N504-- Chapter 4 EAQ Sherpath

Which would the nurse include in the review of the patient's gastrointestinal (GI) system? Select all that apply. Ascites Appetite Constipation Use of antacids Family history of cancer

Ascites Appetite Constipation Use of antacids

while documenting a complete health history, under which section would the nurse record a patients activities of daily living? Family history Review of systems Functional assessment Reason for seeking care

Functional assessment

The patient's social relationships, management of finances, and self-concept would be recorded in which section of the records? Review of symptoms Functional health patterns Nurse's notes Diagram a family tree

Functional health problems

Why would the nurse analyze the patient's symptoms? Separates actual from imaginary symptoms Puts the patient at ease about the symptoms Focuses on the patient's chief health concern Determines whether the patient is reporting accurately

Focuses on the patient's chief health concern

Which question would the nurse ask first hen assessing prenatal care? "How is your health?" "Do you want a boy or girl?" "Can you tell me more about your pregnancy?" "Are you happy about your pregnancy?"

"Can you tell me more about your pregnancy?"

Which note is included in the record to document the patient's reason for seeking care? "Is sick." "Has high glucose level." "Requesting a different birth control method." "Is pregnant."

"Requesting a different birth control method."

The cocooning strategy may prevent 20% of which disease? Typhoid Measles Chickenpox Pertussis

Pertussis

Which question would the nurse ask the patient who reports an allergy to a new medication? "Are you sure that you are really allergic to that medication?" "Can you describe what happened when you took the medication?" "Did you take the right dose of the medication?" "Are you worried about taking this medication now?"

"Can you describe what happened when you took the medication?"

Which is the first question asked by the nurse when communicating with the patient who is a victim or domestic violence? "Do you feel safe?" "Are you afraid of your partner?" "Have you been hit or slapped by your partner?" "Have you been emotionally abused by your partner?"

"Do you feel safe?"

Which question would the nurse ask when assessing the mental status of a patient? "Do you have mood swings?" "Do you forget things often?" "Do you have regular sleeping cycles?" "Do you experience any tics or tremors?"

"Do you have mood swings?"

Which questions about school would the nurse ask to reveal how the child is functioning outside the home? Select all that apply. "Does your child like school?" "Who is your child's teacher at school?" "Does your child eat lunch at school?" "How does your child perform at school?" "Does your child walk to school or take a bus?"

"Does your child like school?" "How does your child perform at school?"

While obtaining a health history from a 16-year-old patient, which question is appropriate for the nurse to ask as a first-line question regarding suicide and depression when using the HEEADS psychosocial interview for adolescents? "Do you find yourself spending less time with your friends?" "Does it seem you have lost interest in things you used to enjoy?" "Have you thought a lot about hurting yourself or someone else?" "Can you tell me about a time you felt sad while using social media?"

"Have you thought a lot about hurting yourself or someone else?"

The nurse teaches the nursing student about recording immunizations. Which statement by the nursing student indicates effective learning? "I will collect immunization information only for pediatric patients" "I will avoid recommending vaccines against the patient's preference" "I will record only those immunizations that are related to the chief complaint" "I will record dates of tetanus and flu shots when working with an adult patient"

"I will record dates of tetanus and flu shots when working with an adult patient"

When asked by the nurse about current medication use, the patient's replies, "I take a little white pill, a yellow tablet, and a red-and-white capsule for my heart." Which response by the nurse is best? "Tell me about your family medical history now." "I don't think it is safe to take so many heart medications." "Are you experiencing any side effects of the medications?" "Let us discuss the purpose of taking each medication."

"Let us discuss the purpose of taking each medication"

Which questions would the nurse ask a patient who is an immigrant to the united states when collecting biographic data? Select all that apply. "What is your occupation?" "What is your marital status?" "What is your country of origin?" "What are your working hours?" "What ritualistic procedures have you undergone?"

"What is your country of origin?" "What ritualistic procedures have you undergone?"

A patient presents to the urgent care center reporting onset of lower back pain. Which question should the nurse ask to obtain information about aggravating factors? "Which activities make the lower back pain worse?" "How long have you experienced these symptoms?" "When did you first experience the lower back pain? "Have these symptoms affected your ability to work?"

"Which activities make the lower back pain worse?"

How would the nurse record the reason for seeking care for the patient who says, "I have difficulty breathing, and so I can't sleep at night."? "Dyspnea and insomnia" "the patient has dyspnea and insomnia." "difficulty in breathing and sleepless nights" "the patient has difficulty breathing and is sleepless."

"difficulty in breathing and sleepless nights."

