-pitched body sounds
such as lung sounds, normal heart sounds, and bowel sounds.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 18

The bell auscultates ____-pitched body sounds, such as

Answer 18

low-pitched body sounds,
extra heart sounds, heart murmurs, and arterial bruits.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 19

The purpose of the pulse oximeter is

Answer 19

to measure the oxygen saturation of the blood.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 20

The pulse oximeter probe is placed on a part of the body that is highly vascular, such as

Answer 20

the finger, the toe, the earlobe, and the bridge of the nose.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 21

Blood pressure is measured using

Answer 21

a sphygmomanometer and stethoscope or with an automated electronic device.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 22

Accurate blood pressure measurements rely on ______ used on the patient’s limb.

Answer 22

an appropriate size cuff

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 23

The _______ uses a system of lenses and mirrors and a light source that projects through different apertures, allowing examination of the inner eye structures.

Answer 23

ophthalmoscope

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 24

The ______ uses a light source to achieve direct examination of the ear canal and tympanic membrane.

Answer 24

otoscope

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 25

The examiner selects the _____ size speculum that fits into the patient’s ear canal.

Answer 25

largest

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 26

The ____ of an adult must be ____ to straighten out the ear canal.

Answer 26

pinna, pulled up and back

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 27

The child’s _____ must be ______ when assessing tympanic temperature.

Answer 27

pinna, pulled down and back

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 28

The _____ & _____ speculum should be used for nasal examinations.

Answer 28

shortest & widest

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 29

The percussion hammer, or reflex hammer, is used to test:

Answer 29

deep tendon reflexes.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 30

The percussion hammer has two sides, what are they?

Answer 30

a pointed side and a flat side.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 31

The ____ surface of a tendon hammer is more commonly used to strike a tendon directly, and it is more comfortable for the patient.

Answer 31

flat

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 32

The ____ surface is used to strike the tendon directly or strike the nurse’s finger placed on the tendon, and in small areas.

Answer 32

pointed

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 33

The nurse’s ______ also can be used to elicit the deep tendon reflexes, especially in small children who may find the percussion hammer intimidating.

Answer 33

finger

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 34

______________ are used to assess vision in both adults and children.

Answer 34

Visual acuity charts

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 35

The ____ chart tests far vision in adults and children ages 6 and older.

Answer 35

Snellen

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 36

Vision in children ages _____ to _____ is tested using the Tumbling E, HOTV, LH symbols, or Broken Wheel charts.

Answer 36

1 to 6

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 37

Near vision in an adult is assessed using the ______ or _____ charts or by ______.

“R-J-R”

Answer 37

Rosenbaum or Jaeger, or by reading newsprint.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 38

Normal vision is 20/20, and the ______ the denominator, the poorer the patient’s far vision.

Answer 38

bigger

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 39

______ vision is assessed in a similar way with the Rosenbaum or Jaeger charts, but the patient holds the chart ___ inches from eyes.

Answer 39

Near, 14-inches

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 40

The _______ is used during health assessment to test auditory sensation or vibratory sensation.

Answer 40

tuning fork

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 41

A ____-pitched tuning fork with a frequency of 500 to 1000 Hz is used to evaluate auditory sensation.

Answer 41

high

“if the second number has 4 digits, then it matches the 4 letters of HIGH. If it has 3 digits, it matches LOW”

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 42

A high-pitched tuning fork with a frequency of _____ to ____ is used to evaluate auditory sensation.

Answer 42

500 to 1000 Hz

Question 43

The tuning fork used to test vibratory sensation has a ____ pitch between 100 and 400 Hz.

Answer 43

low

Lower case “l” looks like the first number “1” 100. l=1 l=low
both numbers are 3 digits and LOW = 3 letters

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 44

A low-pitched tuning fork used to test vibratory sensation has a pitch between _____ and______.

Answer 44

100 and 400 Hz

Question 45

To activate the auditory tuning fork: ________

Answer 45

gently squeeze and stroke the prongs or tap them against the heel of the hand so that they ring softly.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 46

The activated tuning fork is placed _______ to test hearing

Answer 46

on top of the skull or placed by the ear

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 47

To activate the vibratory sensation tuning fork, _______

Answer 47

tap the prongs against the heel of the hand and hold the activated tuning fork over a bony prominence. The patient should feel a vibration if vibratory sensation is intact to that joint.

