Nursing Assessment and Patient Interaction Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

Which of the following actions should a nurse avoid when interacting with a patient from a different culture?

  • Asking questions to better understand their health concerns
  • Encouraging the patient to share their beliefs and practices
  • Referring the patient to cultural resources
  • Telling the patient you don't understand their culture (correct)

The presenting symptoms are not relevant to a patient's reason for seeking health care.

False (B)

What question should a nurse ask to assess the risk of depression in a patient?

Over the past 2 weeks have you felt down, depressed, or hopeless?

During a mental health assessment, the nurse needs to assess the patient's orientation to ______, ______, ______, and ______.

<p>time, place, person, situation</p> Signup and view all the answers

Which of the following activities is NOT typically considered an activity of daily living (ADL)?

<p>Socializing (D)</p> Signup and view all the answers

Which principle should not be followed when conducting a health assessment history?

<p>Give the appearance only of being genuine (A)</p> Signup and view all the answers

Match the following questions with their purpose in assessing a support system:

<p>Does anyone else live with you? = To determine household support Tell me about your family and friends. = To understand social connections Who is your support system? = To identify key supporters Who would you like on your visitor list? = To facilitate emotional support during recovery</p> Signup and view all the answers

What is the priority action for the nurse to remember before starting the physical assessment for a patient with a visual impairment?

<p>Ask the patient how much he or she can see. (D)</p> Signup and view all the answers

Standing at all times when talking to the patient is a recommended practice in health history interviews.

<p>False (B)</p> Signup and view all the answers

Assessing a patient's independence in activities of daily living involves asking about their need for assistance.

<p>True (A)</p> Signup and view all the answers

List two activities the nurse should inquire about when assessing a patient's activities of daily living (ADLs).

<p>Dressing, Bathing</p> Signup and view all the answers

A patient’s culture can influence the interview process and how they perceive health and illness.

<p>True (A)</p> Signup and view all the answers

What nonverbal visual cue should be avoided during an interview?

<p>No eye contact</p> Signup and view all the answers

Which primary source for health history information is considered the most reliable?

<p>The patient who is alert and oriented to person, place, and time.</p> Signup and view all the answers

During a follow-up assessment for a patient who is aphasic, the nurse should communicate one question or ______ at a time.

<p>sentence</p> Signup and view all the answers

The nurse is conducting a health history on a patient in the emergency room, which type of health history is this?

<p>Focused</p> Signup and view all the answers

Match the following nursing interventions with their appropriate actions for an aphasic patient:

<p>Ask the husband the best way to communicate with his wife = Understanding communication needs Offer the patient a white board or paper and pen = Alternative communication methods Speak loudly so the patient understands = Not a recommended action Communicate one question or sentence at a time = Facilitating comprehension Find a large blackboard to write your questions on = Visual aid for communication</p> Signup and view all the answers

What type of communication technique is used when asking, 'Have you ever had surgery?'

<p>Closed-ended question (C)</p> Signup and view all the answers

Which of the following is a barrier to communication?

<p>All of the above (D)</p> Signup and view all the answers

A patient can refuse to discuss personal matters out of concern for privacy.

<p>True (A)</p> Signup and view all the answers

Using medical jargon is encouraged to demonstrate authority in patient interviews.

<p>False (B)</p> Signup and view all the answers

The nurse is conducting a follow-up health history on a patient seen in the health clinic 2 days ago. This is an example of a ________ health history.

<p>Focused</p> Signup and view all the answers

What should a nurse do to create a conducive environment for a health assessment interview?

<p>Conduct the interview in a private place away from noise</p> Signup and view all the answers

Match the type of health history with its context:

<p>Comprehensive = Initial assessment covering all aspects of health Focused = Targeted assessment for specific issues Problem-based = Assessment based on a specific health problem Follow-up = Review of a patient’s status since the last visit</p> Signup and view all the answers

______ data are pieces of information specifically reported by the patient in a health history.

<p>Subjective</p> Signup and view all the answers

What is a suitable question for a nurse to ask a patient concerned about her weight history?

