NURS-6512N-15, Advanced Health Assessment 94 out of 100 points

NURS-6512N-15, Advanced Health Assessment 94 out of 100 points NURS-6512N-15, Advanced Health Assessment 94 out of 100 points What finding is unique to the documentation of a physical examination of an infant? Nasal symptoms that imply an allergic response include: Inspection of the abdomen should begin with the patient supine and the examiner: Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the: Mrs. Kinder is a 39-year-old patient who presents to the office with complaints of an earache. In explaining to the patient about the function of her ears, which ear structure would you tell her is responsible for equalizing atmospheric pressure when swallowing, sneezing, or yawning? Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet? During an interview, you have the impression that a patient may be considering suicide. Which action is essential? Macronutrients are so named because they: During physical examination of a 30-year-old Chinese man, you notice slight asymmetry of his face. The cranial nerve examination is normal. Your best action is to: Peritonitis produces bowel sounds that are: Underestimation of blood pressure will occur if the blood pressure cuff's width covers: When communicating with older children and teenagers, you should be sensitive to their: Expected normal percussion tones include: Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n): In counseling a client regarding nutrition education, you explain that linoleic acid, a major fatty acid, is thought to be essential for: A flat, nonpalpable lesion is described as a macule if the diameter is: George Michaels, a 22-year-old patient, tells the nurse that he is here today to "check his allergies." He has been having "green nasal discharge" for the last 72 hours. How would the nurse document his reason for seeking care? Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: In issues surrounding ethical decision making, beneficence refers to the: Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage. When examining an infant's middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to: Which type of speculum should be used to examine a patient's tympanic membrane? A college student comes to the student health center complaining of difficulty in concentrating during class and while studying. The diet that would contribute to this problem is one that consumes mostly: Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, "I've had this cough for 3 days, and it's getting worse." You reply, "Tell me more about your cough." Mr. Franklin states, "I wish I could tell you more. That's why I'm here. You tell me what's wrong!" Which caregiver response would be most appropriate for enhancing communication? You are completing a general physical examination on Mr. Rock, a 39-year- old man with complaints of constipation. When examining a patient with tense abdominal musculature, a helpful technique is to have the patient: Spasmodic muscular contractions of the head, face, or neck are called: Peritonitis produces bowel sounds that are: Mr. Akins is a 78-year-old patient who presents to the clinic with complaints of hearing loss. Which of the following are changes in hearing that occur in the elderly? Select all that apply. You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise to compensate for: White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are: Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: To approximate vocal frequencies, which tuning fork should be used to assess hearing? Auscultation should be carried out last, except when examining the: Mr. Williams, age 25, has recovered recently from an upper and lower respiratory infection. He describes a long-standing nasal dripping. He is seeking treatment for a mild hearing loss that has not gone away. Information concerning his chronic postnasal drip should be documented within which section of his history? The adult recommended dietary fat intake should be g/day. You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish: When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? Which of the following is the most accurate reflection of an individual's food intake? During percussion, a dull tone is expected to be heard over: Which of the following is an "ABCD" characteristic of malignant melanoma? Unusual white areas on the skin may be due to: Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin? Mrs. Grace is a 58-year-old patient who has a diagnosis of pernicious anemia. Which B vitamin is deficient in patients with pernicious anemia? A serous membrane that lines the abdominal cavity and forms a protective cover for many abdominal structures is the: The term denoting the caregiver's need to do no harm to the patient is: Mr. Walters, a 32-year-old patient, tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the: Which is the best way to position a patient's neck for palpation of the thyroid? Tympanic thermometers measure body temperature when a probe is placed: A fixed image of any group that rejects its potential for originality or individuality is known as a(n): Knowledge of the culture or cultures represented by the patient should be used to: A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she: When assessing abdominal pain in a college-age woman, one must include: Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be: A brief statement of the reason the patient is seeking health care is called the: The attitudes of the health care professional: Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first? A tool used to screen adolescents for alcoholism is the: You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a: Which question would be considered a leading question? Your patient presents with symptoms that lead you to suspect acute appendicitis. Which assessment finding is least likely to be associated with this condition early in its course? Before performing an abdominal examination, the examiner should: Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? Which statement is true regarding the relationship of physical characteristics and culture? Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to: Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient? Tangential lighting is best used for inspecting skin: Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to: When are open-ended questions generally most useful? Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: Regardless of the origin, discharge is described by noting: When assessing abdominal pain in a college-age woman, one must include: A detailed description of the symptoms related to the chief complaint is presented in the: Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you have noted a bruit heard over the thyroid. This is suggestive of: Expected hair distribution changes in older adults include: To perform the Rinne test, place the tuning fork on the: Bulging of an amber tympanic membrane without mobility is most often associated with: Subjective and symptomatic data are: Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for: Which of the following is an expected change in the assessment of the thyroid during pregnancy? Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have noted a 4' 3-cm, rough, elevated area of psoriasis. This is an example of a: Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as: Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a cultural, differentiator? Mr. Johnson presents with a freely movable cystic mass in the midline of the high neck region at the base of the tongue. This is most likely a: The most common form of birth trauma of the scalp is: The examiner's evaluation of a patient's mental status belongs in the: A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to: The review of systems is a component of the: Mr. L. presents to the clinic with severe groin pain and a history of kidney stones. Mr. L.'s son tells you that, for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response? Recommended carbohydrate content of total dietary intake (% total calories) is %. When hearing is evaluated, which cranial nerve is being tested? Small, minute bruises are called: The infant should be placed in which position to have his or her height or length measured? When examining the skull of a 4-month-old baby, you should normally find: Cherry angiomas are a common finding in: Mrs. Leonard brings her newborn infant into the pediatrician's office for a first well- baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to: Mr. Black is a 44-year-old patient who presents to the clinic with complaints of neck pain that he thinks is from his job involving computer data entry. As the examiner, you are checking the range of motion in his neck and note the greatest degree of cervical mobility is at: Which technique is most likely to result in the patient's understanding of questions? During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should: Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? When palpating the abdomen, you should note whether the liver is enlarged in the: As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to: When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?