(Jarvis Sherpath Lesson Key Points: Examination Equipment Chapter 8)

Question 48

Normal body temperature ranges from ____ to ____ Fahrenheit

Answer 48

97.2° to 100° Fahrenheit

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 49

Normal body temperature ranges from ___ to ___ Celsius.

Answer 49

36.2° to 37.7° Celsius

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 50

Common locations to assess body temperature include:

Answer 50

oral, axillary, temporal artery, tympanic, and rectal.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 51

______ is the most reliable form of measurement and can be measured using the tympanic thermometer.

Answer 51

Core body temperature

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 52

The best sites for palpating the arterial pulse are:

Answer 52

carotid, brachial, radial, femoral, popliteal, posterior tibial, and dorsalis pedis.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 53

When palpating the pulse of a healthy adult, the nurse should palpate the pulse for:

Answer 53

30 seconds and then multiply the number of palpated beats by 2.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 54

The healthy adult patient should have a pulse between ___
and ___

Answer 54

60 and 100 beats per minute.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 55

Expected findings for pulse include:

Answer 55

regular rhythm, strong amplitude, and smooth contour.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 56

Respiration is the measure of:

Answer 56

inspiration and expiration.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 57

The nurse should count the respirations for:

Answer 57

30 seconds and then multiply that number times 2.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 58

The nurse should note the _____ and ____ of respirations a well as the ____ or ____

Answer 58

rate and depth of respirations, as well as the effort, or difficulty with which the patient breathes.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 59

A normal respiratory rate for a healthy adult patient is

Answer 59

12 to 20 breaths per minute.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 60

When assessing breathing in a healthy adult patient, the nurse expects to find

Answer 60

effortless breathing, a regular rhythm, and both thoracic and abdominal movement.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 61

_______ is the force of the blood against the artery wall during contraction and relaxation of the ventricles.

Answer 61

Blood pressure

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 62

Blood pressure gives the nurse information about the patient’s:

Answer 62

cardiac output, hydration status, and function of the cardiovascular system.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 63

The nurse should follow the correct steps for blood pressure measurement and record both the _____ and the _____

Answer 63

first systolic sound and the second diastolic sound.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 64

Accurate measurement requires that the pulse ox probe be placed on a site where the skin is translucent, such as

Answer 64

the finger, toe, or pinna of the ear.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 65

Normal oxygen saturation levels are between

Answer 65

95% and 100%.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 66

Hypoxia is noted when the saturation falls below

Answer 66

90%.

(Jarvis Sherpath Lesson Key Points: Vital Signs Chapter 10)

Question 67

Physical examination requires the sequential use of four assessment techniques:
“i-p-p-a”

Answer 67

inspection, palpation, percussion, and auscultation.

(Jarvis Sherpath Key Points: Chapter 8)

Question 68

_____ is close, careful observation of the individual as a whole and then of each body system.

Answer 68

Inspection

(Jarvis Sherpath Key Points: Chapter 8)

Question 69

_____ is the use of touch to assess texture, temperature, moisture, and organ location and size. This technique also helps identify swelling, vibration or pulsation, rigidity or spasticity, crepitation, lumps or masses, and tenderness or pain.

Answer 69

Palpation

(Jarvis Sherpath Key Points: Chapter 8)

Question 70

The ____ are best for fine tactile discrimination.

Answer 70

fingertips

(Jarvis Sherpath Key Points: Chapter 8)

Question 71

______ is ideal for detecting position, shape, and consistency of an organ or mass.

Answer 71

Grasping with the fingers and thumb

(Jarvis Sherpath Key Points: Chapter 8)

Question 72

Grasping with the fingers and thumb is idea detecting:

Answer 72

position, shape, and consistency of an organ or mass.

(Jarvis Sherpath Key Points: Chapter 8)

Question 73

The backs of the hands and fingers are good for determining ______.

Answer 73

temperature

(Jarvis Sherpath Key Points: Chapter 8)

Question 74

The _____ or _____ is best for assessing vibration.
(parts of bass guitarist’s hand)

Answer 74

base of the fingers or ulnar surface of the hand

(Jarvis Sherpath Key Points: Chapter 8)

Question 75

The base of the fingers or ulnar surface of the hand is best for assessing

Answer 75

vibration

(Jarvis Sherpath Key Points: Chapter 8)

Question 76

______ detects surface characteristics and accustoms the person to being touched.

Answer 76

Light palpation

(Jarvis Sherpath Key Points: Chapter 8)

Question 77

Light palpation detects

Answer 77

surface characteristics and accustoms the person to being touched.