Which tools in the electric and print format can be used to collect the family history? Select all that apply. -My family health portrait -Personal health record -Electronic health record -Utah health family tree -Activities of daily living records

-My family health portrait -Utah health family tree

When a patient says "I've never been in so much pain, and it is truly unbearable," how would the nurse expect the patient to rate the intensity of pain on a 0-10 scale? 1 5 8 10

10

How many hours of sleep are recommended for teenagers? 5 7 9 12

9

Which documentation would the nurse include in the health history when reviewing the patient's musculoskeletal system? Select all that apply. Arthritis Paralysis Gait problems Muscle cramps Tingling in the legs

Arthritis Gait problems Muscle cramps

Which action would the nurse take while discussing the patient's reason for seeking care? Ascertain the patient's views on the cause of problem Ask whether the patient is unable to determine the cause of the problem Suggest the most common causes of the problem to the patient Refer the patient to the primary health care provider for discussion

Ascertain the patient's views on the cause of problem

Under which section in the health history will the nurse include the patients name and primary language? Past history Family history Biographic data Functional assessment

Biographic data

In which order would the nurse arrange the sections of this patient's health history? Reason for seeking care Medication reconciliation History of present illness Past history Biographic data

Biographic data Reason for seeking care History of present illness Past history Medication reconciliation

Why would the nurse include data related to employment in the patient's assessment? Select all that apply. Changes in occupation may indicate some health problems Occupations may help understand exposure to environmental hazards Changes in occupation may indicate the level of the patient's disability Occupation determines the ability to access support services Occupation is a reliable way to determine the patient's education

Changes in occupation may indicate some health problems Occupations may help understand exposure to environmental hazards Changes in occupation may indicate the level of the patient's disability

Which documentation in the review of systems section would the nurse include when addressing a patient's peripheral vascular system? Select all that apply. Palpations Coldness of hands Inflammation of the veins Diarrhea and constipation Numbness and swelling of the legs

Coldness of hands Inflammation of the veins Numbness and swelling of the legs

Which would the nurse record in the biographic information section of the health history? Past illnesses Current occupation Dietary preferences Family health history

Current occupation

Which food items would the nurse recognize as typical food allergens for a child? Select all that apply. Eggs Fish Rice Grapes Peanuts

Eggs Fish Peanuts

What are the goals of obtaining a patient's health history? Select all that apply. Documenting the findings of the physical assessment Establishing a rapport between the nurse and the patient Assessing and diagnosing the patient's health needs and problems Providing a picture of the patient as a whole Understanding the patient's medical knowledge

Establishing a rapport between the nurse and the patient Assessing and diagnosing the patient's health needs and problems Providing a picture of the patient as a whole

Which are the goals of obtaining a patient's health history? Documenting the findings of the physical assessment Establishing rapport between the nurse and the patient Assessing and diagnosing the patient's health needs and problems Providing a picture of the patient as a whole Understanding the patient's medical knowledge

Establishing rapport between the nurse and the patient Assessing and diagnosing the patient's health needs and problems Providing a picture of the patient as a whole

Which information should the nurse obtain when conducting a health history for a patient during an annual exam? Select all that apply. Current insurance Level of education Family medical history Reason for current visit Presence of chronic illness

Family medical history Reason for current visit Presence of chronic illness

Which documentation would the nurse include under the fine motor skills assessment for a child? Feeding oneself Using scissors Walking on one's own Climbing the stairs Using crayons to draw

Feeding oneself Using scissors Using crayons to draw

Which is a component of the review of systems? Symptom analysis Immunizations Health promotion Prenatal status

Health promotion

While caring for a patient with influenza, the nurse asks, "When did the symptoms first appear?" Under which section will the nurse record this information? Biographic data Review of systems History of present illness Medication reconciliation

History of present illness

During the review of symptoms, which would the nurse assess? Select all that apply. Sociologic system History of skin disease Physical assessment findings Appetite and food intolerances Usual daily activities

History of skin disease Appetite and food intolerance

Which documentation is included under the gross motor skills assessment of a child? Select all that apply. Self-feeding Independently climbs 5 stairs Rolls over on the floor Walks without support Recognizes his or her name

Independently climbs 5 stairs Rolls over on the floor Walks without support

Which documentation would the nurse include under the "medication reconciliation" section when assessing the patient's current medications? Select all that apply. Allergies Indications Side effects Interactions Names and dosing schedule

Indications Side effects Interactions Names and dosing schedule

Under which section of the record would the nurse record vaccination dates?" Past health Present health Review of systems Medication reconciliation

Past health

Under which section would the nurse record the following statement from a patient: "I had a care accident about 20 years ago when I was a child?" Past health history Reason for seeking care History of present illness Functional assessment

