week 10 sherpath Flashcards
Which elements are included in the assessment of the mouth and pharynx?
Palpating the thyroid
Testing the gag reflex
Inspecting the septum
Assessing the carotid pulse
Testing the gag reflex
Which position should be used to inspect the back and auscultate the posterior lungs?
Patient reclining at 45 degrees
Patient supine with chest exposed
Patient seated with back exposed
Patient seated with chest exposed
Patient seated with back exposed
Place the elements of a seated examination in the correct order.
Gather supplies and greet the patient
Auscultate anterior chest and palpate breasts
Inspect back and percuss posterior chest
Assess head, ears, eyes, nose, and throat
Gather supplies and greet the patient
Assess head, ears, eyes, nose, and throat
Inspect back and percuss posterior chest
Auscultate anterior chest and palpate breasts
Which element of the examination is best performed while the adult patient is reclining at 45 degrees?
Testing range of motion of feet, ankles, and knees
Inspecting jugular venous distention and pulsation
Performing bimanual palpation of uterus and cervix
Observing the patient move from lying down to a seated position
Inspecting jugular venous distention and pulsation
Which elements are included in the assessment of the hips of an adult patient?
Select all that apply.
Testing range of motion
Palpating popliteal pulse
Auscultating systematically
Percussing for finger bone dullness
Palpating for stability of joint
Testing range of motion
Palpating for stability of joint
Order the elements of an abdominal examination of an adult who is supine.
Inspect the skin and contour
Percuss all four quadrants for tone
Lightly palpate all four quadrants
Auscultate all four quadrants
Deeply palpate all four quadrants
Inspect the skin and contour
Auscultate all four quadrants
Percuss all four quadrants for tone
Lightly palpate all four quadrants
Deeply palpate all four quadrants
Which assessment element of the adult head-to-toe examination is best performed with the patient standing?
Palpating the abdomen
Testing plantar reflexes
Assessing jugular pulsation
The Romberg test
The Romberg test
Which element of the examination would the nurse perform while the adult patient is in a standing position?
Auscultating lungs
Inspecting the spine
Testing stereognosis
Palpating the carotid pulse
Inspecting the spine
Order the elements of the abdominal/genital assessment that should be performed while the male patient is standing.
Ask the patient to lean over examination table
Inspect the perianal area
Palpate rectal sphincter tone
Instruct the patient to relax the buttocks
Ask the patient to lean over examination table
Instruct the patient to relax the buttocks
Inspect the perianal area
Palpate rectal sphincter tone
Which components are included in the functional assessment?
Select all that apply.
Social assessment
Injury assessment
Physical examination
Evaluation of activities of daily living
Comprehensive history
Social assessment
Physical examination
Evaluation of activities of daily living
Comprehensive history
Which elements are included in the review of systems for the functional assessment?
Select all that apply.
Nutritional status
Memory changes
Urinary incontinence
Prior falls or fear of falling
Identification of caregivers
Nutritional status
Memory changes
Urinary incontinence
Prior falls or fear of falling
Which element is included in the physical examination component of the functional assessment?
Reviewing health insurance coverage
Determining existence of advance directives
Assessing the skin for signs of decubitus ulcers
Asking the patient about activities of daily living
Assessing the skin for signs of decubitus ulcers
Palpation of the thyroid and cervical lymph nodes is included in examination of which part of the body?
Eyes
Neck
Mouth
Pharynx
neck
Which element of the assessment should be performed with the patient seated and wearing a gown?
Percussion of the posterior chest
Inspection of facial symmetry
Auscultation of heart and lungs
Palpation of axillary lymph nodes
Inspection of facial symmetry
Which element of the assessment should be performed after assessment of the patient’s back, posterior chest, and lungs?
Weber test
Palpation of apical pulse
Palpation of posterior chest
Inspection of spine and scapula
Palpation of apical pulse
Which elements should be performed after light palpation of all quadrants of the abdomen in the adult patient?
Percussion of all quadrants
Auscultation for bowel sounds
Deep palpation of all quadrants
Inspection of abdominal contour
Deep palpation of all quadrants
Which examination component should be performed while the adult patient is supine with the legs exposed?
Palpation of breast tissue
Palpation of popliteal pulse
Palpation for inguinal hernia
Palpation for aortic pulsation
Palpation of popliteal pulse
Place the examination components in order for the adult patient who is supine.
Inspect abdomen
Auscultate heart
Percuss liver border
Palpate for pedal edema
Auscultate heart
Inspect abdomen
Percuss liver border
Palpate for pedal edema
The healthcare provider palpates the prostate gland and seminal vesicles with the patient standing as part of which element of the examination?