(Jarvis Sherpath Key Points: Chapter 8)

Question 78

______ assesses an organ or mass deeper in a body cavity.

Answer 78

Deep palpation

(Jarvis Sherpath Key Points: Chapter 8)

Question 79

Deep palpation assesses _________ or ________

Answer 79

an organ or mass deeper in a body cavity.

(Jarvis Sherpath Key Points: Chapter 8)

Question 80

_________ requires the use of both hands to envelop or capture certain body parts or organs.

Answer 80

Bimanual palpation

(Jarvis Sherpath Key Points: Chapter 8)

Question 81

Bimanual palpation requires the use of both hands to

Answer 81

envelop or capture certain body parts or organs.

(Jarvis Sherpath Key Points: Chapter 8)

Question 82

_______ is tapping the patient’s skin with short, sharp strokes to assess underlying structures. This technique is used to assess the location, size, and density of an organ, detect a fairly superficial abnormal mass, or elicit a deep tendon reflex.

Answer 82

Percussion

(Jarvis Sherpath Key Points: Chapter 8)

Question 83

Percussion is tapping the patient’s skin with short, sharp strokes to assess:

Answer 83

underlying structures.

(Jarvis Sherpath Key Points: Chapter 8)

Question 84

To perform percussion:

Answer 84

hyperextend the middle finger and place its distal joint and tip firmly against the person’s skin. Then use the middle finger of your dominant hand to strike the stationary finger at a right angle. Deliver two even, staccato blows, using a quick wrist action.

(Jarvis Sherpath Key Points: Chapter 8)

Question 85

Each percussion sound has four components. What are they?’
“qPAD”

Answer 85

“qPAD”

Quality, pitch, amplitude, and duration

(Jarvis Sherpath Key Points: Chapter 8)

Question 86

_____ is the sound’s intensity, which may be loud or soft.

Answer 86

Amplitude

(Jarvis Sherpath Key Points: Chapter 8)

Question 87

______ describes the number of vibrations per second.

Answer 87

Pitch or frequency

(Jarvis Sherpath Key Points: Chapter 8)

Question 88

_____ is the subjective difference due to a sound’s distinctive overtones.

Answer 88

Quality (or timbre)

(Jarvis Sherpath Key Points: Chapter 8)

Question 89

____ is the length of time the note lingers.

Answer 89

Duration

(Jarvis Sherpath Key Points: Chapter 8)

Question 90

______ is listening to sounds produced by the body, usually using a stethoscope. The heart, blood vessels, lungs, and abdomen are common areas.

Answer 90

Auscultation

(Jarvis Sherpath Key Points: Chapter 8)

Question 91

Use the stethoscope’s ______ for high-pitched sounds, such as breath, bowel, and normal heart sounds.

Answer 91

diaphragm

(Jarvis Sherpath Key Points: Chapter 8)

Question 92

Use the stethoscope’s ____ for soft, low pitched sounds, such as extra heart sounds or murmurs.

Answer 92

bell

(Jarvis Sherpath Key Points: Chapter 8)

Question 93

To ensure accurate auscultation, eliminate confusing _______, for example, by making sure the room is quiet and warm and not listening through clothing.

Answer 93

artifacts

(Jarvis Sherpath Key Points: Chapter 8)

Question 94

The single most important step to decrease microorganism transmission is thorough

Answer 94

handwashing or using an alcohol-based hand rub.

(Jarvis Sherpath Key Points: Chapter 8)

Question 95

What routes of temperature measurement reflect the body’s core temperature?

Answer 95

oral, rectal, tympanic, temporal

(Jarvis Sherpath Key Points: Chapter 10)

Question 96

The ____ route of temperature measurement is the most accurate and convenient

Answer 96

oral

(Jarvis Sherpath Key Points: Chapter 10)

Question 97

The ____ route is the most accurate route and the result is as close to core temperature as possible without using more invasive measures.

Answer 97

rectal

Pretty invasive if you ask me….

(Jarvis Sherpath Key Points: Chapter 10)

Question 98

The _____ route senses infrared emissions of the eardrum, thus it is an accurate measurement of core temperature.

Answer 98

tympanic

(Jarvis Sherpath Key Points: Chapter 10)

Question 99

The _____ thermometer works by taking multiple readings and providing an average.

Answer 99

temporal artery

(Jarvis Sherpath Key Points: Chapter 10)

Question 100

When palpating a peripheral pulse, assess three qualities:

Answer 100

rate, rhythm, and force.

