Nurs 121 Exam #1 chapters 1-6, 11 & 12 Flashcards
(30 cards)
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)
papsmear
While documenting a complete health history, under which section does the nurse record a patient’s daily activities? (pg56)
functional assesment
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)
The nurse should use simple language.
The nurse is interviewing a lesbian. Which strategy should the nurse implement for effective communication? (pg43)
Use the term “partner” during interaction instead of “husband” or “wife.”
When should the nurse obtain a patient’s sexual history? (pg 697, 700)
Before a genital examination
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)
“When did you take your last drink?”
Which is the most effective communication technique during a clinical interview? (pg 28)
Active listening
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)
Ask the parents to stay outside during the interview
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)
Biographic data
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)
Past health history
During an initial interview, the patient admits to drinking two drinks a day. What does the nurse infer from this statement? (pg95)
The patient is a moderate drinker.
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)
Reason for seeking care
The obstetric history can be represented as GTPTAL. What do these letter represent? (pg 807)
G represents gravida status, T means term pregnancy, PT means preterm birth, A stands for abortion, and L stands for living children
What should the nurse include in the past history of the patient? (pg51-52)
Hospitalizations
Transfusions
Immunizations
Symptoms
Reason for seeking care
Hospitalizations
Transfusions
Immunizations
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
Clinical findings
Medical history
Laboratory results
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.”
It should include the pattern of menstruation and sexual satisfaction.”
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.
The student nurse maintains a distance of 8 feet from the patient.
Define the following: (604)
the Phalen test
Thomas test
the McMurray test
the bulge sign test
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.
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.
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.
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.”
A contract is an agreement that sets the expectations of each party.”
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.
Establish rapport before asking the patient to change into the exam gown.
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
Present health
What distance should the nurse maintain from a patient while conducting an interview? (29)
Intimate
Social distance
Public distance
Personal distance
Social distance
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.
Maintain proper eye contact.
Refrain from standing in front of the patient.
Avoid focusing on writing notes while interviewing.
