The nurse is preparing to do a functional assessment. Which statement best describes the purpose of a functional assessm

It helps determine how a person is managing day-to-day activities.

When recording information for the review of systems, the interviewer must document

the presence or absence of all symptoms under the system heading.

A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse’s best response?

“Can you point to where it hurts?”

The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate resp

“Describe what she is doing to indicate she is having pain.”

Assessment of self-esteem and self-concept is part of the functional assessment. Areas covered under self-esteem and sel

education, financial status, and value-belief system.

One method to verify information within the context of the interview is to

rephrase the same questions later in the interview.

The CAGE test is a screening questionnaire that helps to identify

excessive or uncontrollable drinking.

When taking a health history from an adolescent, the interviewer should

interview the youth alone with a parent in the waiting area.

A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information

“Describe what happens to you when you take penicillin.

The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to

“When did you come to the United States and from what country?”

The “review of systems” in the health history is

a short statement of general health status.

The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health his

To provide a database of subjective information about the patient’s past an

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Jarvis Physical Examination & Health Assessment CH4

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Questions 18

Answers

1
Which of these is an example of a symptom?
Serum potassium level at 4.2 mEq/L
Body temperature of 100 F
Clammy skin
Chest pain
2
The nurse is preparing to do a functional assessment. Which statement best describes the purpose of a functional assessm
The functional assessment assesses how the individual is coping with life
The functional assessment can identify any problems with memory the individ
It determines how children are meeting developmental milestones.
It helps determine how a person is managing day-to-day activities.
3
When recording information for the review of systems, the interviewer must document
objective data that support the history of present illness.
“negative” under the system heading.
physical findings, such as skin appearance, to support historic data.
the presence or absence of all symptoms under the system heading.
4
A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse’s best response?
“We’ll talk more about that later in the interview.”
“Have you ever had any surgeries on your abdomen?”
“Can you point to where it hurts?”
“What have you had to eat in the last 24 hours?”
5
The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate resp
“Describe what she is doing to indicate she is having pain.”
“Maybe she is just teething.”
“Are you sure she is really having pain?”
“I will check her ear for an ear infection.”
6
Which of the following is included in documenting a history source?
Documented relationship of support systems
Cognition and literacy level
Reliability of informant
Appearance, dress, and hygiene
7
Assessment of self-esteem and self-concept is part of the functional assessment. Areas covered under self-esteem and sel
family role, interpersonal relations, social support, and time spent alone.
exercise and activity, leisure activities, and level of independence.
education, financial status, and value-belief system.
tressors, coping mechanisms, and change in past year.
8
One method to verify information within the context of the interview is to
rephrase the same questions later in the interview.
review previous medical records.
call a family member to confirm information.
ask the patient if there is someone who could verify information.
9
The CAGE test is a screening questionnaire that helps to identify
unhealthy lifestyle behaviors.
personal response to stress.
depression.
excessive or uncontrollable drinking.
10
What information is included in greater detail when taking a health history on an infant?
Nutritional data
Environmental hazards
Family history
History of present illness
11
When taking a health history from an adolescent, the interviewer should
ask about violence and abuse before asking about alcohol and drug use.
have at least one parent present during the interview.
interview the youth alone with a parent in the waiting area.
ask every youth about the use of condoms.
12
“What makes the headaches worse?” With this question, the nurse is seeking information about
the nature or character of the headache.
the patient’s perception of pain.
relieving factors.
aggravating factors.
13
PQRSTU is a mnemonic that helps the clinician to remember to address characteristics specific to
substance use and abuse.
pain presentation.
the ability to perform activities of daily living (ADLs).
severity of dementia.
14
The nurse is taking a family history. Important diseases or problems about which the patient should be specifically aske
Emphysema.
Head trauma
Mental illness
Fractured bones.
15
A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information
“I’ll write your allergy on your chart so you won’t receive any penicillin.
“How often have you received penicillin?”
“Describe what happens to you when you take penicillin.
“Are you allergic to any other drugs?”
16
The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to
“When did you come to the United States and from what country?”
Why did you come to the United States?”
“What made you leave your native country?”
“Are you planning to return to your home?”
17
The “review of systems” in the health history is
a record of objective findings.
a short statement of general health status.
an evaluation of past and present health state of each body system.
a documentation of the problem as perceived by the patient.
18
The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health his
To document the normal and abnormal findings of a physical assessment
To provide a form for obtaining the patient’s biographic information
To provide a database of subjective information about the patient’s past an
To provide an opportunity for interaction between the patient and the nurse

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