(Jarvis Sherpath Key Points: Chapter 10)

Question 101

In an adult at rest, the rate normally ranges from _____ to ____ beats per minute but varies with age and gender.

Answer 101

50 to 95

(Jarvis Sherpath Key Points: Chapter 10)

Question 102

A pulse lower than ____ beats/minute is bradycardia.

Answer 102

50

(Jarvis Sherpath Key Points: Chapter 10)

Question 103

A pulse higher than ___ beats/minute is tachycardia.

Answer 103

95

(Jarvis Sherpath Key Points: Chapter 10)

Question 104

The pulse rhythm normally has an _____, _____ tempo.

Answer 104

even, regular

(Jarvis Sherpath Key Points: Chapter 10)

Question 105

The force of the pulse shows the strength of the heart’s stroke volume. The force is measured how?

Answer 105

From 0 for absent to 3+ for a full, bounding pulse.

(Jarvis Sherpath Key Points: Chapter 10)

Question 106

Normally, respirations are

Answer 106

relaxed, regular, automatic, and silent.

(Jarvis Sherpath Key Points: Chapter 10)

Question 107

The normal respiratory rate varies with the patient’s ____.

Answer 107

age

(Jarvis Sherpath Key Points: Chapter 10)

Question 108

The ratio of the pulse rate to respiratory rate commonly is ___ to __.

Answer 108

4 to 1

(Jarvis Sherpath Key Points: Chapter 10)

Question 109

______ is the force of the blood pushing against the blood vessel walls.

Answer 109

Blood pressure

(Jarvis Sherpath Key Points: Chapter 10)

Question 110

____ is the maximum pressure felt on the artery during left ventricular contraction.

Answer 110

Systolic pressure

(Jarvis Sherpath Key Points: Chapter 10)

Question 111

____ is the elastic recoil (or resting) pressure the blood exerts constantly between contractions.

Answer 111

Diastolic pressure

(Jarvis Sherpath Key Points: Chapter 10)

Question 112

____ is the difference between the systolic and diastolic pressures and reflects the stroke volume

Answer 112

Pulse pressure

(Jarvis Sherpath Key Points: Chapter 10)

Question 113

_____ is the pressure forcing blood into the tissues, averaged over the cardiac cycle.

Answer 113

Mean arterial pressure

(Jarvis Sherpath Key Points: Chapter 10)

Question 114

Several factors affect blood pressure, including

Answer 114

age, sex, race, diurnal rhythm, weight, exercise, emotions, and stress.

(Jarvis Sherpath Key Points: Chapter 10)

Question 115

The blood pressure level is determined by five factors:

“C-P-3V”

Answer 115

“C-P-3V”

cardiac output, peripheral vascular resistance, volume of circulating blood, viscosity, and vessel wall elasticity.

(Jarvis Sherpath Key Points: Chapter 10)

Question 116

To obtain an accurate measurement, the width of the cuff’s rubber bladder should equal __% of the circumference of the person’s arm.

“spray lube…”

Answer 116

40%

“WD-40”

(Jarvis Sherpath Key Points: Chapter 10)

Question 117

The length of the bladder should equal __% of the arm circumference.

Answer 117

80%

(Jarvis Sherpath Key Points: Chapter 10)

Question 118

With the patient’s bare arm supported at heart level, center the cuff about ___inch(es) above the brachial artery

Answer 118

1 inch

(Jarvis Sherpath Key Points: Chapter 10)

Question 119

What are the names of the sounds you should hear while deflating the BP cuff?
“__ + __= __”

Answer 119

Korotkoff sounds I, IV, and V.

“1+4=5”

(Jarvis Sherpath Key Points: Chapter 10)

Question 120

____ vital signs are taken when the patient is in various positions: supine, sitting, and standing.

Answer 120

Orthostatic

(Jarvis Sherpath Key Points: Chapter 10)

Question 121

A ____ may be used to locate peripheral pulse sites or for blood pressure measurement when sounds are difficult to hear with a stethoscope alone.

Answer 121

Doppler

(Jarvis Sherpath Key Points: Chapter 10)

Question 122

A health _____ is a structured interaction between you and the patient.

Answer 122

Interview

(Jarvis Sherpath Key Points: Chapter 3)

Question 123

During which interview phase do you introduce yourself and your role?

