Question:
A 48-year-old woman states that she began smoking about 10 cigarettes per day at 20 years of age. How
should this subjective history be documented?
10 pack year history
14 pack year history Correct
18 pack year history
20 pack year history
Explanation:
The pack year history is calculated by the number of pack years = (number of cigarettes smoked per
day/20, the number of cigarettes in a pack) × number of years smoked. This patient smokes 10 cigarettes
per day / 20 x 28 years smoked = 14 pack year history.
Question:
An example of an alcohol assessment screening tool is the:
Kessler 6.
PHQ-9.
CAGE. Correct
A-SSRS.
Explanation:
The CAGE Assessment is a quick questionnaire to help determine if an alcohol assessment is needed. If a
person answers yes to two or more questions, a complete assessment is advised. The Kessler 6 & Kessler 10
are mental health screening tools used with a general adult population. Patient Health Questionnaire
(PHQ-9) is the most common screening tool to identify depression. The Columbia-Suicide Severity Rating
Scale (C-SSRS) is a questionnaire used for suicide assessment.
Question:
A seven- year -old is suspected of having conduct disorder. Which one of the following topics should the
nurse practitioner include in the assessment history?
Stuttering
Animal abuse Correct
Worrying excessively about mother
Refusing to perform chores
Explanation:
Animal abuse is often seen in children who display conduct disorder behaviors and would be a topic of
concern if the child was abusing animals. Stuttering, worrying excessively about mother, and refusing to
perform chores fall into other behavioral disorders.
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