nurs 712 Advanced health assessment – FINAL
questions with correct answers
Signs/Symptoms depression Correct Answer-high yield screening
questions:
-over the past 2 weeks, have you felt down, depressed, or hopeless?
- over the past 2 weeks, have you felt little interest or pleasure in doing
things?
PHQ-9 - screening for depression
Depression is nearly twice as common in women as in men.
Anhedonia (loss of pleasure in daily activities)
sleep disorders,
low self esteem
difficulty concentrating or making decisions
Assessing for suicide risk Correct Answer-Suicide Assessment Checklist
Suicide Intent Scale
SAD PERSONS scale
Risk factors: Being male, over 65, depression, previous attempts,
dependence, being psychotic, having little social support, having a
chronic illness
Despite the public health burden of suicide, the USPSTF has concluded
that there is insufficient evidence tfor screening of suicide risk in a
,primary care setting, but clinicians should be aware of the patient clues
and risk factors.
Ideation, plan, intent
anxiety Correct Answer-high yield screening questions for anxiety:
- over the past 2 weeks, have you been feeling nervous, anxious or on
edge?
-over the past 2 weeks, have you been unable to stop or control
worrying?
- over the past 4 weeks, have you had an anxiety attack - suddenly
feeling fear or panic?
generalized anxiety disorder Correct Answer-excessive worry persisting
over a 4 week period
bipolar disorder Correct Answer-A mood disorder in which the person
alternates between the hopelessness and lethargy of depression and the
overexcited state of mania.
Schizophrenia Correct Answer-clustered into the "odd or eccentric"
personality disoreder
a group of severe disorders characterized by disorganized and delusional
thinking, disturbed perceptions, and inappropriate emotions and actions
PTSD Correct Answer-an anxiety disorder characterized by haunting
memories, nightmares, social withdrawal, jumpy anxiety, and/or
insomnia that lingers for four weeks or more after a traumatic experience
histrionic Correct Answer-overly dramatic
"Dramatic, Emotional or Erratic" personality disorder
Avoidant Correct Answer-"Anxious or fearful" personality disorder
Paranoid Correct Answer-"Odd or eccentric " personality disorder
narcissistic personality disorder Correct Answer-"Dramatic, emotional
or erratic" personality disorder
characterized by a grandiose sense of self-importance, a preoccupation
with fantasies of success or power, and a need for constant attention or
admiration
ABCDE of lesions Correct Answer-A= asymmetry; one half is unlike
the other half
B= border; an irregular, scalloped or poorly defined border
C= color; is varied from one area to another; has shades of tan, brown,
or black, or is sometimes white, red, or blue
, D= diameter; melanomas are usually greater than 6mm (size of a pencil
eraser) when diagnosed, but they can be smaller
E= evolving; a mole or skin lesion that looks different from the rest or is
changing in size, shape or color
checking skin temperature is best accomplished by using Correct
Answer-the dorsa of your hands
Urticaria (hives) Correct Answer-acute allergic reaction in which red,
round wheals develop on the skin
Wheal - circumscribed raised lesion. blanchable
sebaceous cyst Correct Answer-Sac under the skin filled with sebum or
oil from a sebaceous gland. This can grow to a large size and may need
to be excised.
actinic keratosis Correct Answer-a precancerous skin growth that occurs
on sun-damaged skin
precursor to squamous cell carcinoma
often easier to feel than see
papules 'come and go" on sun-damaged skin
basil cell carcinoma Correct Answer-most common form of skin cancer
pink patch that does not heal
may have focal scaling
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