<p>Have you lost or gained weight? (C)</p> Signup and view all the answers

The elderly are not at risk for malnutrition.

<p>False (B)</p> Signup and view all the answers

What medical term describes difficulty swallowing?

<p>Dysphagia</p> Signup and view all the answers

Which group of individuals is NOT typically at risk for undernutrition?

<p>College students (A)</p> Signup and view all the answers

An 89-year-old patient states he has no appetite and eats only 50% of his meals. This condition is documented as: Patient has ______.

<p>anorexia</p> Signup and view all the answers

Match the conditions with their definitions:

<p>Dysgeusia = Altered taste sensation Dysphasia = Difficulty speaking Dysphagia = Difficulty swallowing Ageusia = Loss of taste sensation</p> Signup and view all the answers

What factors are included in a nutritional assessment?

<p>Food intake, water intake, exercise, caloric intake, height, weight, recent weight changes.</p> Signup and view all the answers

What is checked to determine if a patient is alert and oriented?

<p>All of the above (D)</p> Signup and view all the answers

A patient can take an oral temperature immediately after consuming hot or cold food or drink.

<p>False (B)</p> Signup and view all the answers

What symptom is most indicative of orthostatic hypotension?

<p>Dizziness and feeling lightheaded with position changes</p> Signup and view all the answers

The rectal probe should be inserted about _____ inches into the anal canal.

<p>1</p> Signup and view all the answers

What should the nurse do after getting a blood pressure reading significantly different from the patient's usual?

<p>Wait 2 minutes and retake the blood pressure in the other arm (C)</p> Signup and view all the answers

A blood pressure reading of 178/100 is considered normal.

<p>False (B)</p> Signup and view all the answers

What is a common symptom of stress that might affect blood pressure?

<p>Dizziness</p> Signup and view all the answers

Match the symptoms with the corresponding condition:

<p>Dizziness with position changes = Orthostatic hypotension Blood pressure 178/100 = Hypertension Frontal headache = Stress-related issue Temperature 100.8°F = Potential infection</p> Signup and view all the answers

What type of pain is described when a patient experiences burning, aching pain shooting down the leg?

<p>Radiating pain (C)</p> Signup and view all the answers

The patient's family should always be the first to report pain to the healthcare providers.

<p>False (B)</p> Signup and view all the answers

What does the abbreviation OPQRST stand for in pain assessment?

<p>Onset, Provocation, Quality, Radiation, Severity, Timing</p> Signup and view all the answers

The nurse should assess the patient's pain using the _____ scale when the patient reports a pain level of '8'.

<p>numerical</p> Signup and view all the answers

Which action should the nurse take first when a patient's family reports increased pain?

<p>Go to the patient's room and assess the patient's pain (A)</p> Signup and view all the answers

Match the following factors to their influence on pain experience:

<p>A. Age = Affects pain perception B. Gender = Influences pain reporting C. Cultural background = Shapes pain beliefs D. Previous pain experience = Affects pain tolerance</p> Signup and view all the answers

The patient's self-report is the only valid indicator of pain levels.

<p>False (B)</p> Signup and view all the answers

When assessing pain provocation, the nurse would ask, 'What _____ the pain?'

<p>causes</p> Signup and view all the answers

Flashcards

Sensitivity in health assessment

Being sensitive to a patient's feelings and showing empathy during a health assessment. Being aware of their emotional state and accommodating their needs.

Non-judgmental approach

Remaining unbiased and objective when assessing a patient, without letting personal opinions influence the evaluation.

Professional demeanor in health assessments

Ensuring that communication is respectful, professional, and approachable during a health assessment.

Privacy for health assessments

Ensuring that the assessment setting is conducive to a private and comfortable conversation.

Signup and view all the flashcards

Interpreting non-verbal cues

Understanding and responding appropriately to non-verbal cues expressed by the patient during a health assessment.

Signup and view all the flashcards

Clear communication in health assessments

Using clear, concise, and understandable language during a health assessment, avoiding medical jargon that the patient may not understand.

