Nurs 121 Exam #1 chapters 1-6, 11 & 12

Question 1

The nurse is reviewing a patient’s medical history and finds that she has previously had cervical cancer. The nurse should ask the patient how recently she has had which test? (pg52)

Answer 1

papsmear

Question 2

While documenting a complete health history, under which section does the nurse record a patient’s daily activities? (pg56)

Answer 2

functional assesment

Question 3

The nurse is obtaining a history from a 7-year-old child with a hand injury. What measures should the nurse take while collecting the history? (pg112)

Answer 3

The nurse should use simple language.

Question 4

The nurse is interviewing a lesbian. Which strategy should the nurse implement for effective communication? (pg43)

Answer 4

Use the term “partner” during interaction instead of “husband” or “wife.”

Question 5

When should the nurse obtain a patient’s sexual history? (pg 697, 700)

Answer 5

Before a genital examination

Question 6

The nurse is assessing a patient who has an unsteady gait and lacks coordination. The nurse finds that the patient abuses alcohol. What should be the first question asked by the nurse to the patient during the interview? (pg42)

Answer 6

“When did you take your last drink?”

Question 7

Which is the most effective communication technique during a clinical interview? (pg 28)

Answer 7

Active listening

Question 8

During an interview, the nurse observes that an adolescent patient is uncomfortable in discussing sex-related matters. What step would the nurse take to make this patient feel more comfortable? (pg29)

Answer 8

Ask the parents to stay outside during the interview

Question 9

The nurse is collecting a patient’s complete health history. Under which section will the nurse include the patient’s name and the languages the patient speaks? (pg49)

Answer 9

Biographic data

Question 10

A disabled patient who has come for a regular checkup tells the nurse about a car accident that occurred at the age of five. Under which section should the nurse record the patient’s statement? (pg51-52)

Answer 10

Past health history

Question 11

During an initial interview, the patient admits to drinking two drinks a day. What does the nurse infer from this statement? (pg95)

Answer 11

The patient is a moderate drinker.

Question 12

A patient tells the nurse, “I’ve had a terrible headache since Monday morning.” Under which section of the health history will the nurse record this information? (pg50)

Answer 12

Reason for seeking care

Question 13

The obstetric history can be represented as GTPTAL. What do these letter represent? (pg 807)

Answer 13

G represents gravida status, T means term pregnancy, PT means preterm birth, A stands for abortion, and L stands for living children

Question 14

What should the nurse include in the past history of the patient? (pg51-52)

Hospitalizations

Transfusions

Immunizations

Symptoms

Reason for seeking care

Answer 14

Hospitalizations

Transfusions

Immunizations

Question 15

The nurse is completing an electronic health record (EHR) for a new patient. Which patient data should the nurse include? (pg804)

Scheduled visits

Clinical findings

Medical history

Expenses incurred

Laboratory results

Answer 15

Clinical findings

Medical history

Laboratory results

Question 16

The nurse teaches a student nurse about obtaining a female patient’s reproductive health history. Which statement, if made by the student nurse, indicates effective learning? (740-742)
“It should be obtained during the pelvic examination.”

“It should include the pattern of menstruation and sexual satisfaction.”

“It should focus on physical complaints such as discharge, pain, or rash.”

“It should be obtained every 3 to 5 years in a patient without complaints.”

Answer 16

It should include the pattern of menstruation and sexual satisfaction.”

Question 17

The student nurse interviews an adolescent patient. After the interview, the patient reports to the nurse that the student nurse seemed to be aloof and not concerned. Which behavior of the student nurse may have led the patient to have this opinion? (29-31)

The student nurse interviews an adolescent patient. After the interview, the patient reports to the nurse that the student nurse seemed to be aloof and not concerned. Which behavior of the student nurse may have led the patient to have this opinion?

The student nurse stands during the interview.

The student nurse calls the patient by the first name.

The student nurse asks open-ended questions to the patient.

The student nurse maintains a distance of 8 feet from the patient.

Answer 17

The student nurse maintains a distance of 8 feet from the patient.

Question 18

Define the following: (604)
the Phalen test

Thomas test

the McMurray test

the bulge sign test

Answer 18

The Phalen test helps determine carpal tunnel syndrome

The Thomas test helps diagnose flexion deformity.