Answer 123

The first

(Jarvis Sherpath Key Points: Chapter 3)

Question 124

_____ ask for specific information in short, one- or two-word answers.

Answer 124

Closed or direct questions

(Jarvis Sherpath Key Points: Chapter 3)

Question 125

Through _____, _____, _____, _____, and _____ you react to the facts or feelings the patient has communicated

“FSrec”

Answer 125

Facilitation, silence, reflection, empathy, and clarification

(Jarvis Sherpath Key Points: Chapter 3)

Question 126

Through facilitation, silence, reflection, empathy, and clarification, you react to the facts or feelings the patient has communicated. Your response focuses on:

Answer 126

the patient’s frame of reference.

(Jarvis Sherpath Key Points: Chapter 3)

Question 127

Through ____, ____, ____, and ____ your response focuses on your own frame of reference, expressing your thoughts, and feelings.

Answer 127

confrontation, interpretation, explanation, and summary.

(Jarvis Sherpath Key Points: Chapter 3)

Question 128

Through confrontation, interpretation, explanation, and summary, your response focuses on:

Answer 128

your own frame of reference, expressing your thoughts, and feelings.

(Jarvis Sherpath Key Points: Chapter 3)

Question 129

_________ communication is important in establishing rapport and conveying information while providing clues to understanding feelings.

Answer 129

Nonverbal

(Jarvis Sherpath Key Points: Chapter 3)

Question 130

WHO (1948) defines health as ___

Answer 130

“a state of physical, mental, and social well-being and not merely the absence of disease or infirmity.”

(Potter Sherpath Lesson Key Points: Health, Wellness, and Models of Health: Chapter 6)

Question 131

______ is an active process of self-care involving making healthy choices.

Answer 131

Wellness

(Potter Sherpath Lesson Key Points: Health, Wellness, and Models of Health: Chapter 6)

Question 132

The _________ explores how patients’ attitudes and beliefs predict their health behaviors.

Answer 132

Health Belief Model

(Potter Sherpath Lesson Key Points: Health, Wellness, and Models of Health: Chapter 6)

Question 133

_____ exists on the health continuum and is the polar opposite of wellness.

Answer 133

Illness

(Potter Sherpath Lesson Key Points: Illness: Chapter 6)

Question 134

__________ is any condition characterized by signs and symptoms of rapid onset and short duration (less than 6 months) that affect normal functioning.

Answer 134

Acute illness

(Potter Sherpath Lesson Key Points: Illness: Chapter 6)

Question 135

___________ is any condition in which signs and symptoms persist over a long period (more than _ months) and impact normal functioning, occasionally causing permanent alteration in functioning.

Answer 135

Chronic Illness, 6 months

(Potter Sherpath Lesson Key Points: Illness: Chapter 6)

Question 136

Chronic illness is characterized by periods of _______ (disappearance of clinical manifestations) and ___________ (worsening of clinical manifestations).

Answer 136

remission and exacerbation

(Potter Sherpath Lesson Key Points: Illness: Chapter 6)

Question 137

During the illness experience, patients:
“mtee”

Answer 137

monitor physical well-being
label and interpret symptoms
take curative actions
enter the health care system.

(Potter Sherpath Lesson Key Points: Illness: Chapter 6)

Question 138

Determinants of health are the:

Answer 138

personal, social, economic, and environmental factors that influence health.

(Potter Sherpath Lesson Key Points: Factors Influencing Health: Chapter 6)

Question 139

According toHealthy People 2020, determinants of health are classified into the following five categories:
“P-H-I-B-S”

Answer 139

“P-H-I-B-S”

Policymaking, health services, individual behaviors, biology and genetics, social determinants

(Potter Sherpath Lesson Key Points: Factors Influencing Health: Chapter 6)

Question 140

Biologic and genetic determinants of health include

Answer 140

age, sex, and genetic risk factors.

(Potter Sherpath Lesson Key Points: Factors Influencing Health: Chapter 6)

Question 141

Social determinants of health are the conditions in the environments in which people ____, ____, ____, ____, ____, and ____ that affect a wide range of health, functioning, and quality-of-life outcomes and risks.

Answer 141

live, learn, work, play, worship, and age

(Potter Sherpath Lesson Key Points: Factors Influencing Health: Chapter 6)

Question 142

There are five key areas of social determinants of health as outlined by Healthy People 2020:
“S-H-E-E-N”

Answer 142

“S-H-E-E-N”

1. Social and community context
2. Health and health care
3. Economic stability
4. Education
5. Neighborhood and built environment

(Potter Sherpath Lesson Key Points: Factors Influencing Health: Chapter 6)

Question 143

Health promotion includes activities that assist individuals create a balance of ____, ____, ____, ____, and ____ to achieve a state of optimal health.

