Exam (elaborations)
PCHA Final Exam Latest Updated.
- Course
- Institution
PCHA Final Exam Latest Updated.
[Show more]
Content preview
PCHA Final Exam Latest UpdatedA patient tells the nurse that he is very nervous, nauseated and that he "feels hot". This
v v v v v v v v v v v v v v v v
type of data would be considered: - answer-subjective
v v v v v v v v
Because the physical environment in which an interview takes place is an important
v v v v v v v v v v v v
consideration for the success of an interview, the interviewer should: - answer-reduce
v v v v v v v v v v v v
noise by turning off televisions and cell phones
v v v v v v v v
A nurse is taking complete health histories on all the patients attending a wellness
v v v v v v v v v v v v v
workshop. While conducting an interview with a patient, the nurse asks, "Can you tell me
v v v v v v v v v v v v v v v
a little about yourself?" This question is an example of: - answer-an open-ended question
v v v v v v v v v v v v v v
During an interview, a parent of a hospitalized child is sitting in an open position. As the
v v v v v v v v v v v v v v v v
interviewer begins to discuss the child's treatment, however, the parent suddenly crosses
v v v v v v v v v v v v
the arms against the chest and crosses the legs. Based on the understanding that
v v v v v v v v v v v v v v
nonverbal modes of communication provide clues to understanding feelings, the sudden
v v v v v v v v v v v
change in body position would suggest that the parent is: - answer-uncomfortable talking
v v v v v v v v v v v v v
about his child's treatment
v v v v
A 59-year-old patient is returning to the outpatient clinic for a follow up visit. The patient
v v v v v v v v v v v v v v v
has a history of ulcerative colitis. The patient states he has been having "black stools" for
v v v v v v v v v v v v v v v v
the last 24 hours. Which of the following would be the most complete way for the nurse to
v v v v v v v v v v v v v v v v v v
document the patient's reason for seeking care? - answer-J.M. is a 59-year-old patient here
v v v v v v v v v v v v v v
for having "black stools" for the past 24 hours.
v v v v v v v v v
,Which of the following statements best describes the purpose of a health history? -
v v v v v v v v v v v v v
answer-to provide a database of subjective information about the patient's past and
v v v v v v v v v v v v
current health.
v v
The inspection phase of the physical assessment: - answer-begins the moment you first
v v v v v v v v v v v v
meet the person and develop a "general survey".
v v v v v v v v
A patient is at the clinic for a physical examination. He states that he is "very anxious"
v v v v v v v v v v v v v v v v
about the physical exam. What steps can the examiner take to make the patient more
v v v v v v v v v v v v v v v
comfortable? - answer-Appear unhurried and confident when examining the patient.
v v v v v v v v v v
When performing a physical examination, safety must be considered to protect the
v v v v v v v v v v v
examiner and the patient against the spread of infection. Which of the following
v v v v v v v v v v v v v
statements describes the most appropriate actions the examiner should take when
v v v v v v v v v v v
performing a physical examination? - answer-Wash hands at the beginning of the
v v v v v v v v v v v v
examination and any time that one leaves and re-enters the room.
v v v v v v v v v v v
A 50-year-old patient who is taking anti-hypertensive medications returns to the clinic to
v v v v v v v v v v v v
have their blood pressure (BP) checked. The last BP was 146/88. The BP reported to the
v v v v v v v v v v v v v v v v
nurse is 168/96. Both blood pressures were taken at the brachial site. Which of the
v v v v v v v v v v v v v v v
following is true regarding blood pressure assessment in this patient? Choose all that
v v v v v v v v v v v v v
apply:
v
1. The patient should be allowed to adequately rest prior to assessing the blood pressure.
v v v v v v v v v v v v v v
2. The width of the cuff should cover 40% of the circumference of the upper arm.
v v v v v v v v v v v v v v v
3. The position of the arm used for blood pressure assessment should be above the level of
v v v v v v v v v v v v v v v v
the heart.
v v
4. Goal blood pressure for this patient should be systolic less than 120 mm Hg and
v v v v v v v v v v v v v v v
diastolic less than 80 mmHg.
v v v v v
5. The last audible sound auscultated during blood pressure assessment should be
v v v v v v v v v v v
recorded for the systolic reading.
v v v v v
, 6. An unsupported arm may be used for an accurate blood pressure measure - answer-1, 2,
v v v v v v v v v v v v v v v
4
v
While caring for a patient with heart disease, the nurse notices an irregularity in the
v v v v v v v v v v v v v v
rhythm of the patient's radial pulse. The previous assessment did not reveal an irregular
v v v v v v v v v v v v v v
pulse. What would be the BEST action to take? - answer-count the patient's apical pulse
v v v v v v v v v v v v v v v
for one minute
v v v
Which of the following statements is true regarding use of the tympanic thermometer? -
v v v v v v v v v v v v v
answer-The practitioner needs to wait at least 10 minutes to obtain the temperature if the
v v v v v v v v v v v v v v v
patient has been outdoors.
v v v v
Which of the following is true regarding an oral temperature? - answer-The thermometer
v v v v v v v v v v v v
should be placed in the posterior sublingual pocket of the mouth.
v v v v v v v v v v v
The nurse is taking a blood pressure on a patient; the patient's baseline blood pressure is
v v v v v v v v v v v v v v v
unknown. The nurse does not have any previous information about the patient's blood
v v v v v v v v v v v v v
pressure measurements, nor is the patient able to give any information about previous
v v v v v v v v v v v v v
blood pressure readings. Which of the following techniques would be the MOST accurate
v v v v v v v v v v v v v
way to measure this patient's blood pressure? - answer-Inflate the blood pressure cuff 30
v v v v v v v v v v v v v v
mm Hg above the point at which the palpated pulse disappeared.
v v v v v v v v v v v
A patient is being seen in the clinic for "fainting episodes". The patient has a blood
v v v v v v v v v v v v v v v
pressure of 150/90 in a lying position, 120/80 in a sitting position, and 90/60 in a
v v v v v v v v v v v v v v v v
standing position. How should the nurse interpret these findings? - answer-The change in
v v v v v v v v v v v v v
blood pressure readings is called orthostatic hypotension.
v v v v v v v
In the article by Rakotz, 'Medical students and measuring blood pressure: Results from the
v v v v v v v v v v v v v
American Medical Association Blood Pressure Check Challenge', what are the
v v v v v v v v v v
consequences of poor technique when measuring blood pressure? - answer-all of the
v v v v v v v v v v v v
above
v
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Prose1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now