McMurray test if the patient with a knee injury history

The bulge sign and ballottement of the patella help detect the accumulation of fluid in the joint space.

Question 19

Which nonverbal behaviors of the nurse will have a positive impact on a patient during an interview? (36)

Which nonverbal behaviors of the nurse will have a positive impact on a patient during an interview?

The nurse has a slow rate of speech during the interview.

The nurse focuses on writing notes during the interview.

The nurse leans slightly toward the patient during the interview.

The nurse provides empathy to the patient using appropriate touch.

The nurse maintains eye contact with the patient during the interview.

Answer 19

The nurse leans slightly toward the patient during the interview.

The nurse provides empathy to the patient using appropriate touch.

The nurse maintains eye contact with the patient during the interview.

Question 20

The nurse teaches a student nurse about developing contracts with patients. Which statement, if made by the student nurse, indicates effective learning? (27)

The nurse teaches a student nurse about developing contracts with patients. Which statement, if made by the student nurse, indicates effective learning?

“A verbal contract is the most useful tool for behavior modification.”

“A contract is an agreement that sets the expectations of each party.”

“A contract is developed after the nurse has determined the problem.”

“A contract is a verbal agreement about the scheduled plan of care.”

Answer 20

A contract is an agreement that sets the expectations of each party.”

Question 21

Which action will the nurse take to manage the interview and the physical assessment? (30)

Which action will the nurse take to manage the interview and the physical assessment?

Take extensive notes during the interview so that all the details are not missed.

Address the patient by his or her first name to increase the patient’s level of comfort.

Establish rapport before asking the patient to change into the exam gown.

Tell the patient that all health care workers have access to the medical record.

Answer 21

Establish rapport before asking the patient to change into the exam gown.

Question 22

The nurse is assessing the severity of a patient’s pain by using a pain scale. Under which section of the health history does the nurse record this information (50-51)

Present health

Biographic data

Review of systems

Reason for seeking care

Answer 22

Present health

Question 23

What distance should the nurse maintain from a patient while conducting an interview? (29)

Intimate

Social distance

Public distance

Personal distance

Answer 23

Social distance

Question 24

The nurse is interviewing a bedridden patient. What interventions should the nurse follow to communicate effectively with the patient? (30, 36)

Maintain proper eye contact.

Speak loudly to the patient.

Refrain from standing in front of the patient.

Avoid focusing on writing notes while interviewing.

Ask only open-ended questions during the interview.

Answer 24

Maintain proper eye contact.

Refrain from standing in front of the patient.

Avoid focusing on writing notes while interviewing.

Question 25

What does the nurse record in the biographic information section of the health history? (54)

Past illnesses

Usual source of health care

Dietary preferences

Family health history

Answer 25

Usual source of health care

Question 26

A nurse is preparing for a patient interview. What tasks does the nurse complete before the interview begins? (29, 30)

Ensure direct, bright light in the room.

Turn off the television and radio in the room.

Ask the patient to change into a hospital gown.

Ask the accompanying family member to step out.

Request other staff not to interrupt the discussion.

Answer 26

Turn off the television and radio in the room.

Ask the accompanying family member to step out.

Request other staff not to interrupt the discussion.

Question 27

The nurse starts an interview with a patient with an open-ended question. The patient talks initially, stops for a while, and looks at the nurse. What should be the immediate reaction of the nurse (31)

The nurse should sit silently.

The nurse should take notes.

The nurse should ask a new question.

The nurse should lean forward slightly.

Answer 27

The nurse should lean forward slightly.

Question 28

The nurse is assessing the patients posture. What distance should the nurse maintain from the patient during this assessment? (29)

1 foot

2 feet

5 feet

7 feet

Answer 28

2 feet

Question 29

What are the components of a patients past history? Select all that apply. (51, 52)

Symptoms

Transfusions

Family history

Immunizations

Hospitalizations

Answer 29

Transfusions

Immunizations

Hospitalizations

Question 30

A nursing student is learning to document patient statements in the past history section while recording the patient’s complete health history. What should the nursing instructor strike from the information entered by the student under the past history? (50-51)

Allergies

Immunization history

Physical findings

Statements given by the patient

Answer 30

Physical findings