“P-E-S-S-I”

Answer 143

physical, emotional, social, spiritual, and intellectual well-being

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 144

_______ includes passive and active strategies:

Answer 144

Health promotion

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 145

_____ strategies are actions or conditions that benefit an individual’s health and do not require the individual’s active involvement.

Answer 145

Passive

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 146

____ strategies of health promotion require individuals to be engaged participants in activities to improve and maintain health.

Answer 146

Active

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 147

_______ involves activities and interventions that delay or prevent symptoms, complications, and death related to illness.

Answer 147

Illness prevention

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 148

_______ are any situations, habits, conditions, or other variables that increase the susceptibility of an individual or group to physical or mental harm.

Answer 148

Risk factors

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 149

____ prevention focuses on the prevention of disease.

Answer 149

Primary

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 150

An example of _____ prevention is health education about safe sex practices.

Answer 150

primary

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 151

______ prevention is aimed at detecting hidden disease.

Answer 151

Secondary

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 152

An example of ______ prevention is screening for HIV.

Answer 152

secondary

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 153

Examples of ______ prevention are medication to stop a disease process and nursing interventions to alleviate suffering related to an incurable disease.

Answer 153

tertiary

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 154

______
prevention activities focus on performing actions to protect individuals (persons/patients) from the use of medical interventions that demonstrate no benefit to patients.

Answer 154

Quaternary

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 155

________ ________identifies leading health indicators that are high priority health issues in the United States.

Answer 155

Healthy People

(Potter Sherpath Key Points: Chapter 6)

Question 156

Definitions of health vary among individuals based on a person’s:

Answer 156

health beliefs, developmental age, and level of functioning.

(Potter Sherpath Key Points: Chapter 6)

Question 157

______ variables, such as a person’s developmental stage and spirituality, and external factors, such as family roles and SDOH, influence a person’s health, health beliefs, and health practices.

Answer 157

Internal

(Potter Sherpath Key Points: Chapter 6)

Question 158

_____ prevention reduces the incidence of disease, secondary prevention prevents the spread of disease when it occurs, and tertiary prevention minimizes the effects of disease or disability.

Answer 158

Primary

(Potter Sherpath Key Points: Chapter 6)

Question 159

Reducing risk factors and improving health usually require ______

Answer 159

a change in health behaviors.

(Potter Sherpath Key Points: Chapter 6)

Question 160

Illness behaviors are different reactions people have when they become ill. Variables such as ______, ______, and _____ affect a person’s illness behaviors.

PTV

Answer 160

PERCEPTIONS of the illness
the TYPE of illness or disease,
and the VISIBILITY of symptoms

(Potter Sherpath Key Points: Chapter 6)

Question 161

______ prevention is designed to treat and manage diagnosed disease.

Answer 161

Tertiary

(Potter Sherpath Lesson Key Points: Health Promotion, Illness Prevention, and Levels of Preventative Care: Chapter 6)

Question 162

During the working phase, gather ____

Answer 162

data

(Jarvis Sherpath Key Points: Chapter 3)

Question 163

During the first phase, begin the interview by

Answer 163

introducing yourself and your role

(Jarvis Sherpath Key Points: Chapter 3)

Question 164

______ ask for narrative information.

Answer 164

Open-ended questions

(Jarvis Sherpath Key Points: Chapter 3)

Question 165

During the ____ phase, gather data. Start with open-ended questions, which ask for narrative information. Then use closed or direct questions, which ask for specific information in short, one- or two-word answers.

Answer 165

working

(Jarvis Sherpath Key Points: Chapter 3)

Question 166

The interview has three phases:

Answer 166

an introduction,
a working phase,
and a closing.

(Jarvis Sherpath Key Points: Chapter 3)

Question 167

____ factors are specific to the examiner.

Answer 167

Internal

(Jarvis Sherpath Key Points: Chapter 3)

Question 168

_____ factors relate mainly to the physical setting

Answer 168

External

(Jarvis Sherpath Key Points: Chapter 3)

Question 169

Internal factors promote good communication. They are:

Answer 169

Liking others, expressing empathy, the ability to listen, and self-awareness.

(Jarvis Sherpath Key Points: Chapter 3)