Past health history

The patient presents with headaches that have lasted for 3 days without relief and has a history of hypertension and atherosclerosis. Which should the nurse document in the medical record as the reason for seeking care? Artherosclerosis Hypertensive crisis Onset of migrains Intractable headaches

Intractable headaches

A patient with a viral upper respiratory infection says, "I've been drinking ginger tea for three days, but i've still got this cold." In which section will the nurse record this information? Review of systems Functional assessment History of present illness Medication reconciliation

Medication reconciliation

Under which section in the review of body systems would the nurse document a history of back pain? Endocrine system Neurologic system Musculoskeletal system Peripheral vascular system

Musculoskeletal system

Which would the nurse document as the reason for seeking care for a patient who says, "I didn't feel right all last week. I want to throw up now, and I have a headache. What is wrong with me?" Flulike symptoms Gastrointestinal (GI) distress Nausea and headache, "not feeling right" for one week Possible pregnancy, needs workup

Nausea and headache, "not feeling right" for one week

Under which section would the nurse document food habits when recording the child's complete health history? Past history Biographic data History of present illness Nutritional history

Nutritional history

While obtaining a health history from a patient, which information should the nurse obtain? Select all that apply. Operations Family health Immunizations Hospitalizations Current symptoms

Operations Immunizations Hospitalizations

Which information should the nurse obtain when performing a medication reconciliation? Select all that apply. Allergies Immunizations Over-the-counter medications Herbal supplements Current prescriptions

Over-the-counter medications Herbal supplements Current prescriptions

Which documentation would the nursing instructor strike from the information entered by a nursing student under the past history? Allergies Immunization history Physical findings Statements given by the patient

Physical findings

Under which section of the health history would the nurse record pain severity? Present health Biographic data Review of systems Reason for seeking care

Present health

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? Past health history Functional assessment Reason for seeking care Medication reconciliation

Reason for seeking care

Under which section of the health history will the nurse document the following patient statement: "I haven't felt well lately. I just had to come in for a checkup"? Past health history Present health status Reason for seeking care Physical assessment

Reason for seeking care

Under which section of the patient's health history will the nurse record in the following comment: "I want to join a recreational sports team and came in for a physical." Past history Present health Biographic data Reason for seeking care

Reason for seeking care

How would the nurse record a patient's reason for seeking care? Use the North American Nursing Diagnosis Association (NANDA) list Write the symptoms without quotations Record the symptoms in the patient's words List all of them complaints of the patient

Record the symptoms in the patient's words

Under which section would the nurse record information about hearing aid use? Present health Review of systems Biographic data Functional assessment

Review of systems

Which documentation would the nurse include in the history of present illness section of the record? Select all that apply. Severity of pain Location of problem Immunizations Hospitalizations Onset, duration, and frequency of symptoms

Severity of pain Location of problem Onset, duration, and frequency of symptoms

Which would the nurse document as the reason for seeking care for a patient who is in the office for suture removal? Suture removal was scheduled Left leg potentially is infected There are black, nonabsorbable sutures in the left leg "I'm afraid of having the sutures removed."

Suture removal was scheduled

Which vaccine would the nurse administer to a pregnant patient to protect the newborn? Varicella Typhoid Measles-Mumps-Rubella Tetanus-diphtheria-pertussis

Tetanus-diptheria-pertussis (Tdap)

Which information would the nurse include while recording the nutritional history of an infant? Select all that apply. the infant's appetite The mode of feeding Food eaten the previous day Frequency and duration of feeding Inclusion of vitamin supplements

The mode of feeding Frequency and duration of feeding Inclusion of vitamin supplements

Which are the components of a patient's past health history? Select all that apply. Symptoms Transfusions Family history Immunizations Hospitalization

Transfusions Immunizations Hospitalizations

When assessing a patient's general independent functional abilities, which findings would the nurse record? Select all that apply. Use of a mobility aid Immediate postoperative activity tolerance Ability to use a cell phone Ability to perform exercise Ability to cope with stress

Use of a mobility aid Ability to use a cell phone Ability to perform exercise Ability to cope with stress

Which questions would the nurse include in a patient's screening for health promotion practices? Select all that apply. Use of contraceptives Use of sunscreen Use of prescription medications Use of seatbelts Use of antacids

Use of contraceptives Use of sunscreen Use of seatbelts Use of antacids

Which action by the nurse is the best way to obtain a patient's family history? Asking the patient's family Visiting the patient's house to collect data Collecting data from previous hospital visits sending a questionnaire to the patient's house

sending a questionnaire to the patient's house