Spinal
Rectal
Neurologic
Abdominal/Genital
Abdominal/Genital
Which element is performed after inspection and palpation of the patient’s spine while the patient is standing?
Test abdominal reflexes
Palpate axillary lymph nodes
Assess radial and brachial pulses
Observe the patient walk heel to toe
Observe the patient walk heel to toe
Observing the patient’s gait and testing balance are included in which element of the adult head-to-toe examination with patient standing?
Spinal
Abdominal
Neurologic
Musculoskeletal
Neurologic
The assessment of financial resources and health insurance is included in which element of the functional examination?
Social situation
Review of systems
Physical examination
Activities of daily living
Social situation
Which element of the functional assessment should be included during the review of systems?
Blood pressure
Ability to bathe
Neurologic function
Signs of dementia
Signs of dementia
On which elements should the nurse focus when performing the physical examination component of the functional assessment?
Select all that apply.
Determining caregiver’s abilities
Evaluating coordination and gait
Assessing for dyspnea with exertion
Asking about use of a cane or walker
Measuring blood pressure while the patient is seated and standing
Evaluating coordination and gait
Assessing for dyspnea with exertion
Measuring blood pressure while the patient is seated and standing
Which questions or statements made by the nurse during the sexual health history demonstrate appropriate attitudes and practices for beginning and maintaining a meaningful sexual health discussion?
Select all that apply.
“Even though the medical diagnosis is impotence, we do not have to talk about this issue.”
“We’ll go through this very quickly.”
“Is it okay if we discuss any sexual concerns you might have?”
“Why are you a lesbian?”
“The issue you’re referring to is known as erectile dysfunction.”
“Is it okay if we discuss any sexual concerns you might have?”
“The issue you’re referring to is known as erectile dysfunction.”
Which term is represented by the “P” in the PLISSIT model?
Permission
Privacy
Patient
Problems
Permission
Which question asked by the nurse indicates the discussion has reached the level of providing intensive therapy according to the PLISSIT model?
“What concerns do you have related to your sexual health function?”
“Many women experiencing menopause have sexual concerns. Do you?”
“What do you mean by that?”
“Would you like information about specialists who may be able to help?
“Would you like information about specialists who may be able to help?
Which patient assessment topics are components of a sexual health history?
Select all that apply.
Past and current general health
Exercise habits
Frequency of testicular self-examination (TSE)
Type of diet
Medications like antidepressants or antihypertensives
Past and current general health
Frequency of testicular self-examination (TSE)
Medications like antidepressants or antihypertensives
Match the sexual disorder to its description.
Painful intercourse
Decreased libido
Impotence
Inability to conceive
Answer choices
Anorgasmia
Erectile dysfunction
Low sexual desire
Dyspareunia
Infertility
Premature ejaculation
Painful intercourse
Dyspareunia
Decreased libido
Low sexual desire
Impotence
Erectile dysfunction
Inability to conceive
Infertility
Which response would the nurse make to a patient who has experienced sexual violence?
“What caused you to go with that group of guys?”
“You should not have dressed that way.”
“This was not your fault.”
“Why do you still stay with your partner?”
“This was not your fault.”
Match the sexually transmitted disease to its cues.
Genital warts possible; can undergo transformation to various cancers
Lesions advance to rash with mucous membrane lesions; ends with CNS effects
Flu-like symptoms; genital discharge; burning with urination
Genital discomfort; lesions that heal within 2–4 weeks
Answer choices
Human papillomavirus
Chlamydia
Syphilis
Genital herpes
Gonorrhea
Genital warts possible; can undergo transformation to various cancers
Human papillomavirus
Lesions advance to rash with mucous membrane lesions; ends with CNS effects
Syphilis
Flu-like symptoms; genital discharge; burning with urination
Chlamydia
Genital discomfort; lesions that heal within 2–4 weeks
Genital herpes
Match the phase of human immunodeficiency virus (HIV) to its characteristic.
Flu-like manifestations
Decreased transmission risk
Increasing number of opportunistic infections
Answer choices
Clinical latency
Acquired immunodeficiency syndrome (AIDS)
Acute
Flu-like manifestations
Acute
Decreased transmission risk
Clinical latency
Increasing number of opportunistic infections
Acquired immunodeficiency syndrome (AIDS)
Which situation is an example of sexual harassment?
Male supervisor continually places hand on female’s leg.
Female asks a male coworker out for coffee one time.
Patient makes one sexual comment to the nurse.
Female hugs a female coworker at a funeral.
Male supervisor continually places hand on female’s leg.
Which step in the PLISSIT model is being used when the nurse states, “I would like to ask you some questions pertaining to your sexual history”?
P
LI
SS
IT
P