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Comprehensive Health Assessment and Physical Examination

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Questions

Question 1

What is the primary definition of critical thinking in nursing practice?

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Question 2

Which of the following is identified as a key pillar of the nurse-patient relationship?

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Question 3

What does the 'Review of Systems (ROS)' component of a comprehensive health history primarily allow the nurse to accomplish?

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Question 4

What does the term 'poikilothermia' refer to in the context of a peripheral vascular assessment?

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Question 5

Which of the following is listed as a potential professional boundary violation a nurse might commit?

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Question 6

During a HEENT assessment, what does the acronym PERRLA evaluate?

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Question 7

What is the primary purpose of the ISBAR communication framework in a clinical setting?

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Question 8

Which of the following is considered a 'risk factor' in a patient's health, as opposed to a 'protective factor'?

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Question 9

What type of communication is a nurse demonstrating when they ask a patient, 'What are your thoughts on this?' or 'How can we work together to achieve this goal?'

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Question 10

When performing a bedside physical assessment, what is the primary purpose of the general survey?

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Question 11

According to the Clinical Judgment Measurement Model (CJMM), what does the 'Recognizing cues' step involve?

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Question 12

What is an example of nonverbal communication that a nurse should be conscious of, as it can hinder the nurse-patient relationship?

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Question 13

What is the appropriate ratio of anterior-posterior to transverse diameter for a normal chest wall assessment?

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Question 14

What is the primary difference between a bedside physical assessment and a focused physical assessment in an acute care setting?

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Question 15

When obtaining a health history, what is a common mistake a nurse might make regarding their position in the room that could make a patient feel less engaged?

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Question 16

What is the legal responsibility of a healthcare facility regarding patients who have a preferred language other than English?

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Question 17

What is the primary objective of a Safety and Surroundings Assessment in a medical-surgical setting?

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Question 18

In the context of the Clinical Judgment Measurement Model (CJMM), which step involves the nurse working with an interdisciplinary team to set goals?

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Question 19

Which of the following is an example of therapeutic communication listed in Table 6.1?

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Question 20

What is the purpose of a focused health history?

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Question 21

In a comprehensive health assessment, which term is used to note when signs and symptoms in a particular system are absent?

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Question 22

Which of the four core competencies of TeamSTEPPS involves delegating tasks and coordinating care for optimal performance?

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Question 23

What is the primary role of a physical therapist (PT) in the interdisciplinary plan of care for a patient with diabetic venous ulcers and possible sepsis?

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Question 24

In a comprehensive health history, which component allows for a narrative about the person's life and how they perceive their general health?

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Question 25

What type of assessment is considered 'critical for preventing adverse patient outcomes' and focuses on the patient's environment and potential risks?

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Question 26

When a nurse finds discrepancies between what a patient says and what the nurse observes, what skill is crucial for identifying the barriers causing this misalignment?

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Question 27

Which of the following describes a nontherapeutic communication technique related to giving information?

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Question 28

During a health history interview, which of the following would be categorized under 'Social History'?

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Question 29

What is the primary purpose of a skin assessment during a bedside physical examination?

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Question 30

When communicating with a patient who has an auditory impairment, which of the following is a recommended action for the nurse?

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Question 31

What does a nurse's intuition, or 'sixth sense', largely come from according to the text?

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Question 32

How many major components are included in the comprehensive health history format listed in Section 6.3?

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Question 33

What is the purpose of the neuro-muscular assessment in a bedside exam?

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Question 34

In the ISBAR framework, what information does a nurse provide during the 'B' or 'Background' component?

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Question 35

What is the primary difference between a patient's chief complaint and the history of present illness?

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Question 36

What is the term for the communication that reinforces verbal information given to a patient in a format they can read?

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Question 37

Which action is an example of the 'Take action' step in the Clinical Judgment Measurement Model (CJMM)?

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Question 38

What is the purpose of the genitourinary assessment during a bedside physical examination?

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Question 39

What is a 'professional boundary' in the context of the nurse-patient relationship?

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Question 40

Which of these is NOT listed as a body system covered in the problem pertinent Review of Systems (ROS)?

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Question 41

Which of these actions is a part of the 'Active Listening' technique for nurses?

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Question 42

What is the purpose of performing medication reconciliation during a health history?

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Question 43

In the 'READ THE ELECTRONIC HEALTH RECORD' example for Tanecia Smith, what is the most concerning vital sign?

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Question 44

How many body systems are listed for inclusion in a problem pertinent Review of Systems (ROS)?

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Question 45

What does a nurse need to be aware of when assessing a patient from a different cultural background regarding pain?

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Question 46

Which of the following describes the assessment of the head during a HEENT exam?

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Question 47

When is it appropriate to use a qualified sign language interpreter for a deaf patient?

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Question 48

What information from Tanecia Smith's EHR suggests an inflammatory process consistent with acute cholecystitis?

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Question 49

What is the primary goal of the 'teach-back' strategy in nurse-patient communication?

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Question 50

Which component of a health history provides crucial information for medication reconciliation by comparing the prescribed list with what the patient is actually taking?

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