Health Assessment Quiz Part 1

A. S., a 35-year-old, is at your clinic today for a well visit. She recently moved to the area and is establishing with a new primary care provider. What information would you include in the database for this new patient? Select all that apply.

• Current health state

• Lifestyle and risk factors

• The patient’s perception of current health

• Health maintenance behaviors

• Physical examination

Answer explanation

The information to include in the database for a new patient should cover current health state, lifestyle and risk factors, the patient's perception of current health, health maintenance behaviors, and physical examination.

You are reviewing assessment data of a 45-year-old male patient who had recent surgery and rates his pain at 8 on a 10-point scale. As you review the electronic health record, you note which of the following cues related to the patient’s pain? Select all that apply.

• Normal skin turgor

• Normal S1, S2 heart sounds

• Tachypnea (rapid breathing)

• Pale skin

• Tachycardia (rapid pulse)

Answer explanation

The cues related to the patient's pain include tachypnea (rapid breathing), pale skin, and tachycardia (rapid pulse). These signs indicate the severity of the pain and potential complications post-surgery.

You are working in the emergency department and receive a patient who was admitted via ambulance. The patient is alert, but the injuries are severe. What are your priorities when collecting this patient’s emergency database?

Answer explanation

The priorities when collecting this patient's emergency database should include assessing and stabilizing the patient's airway, breathing, and circulation, obtaining a thorough history of the events leading to the injuries, performing a physical examination, and ordering necessary diagnostic tests.

You are caring for a patient who was recently diagnosed with type 1 diabetes. She is learning to manage her diabetes and will need support after discharge. Her knowledge deficit is considered a (a)   priority problem and will require a collaborative effort with health care professionals.

You completed the health history and physical examination on your new admission. After completing the assessment phase of the nursing process, the next step includes which of the following?

Answer explanation

The next step after completing the assessment phase of the nursing process is to establish nursing diagnoses.

G.R. is a 75-year-old male who presents to the emergency department with chest pain, palpitations, and appears pale and diaphoretic. As the history and physical are completed, the following problems emerge. Please label them first-, second-, or third-level priority problems. 6a. Blood pressure 74/50, HR 148 __________ 6b. Serum potassium 2.7 mmol/L (low), Glucose 225 mg/dL (high) __________ 6c. Lives alone, no family in the area __________ 6d. Acute chest pain with radiation to jaw __________ 6e. Unfamiliar with heart-healthy dietary guidelines __________

• 6a. First-level

• 6b. Second-level

• 6c. Third-level

• 6d. Second-level

• 6e. Third-level

Answer explanation

The correct choices are: 6a. First-level, 6b. Second-level, 6c. Third-level, 6d. Second-level, 6e. Third-level based on the priority of addressing the patient's conditions.

Which of the following are objective data? Select all that apply.

• a. 2-cm scar on dorsal surface of the hand

• c. Clear breath sounds

• e. BP 110/72

• b. Complaint of Nausea

• d. Complaint of a headache.

Answer explanation

Objective data are observable and measurable. The 2-cm scar, clear breath sounds, and BP reading are all examples of objective data, while complaints of nausea and headache are subjective.

S.Q. was just admitted because of cellulitis of her lower extremity due to a cat scratch. She was previously treated outpatient but missed multiple appointments and did not take her medication. As you complete the health history, she shares that she is sleeping on her sister’s couch because she lost her job. She lives in an area of town considered a food desert and often eats whatever she can find from a local gas station or fast-food restaurant. She missed her last two follow-up visits for her leg due to inadequate transportation and could not afford to purchase the expensive antibiotics prescribed. Which of the following best describes factors that are influencing her well-being?

• S.Q. is not motivated to be compliant with health care provider recommendations. She should make sure she attends all appointments.

• Social determinants of health, including lack of economic stability and an environment that lacks nutritious food options, are negatively impacting S.Q.

• Social determinants of health are important, but she can overcome these barriers if she tries hard enough.

• S.Q. should work harder to get a new job so she has improved economic stability and may be able to become self-sufficient.

Answer explanation

Social determinants of health, including lack of economic stability and an environment that lacks nutritious food options, are negatively impacting S.Q.

Evidence-based nursing practice is:

• Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient’s values and circumstances

• Appraising and looking at the implications of one or two articles as they relate to the culture and ethnicity of the patient

• Completing a literature search to find relevant articles that use nursing research to encourage nurses to use good practices

• Finding value-based resources to justify nursing actions when working with patients of diverse cultural backgrounds

Answer explanation

Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient’s values and circumstances

Which statement best describes religion?

• An organized system of beliefs concerning the cause, nature, and purpose of the universe

• Belief in a divine or superhuman spirit to be obeyed and worshiped

• Affiliation with one of the 1200 recognized religions in the United States

• The following of established rituals, especially in conjunction with health-seeking behaviors

Answer explanation

The best description of religion is an organized system of beliefs concerning the cause, nature, and purpose of the universe.