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PCHA Final Exam 2024_2025 fully solved & updated
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PCHA Final Exam 2024_2025 fully solved & updated
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PCHA Final Exam 2024/2025 fully solved& updated
A patient tells the nurse that he is very nervous, nauseated and that he "feels
hot". This type of data would be considered: - ANSWER-subjective
Because the physical environment in which an interview takes place is an
important consideration for the success of an interview, the interviewer should: -
ANSWER-reduce noise by turning off televisions and cell phones
A nurse is taking complete health histories on all the patients attending a
wellness workshop. While conducting an interview with a patient, the nurse asks,
"Can you tell me a little about yourself?" This question is an example of: -
ANSWER-an open-ended question
During an interview, a parent of a hospitalized child is sitting in an open position.
As the interviewer begins to discuss the child's treatment, however, the parent
suddenly crosses the arms against the chest and crosses the legs. Based on the
understanding that nonverbal modes of communication provide clues to
understanding feelings, the sudden change in body position would suggest that
the parent is: - ANSWER-uncomfortable talking about his child's treatment
A 59-year-old patient is returning to the outpatient clinic for a follow up visit. The
patient has a history of ulcerative colitis. The patient states he has been having
"black stools" for the last 24 hours. Which of the following would be the most
complete way for the nurse to document the patient's reason for seeking care? -
ANSWER-J.M. is a 59-year-old patient here for having "black stools" for the past
24 hours.
, Which of the following statements best describes the purpose of a health
history? - ANSWER-to provide a database of subjective information about the
patient's past and current health.
The inspection phase of the physical assessment: - ANSWER-begins the moment
you first meet the person and develop a "general survey".
A patient is at the clinic for a physical examination. He states that he is "very
anxious" about the physical exam. What steps can the examiner take to make the
patient more comfortable? - ANSWER-Appear unhurried and confident when
examining the patient.
When performing a physical examination, safety must be considered to protect
the examiner and the patient against the spread of infection. Which of the
following statements describes the most appropriate actions the examiner should
take when performing a physical examination? - ANSWER-Wash hands at the
beginning of the examination and any time that one leaves and re-enters the
room.
A 50-year-old patient who is taking anti-hypertensive medications returns to the
clinic to have their blood pressure (BP) checked. The last BP was 146/88. The BP
reported to the nurse is 168/96. Both blood pressures were taken at the brachial
site. Which of the following is true regarding blood pressure assessment in this
patient? Choose all that apply:
1. The patient should be allowed to adequately rest prior to assessing the blood
pressure.
2. The width of the cuff should cover 40% of the circumference of the upper arm.
3. The position of the arm used for blood pressure assessment should be above
the level of the heart.
4. Goal blood pressure for this patient should be systolic less than 120 mm Hg
and diastolic less than 80 mmHg.
5. The last audible sound auscultated during blood pressure assessment should
be recorded for the systolic reading.
6. An unsupported arm may be used for an accurate blood pressure measure -
ANSWER-1, 2, 4
While caring for a patient with heart disease, the nurse notices an irregularity in
the rhythm of the patient's radial pulse. The previous assessment did not reveal
an irregular pulse. What would be the BEST action to take? - ANSWER-count the
patient's apical pulse for one minute
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