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NURS 330 Age Span Assessment Exam 1 LATEST
2025 UPDATE Texas Lutheran University VERIFIED
EXAM ALREADY GRADED A+ COMPLETE FULL
LENGTH EXAM
What type of database is most appropriate for an individual who is admitted to a long-term care facility? A. Focused B. Follow-up C. Emergency D. Complete CORRECT ANSWER > D. A complete database includes complete health history and a full examination. Which of the following is an example of objective data? A. Alert and Oriented B. Dizziness C. An earache
D. A sore throat CORRECT ANSWER > A. An example of objective data is A. A complaint of left knee pain B. Crepitation in the left knee joint C. Sore throat for the past 3 days D. A report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and pain on passive range of motion CORRECT ANSWER > B. Crepitation is assessed by palpitation. Which of the following is an example of subjective data? A. Blood Glucose 126md/dL B. Bruising on lower leg C. Pain rated at 7 out of 10 D. Heart rate of 76bpm CORRECT ANSWER > C.
Which of the following actions/behaviors in the critical-thinking process are important for the novice nurse to remember? (Select all that apply.) A. Avoid making assumptions B. Approach assessment with a nonjudgmental attitude C. Disregard initial cues D. Cluster associated assessment data E. Perform assessment in whatever manner works for you CORRECT ANSWER > A, B, D, Each culture has its own healers who usually A. speak at least two languages. B. own and operate specialty community clinics. C. cost less than traditional or biomedical providers. D. recommend folk practices that are dangerous. CORRECT ANSWER > C.
While evaluating the health history, the nurse determines that the patient subscribes to the hot/cold theory of health. Which of the following would most likely describe this patient's view of wellness? A. Good is hot. B. Evil is hot. C. The humors must be balanced. D. The phlegm will be replaced with dryness. CORRECT ANSWER > C. Hot/Cold theory of health is based on humoral theory; balance of the humors When completing a health assessment, which of the following actions most demonstrates cultural competence? A. Ask about use of traditional, herbal, or folk remedies. B. Measure height and weight in a private room. C. Ask about family history of diseases. D. Make sure the blood pressure cuff fits appropriately. CORRECT ANSWER > A
A nurse precepting a student nurse asks, "What's the most important step in the critical-thinking process?" A. Clustering subjective and objective data B. Using evidence-based assessment techniques C. Analyzing health data D. Prioritizing health concerns CORRECT ANSWER > B. Evidence Based Assessment techniques are supported by research showing effectiveness of the technique that provides the safest and most current techniques to remote the health of patients. An example of subjective data is A. decreased range of motion. B. crepitation in the left knee joint. C. left knee has been swollen and hot for the past 3 days. D. arthritis. CORRECT ANSWER > C
Which of the following statements regarding language barriers and health care is true? A. Standards have been identified that are important to eliminate health disparities. B. LEP is associated with a higher quality of care. C. English proficiency is associated with a lower quality of care. D. Patients with language barriers have a decreased risk for nonadherence to medication regimens. CORRECT ANSWER > A What is the yin/yang theory of health? A. Health exists when all aspects of the person are in perfect balance. B. Health exists when physical, psychological, spiritual, and social needs are met. C. Health exists in the absence of illness. D. Health exists when there is optimal functioning. CORRECT ANSWER > A.
A. Education B. Neighborhood C. Poverty D. Work environment CORRECT ANSWER > C When considering cultural competence, the nurse must develop knowledge of discrete areas to understand the health care needs of others. These discrete areas include understanding of (Select all that apply.) A. their own heritage. B. cultural and ethnic values. C. the heritage of the nursing profession. D. the heritage of the patient. E. the heritage of the health care system A, C, D, E When preparing the physical setting for an interview, the interviewer should
A. set the room temperature between 64°F and 66°F. B. reduce noise by turning the volume on the television or radio down. C. conduct the interview at eye level and at a distance of 4 to 5 feet. D. stand next to the patient to convey a professional demeanor. C. Parents or caregivers accompany children to the health care setting. Starting at ___ years of age, the interviewer asks the child directly about his or her presenting symptoms. A. 5 B. 7 C. 9 D. 11 B. Which of the following statements made by the interviewer would be an appropriate response?
The use of euphemisms to avoid reality or to hide feelings is known as A. distancing language. B. sympathetic language. C. avoidance language. D. ethnocentric language. C. When addressing a toddler during the interview, the health care provider should A. ask the child, before the caregivers, about symptoms. B. use nonverbal communication. C. use short, simple, concrete sentences. D. use detailed explanations. C. Nonverbal communication is the primary form of communication for which group of individuals? A. Infants
B. Preschoolers C. Adolescents D. Older adults A. Viewing the world from another person's inner frame of reference is called A. reflection. B. empathy. C. clarification. D. sympathy. B. An example of an open-ended question or statement is A. "Tell me about your pain." B. "On a scale of 1 to 10, how would you rate your pain?" C. "I can see that you are quite uncomfortable."
C. Documented relationship of support systems D. Reliability of informant D A patient seeks care for "debilitating headaches that cause excessive absences at work." On further exploration, the nurse asks, "What makes the headaches worse?" With this question, the nurse is seeking information about A. the patient's perception of pain. B. the nature or character of the headache. C. aggravating factors. D. relieving factors. C The CAGE test is a screening questionnaire that helps to identify A. unhealthy lifestyle behaviors. B. personal response to stress. C. excessive or uncontrollable drinking.
D. depression. C. The "review of systems" in the health history is A. an evaluation of past and present health state of each body system. B. a documentation of the problem as perceived by the patient. C. a record of objective findings. D. a short statement of general health status. A When recording information for the review of systems, the interviewer must document A. physical findings, such as skin appearance, to support historic data. B. "negative" under the system heading. C. the presence or absence of all symptoms under the system heading. D. objective data that support the history of present illness. C
The nurse questions the reliability of the history provided by the patient. One method to verify information within the context of the interview is to A. review previous medical records. B. rephrase the same questions later in the interview. C. ask the patient if there is someone who could verify information. D. call a family member to confirm information. B When taking a health history from an adolescent, the interviewer should A. ask about violence and abuse before asking about alcohol and drug use. B. have at least one parent present during the interview. C. interview the youth alone with a parent in the waiting area. D. ask every youth about the use of condoms. C What information is included in greater detail when taking a health history on an infant?
A. Nutritional data B. History of present illness C. Family history D. Environmental hazards A The general survey consists of four distinct areas. These areas include A. mental status, speech, behavior, and mood and affect. B. gait, range of motion, mental status, and behavior. C. physical appearance, body structure, mobility, and behavior. D. level of consciousness, personal hygiene, mental status, and physical condition. C The nurse is completing a general survey assessing the level of consciousness of a person. Which of the following findings are expected in this assessment? A. Patient appears drowsy and is having difficulty answering questions.