Signup and view all the flashcards

Addressing communication barriers

Being aware of potential barriers that can hinder effective communication during a health assessment and proactively addressing them.

Signup and view all the flashcards

Communicating with patients with aphasia

Using a variety of strategies and tools to communicate effectively with patients who have communication challenges, such as aphasia.

Signup and view all the flashcards

Assessing Depression

Asking a patient about their feelings of sadness, hopelessness, and depression over the past two weeks.

Signup and view all the flashcards

Presenting Symptoms

The specific reasons why a patient is seeking medical attention.

Signup and view all the flashcards

Activities of Daily Living (ADLs)

Activities that individuals perform for self-care, such as bathing, dressing, and eating.

Signup and view all the flashcards

Assessing Support System

Asking patients about their living situation, family, and friends to gauge their support network.

Signup and view all the flashcards

Orientation Assessment

Assessing a patient's awareness of person, place, time, and situation.

Signup and view all the flashcards

History of Present Illness

Asking questions about the patient's current symptoms, their onset, and severity.

Signup and view all the flashcards

Past Medical History

Asking questions about a patient's overall health history, including past illnesses and surgeries.

Signup and view all the flashcards

Family History

Asking questions about a patient's family history of diseases, such as heart disease or diabetes.

Signup and view all the flashcards

Closed-ended question

A question that can be answered with a simple 'yes' or 'no' and does not encourage elaboration.

Signup and view all the flashcards

Cultural Influence on Interview

A patient's cultural background may influence their understanding and perception of health, illness, and personal matters.

Signup and view all the flashcards

Comprehensive Health History

A thorough assessment that includes all aspects of a patient's health history, covering the past, present, and family history.

Signup and view all the flashcards

Focused Health History

A brief assessment focusing on the patient's current health concern.

Signup and view all the flashcards

Problem-based Health History

Assessment limited to the immediate problem at hand.

Signup and view all the flashcards

Follow-up Health History

A follow-up on a previous health history, checking for updates or changes in the patient's condition.

Signup and view all the flashcards

Open-ended question

A question that encourages the patient to provide detailed information, promoting a more open and comprehensive response.

Signup and view all the flashcards

Reliable Source for Health History

The most reliable source for health history information is the patient themselves, when they are alert and oriented.

Signup and view all the flashcards

Subjective Data

Information directly reported by the patient in a health history.

Signup and view all the flashcards

Orientation

The ability to orient oneself to person, place, time, and situation. This is often assessed during a mental health exam.

Signup and view all the flashcards

Nutritional Assessment

A comprehensive evaluation of a patient's nutritional status through various methods.

Signup and view all the flashcards

Anorexia

A decline in appetite, leading to decreased food intake.

Signup and view all the flashcards

Dysphagia

Difficulty swallowing.

Signup and view all the flashcards

Ageusia

The ability to taste food.

Signup and view all the flashcards

Dysgeusia

A change in taste perception, often making food taste unpleasant.

Signup and view all the flashcards

Individuals at Risk for Undernutrition

A group of individuals at risk for malnutrition.

Signup and view all the flashcards

Rectal Temperature

The measurement of a patient's temperature using a rectal thermometer.

Signup and view all the flashcards

Orthostatic Hypotension

A significant drop in blood pressure when a person stands up quickly, leading to dizziness and lightheadedness.

Signup and view all the flashcards

Blood Pressure Assessment

A measure of the force of blood pushing against the walls of the arteries. It is recorded as two numbers: the systolic pressure (the pressure when the heart beats) and the diastolic pressure (the pressure when the heart rests between beats).

Signup and view all the flashcards

Alert and Oriented Assessment

A method of assessing a patient's level of consciousness by determining if they are alert and aware of their surroundings. It involves checking their orientation to person, place, and time.

Signup and view all the flashcards

Auscultation of the Heartbeat

A process of listening to the heart sounds using a stethoscope. It involves placing the diaphragm of the stethoscope over the left fifth intercostal space at the midclavicular line.

