NUR 500 Health Assessment Final Exam Dr. Bolden
LATEST 2024 -2025 QUESTION WITH ANSWERS GRADED
A+ (MSJ)
Generalized Anxiety Disorder Scale
when asked a variety of questions about anxiety in the past two weeks:
0- not at all
1- several days
2- more than half the days
3- nearly every day
scores of 5, 10, or 15 total for the 7 questions shows mild, moderate, or severe
anxiety
Patient Health Questionnaire (for Depression)
when asked a variety of questions about depression symptoms in the past 2
weeks:
0 - not at all
1 - several days
,Mount Saint Joseph University
2 - more than half the days
3 - nearly every day
scores of 5 to 20 total for the 9 questions suggests mild to severe depression
Brainpower
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Levels of Consciousness
1 - alert: awake; fully aware of stimuli and reacts appropriately
2 - lethargic: not fully alert; can be aroused with normal voice
3 - obtunded: sleeps most of the time; difficult to arouse; needs constant stimuli
4 - semi-coma: spontaneously unconscious; responds only to vigorous
shake/voice
5 - coma: completely unconscious; no response to pain or other stimuli
Normal Pupil Size
3-5 mm
,Mount Saint Joseph University
Tonsil Size
1+ visible
2+ halfway between tonsillar pillars an uvula
3+ touching uvula
4+ touching each other
Murmurs
Grade 1 - barely audible
Grade 2 - clearly audible but faint
Grade 3 - easy to hear
Grade 4 - loud, with thrill
Grade 5 - very loud, with thrill
Grade 6 - heard with stethoscope lifted off of chest
Edema
1+ mild pitting
2+ moderate pittinng
3+ deep pitting; leg looks swollen
4+ very deep pitting; leg is grossly swollen
, Mount Saint Joseph University
Strength
5 - full ROM against resistance
4 - full ROM against some resistance
3 - full ROM with gravity
2 - full ROM with no gravity
1 - slight contraction
0 - no contraction
Reflexes
4+ very brisk; hyperactive; indicative of disease
3+ brisker than normal; might be disease
2+ average, normal
1+ diminished; only with reinforcement
0 no response
CN I
-olfactory nerve
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