3160 Exam 1 Review part 2

A patient reports to you that she has never had a history of smoking or drinking alcohol. How should you document this?

• Patient denies any substance abuse

• Patient denies any history of tobacco or alcohol

• Patient states that alcohol "gives me an upset stomach"

• Patient states she doesn't "touch that stuff"

You are interviewing a patient with abdominal pain. What should you include in the initial interview phase?

• "I want to address all of your concerns during this time."

• "Do you take any medication for your pain?"

• "are you in any pain right now?"

• "When did you last see your PCP?"

What type of database/assessment would you use if a patient is being seen for the 1st time?

• A complete database.

• A focused database.

• A follow-up database.

• Emergency database.

You are a new nurse auscultating a patient's heart sounds, but you are not sure if you hear a murmur. You should:

• Ask your preceptor to listen behind you and confirm

• Trust your gut and document the murmur

• Assess the patient's EKG, then document the findings

• Notify the provider

What patient is MOST likely to misinterpret the education you provide them?

• A patient with high health literacy

• A patient with low health literacy or language barriers

• A patient who is well-educated

• A patient with good communication skills

Which patient is at highest risk d/t their family history?

• A patient with an uncle who had congestive heart failure

• A patient with a mother who had a heart attack

• A patient with a grandmother who had breast cancer

• A patient with a sister who has ezcema

You are conducting an interview on a Spanish speaking patient. What should you ask the interpreter to say?

• "Why are you smoking cigarettes?"

• "Would you like family in the room?"

• "I have been to Mexico several times"

Which of the following is a 2nd level priority?

• Dyspnea

• Chest pain

• Hypotension

• Risk for falls

You MUST see physical proof of abuse in order to report it.

• True

• False

You are interviewing a patient who is scheduled to have surgery in 1 hr. Which finding requires notifying the HCP?

• The patient has a history of hypotension

• The patient smells like alcohol and is slurring his words

• The patient reports taking a pre-op anxiety medication before arriving

• The patient appears anxious