Nursing Assessment and Patient Interaction Quiz
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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

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

    Which of the following is a barrier to communication?

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

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

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

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

    <p>False</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?</p> Signup and view all the answers

    The elderly are not at risk for malnutrition.

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

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

    <p>False</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</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</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</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</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

    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

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    Description

    Test your knowledge on effective nursing practices and cultural competence in patient interactions. This quiz covers key principles of health assessments, understanding activities of daily living, and how to engage with patients from different backgrounds. Evaluate your understanding of the role of a nurse in mental health assessments and physical evaluations.

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