Signup and view all the flashcards

Blood Pressure Discrepancy

The difference between the normal blood pressure and the elevated blood pressure.

Signup and view all the flashcards

Irregular Pulse

An abnormal heart rhythm that is irregular, meaning the beats are not evenly spaced.

Signup and view all the flashcards

Respiratory Rate

A measure of the rate of breathing, typically recorded in breaths per minute.

Signup and view all the flashcards

Numerical pain scale

Assessing pain using a numerical scale from 0 to 10, where 0 represents no pain and 10 represents the worst imaginable pain.

Signup and view all the flashcards

Radiating pain

A type of pain that radiates or spreads from its origin point to another area of the body, often along a nerve pathway.

Signup and view all the flashcards

Nurse's action when a patient reports pain

The nurse's primary response to a patient's report of pain is to assess the situation thoroughly before taking any action.

Signup and view all the flashcards

Discrepancy between pain report and behavior

Inconsistency between a patient's reported pain level and their observed behavior should be investigated further to ensure accurate pain assessment, rather than assuming the report is inaccurate.

Signup and view all the flashcards

OPQRST pain assessment method

A standardized method for assessing pain, focusing on key aspects of pain experience: Onset, Provocation, Quality, Radiation, Severity, and Timing.

Signup and view all the flashcards

Provocation of pain

Identifying the factors or triggers that worsen or improve pain.

Signup and view all the flashcards

Factors influencing pain experience

Pain perception and experience can vary greatly between individuals based on age, gender, cultural background, and previous pain experiences.

Signup and view all the flashcards

Multiple pain assessment methods

Combining multiple pain assessment methods is more reliable than relying on a single method, as it provides a more comprehensive picture of the patient's pain experience.

Signup and view all the flashcards

Study Notes

Health Assessment

  • Health assessment is a fundamental nursing skill
  • Registered nurses (RNs) need to diagnose and treat patients
  • Identify normal and abnormal findings
  • Refer patients with abnormal findings
  • Counsel patients with psychosocial needs

Health Prevention

  • A 38-year-old male with family history of colon cancer
  • Doctor recommended colonoscopy this year
  • Represents secondary health prevention

Patient Care

  • Patient in hospital reports fever and stomach discomfort
  • Registered nurse should assess the patient for fever and epigastric discomfort
  • Registered nurse should ask medical assistant to assess the patient's complaints

Health Assessment Components

  • 32-year-old female patient reports feeling fatigued
  • Health assessment includes past health, present health, significant other's health, factors influencing health and physical examination

Nursing Process Steps

  • The proper sequence of nursing process steps is Planning, Evaluation, Assessment, Implementation and Diagnosis

Health History Components

  • Preparing for a health history interview involves reading the patient record
  • Conducting the interview in a private place free from noise
  • Allowing enough time for the interview
  • Maintaining professional body language and posture

Communication Barriers

  • Barriers to communication can include asking too many questions, leading the patient, maintaining silence , offering false re-assurance and stereotyping

Effective Communication

  • Effective communication includes avoiding medical jargon
  • Maintaining sensitivity, nonjudgmental attitude, and genuine approach
  • Presenting professional behaviors during interactions
  • Keeping questions simple and clear

Hearing Impairment

  • Nurse should adapt communication techniques when a patient reports a hearing impairment
  • Speak in simple, focused sentences
  • Reduce background noise
  • Use short, simple sentences

Visual Impairment

  • When assessing a patient with a visual impairment, speak clearly and loudly
  • Acknowledge the patient by touching their shoulder, and provide clear directions

Cultural Influences

  • A patient's cultural background can influence the interview process
  • The patient may have different perceptions about health and illness
  • The patient may have concerns about privacy
  • The patient may project personal cultural beliefs onto the nurse

Data Reliability

  • The most reliable source of health history information is an alert and oriented patient

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Study Guide Cleaned PDF

More Like This

Use Quizgecko on...
Browser
Browser