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PCHA Final Exam Latest Updated.
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PCHA Final Exam Latest Updated.
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PCHA Final Exam Latest UpdatedA patient tells the nurse that he is very nervous, nauseated and that he "feels hot". This
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type of data would be considered: - answer-subjective
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Because the physical environment in which an interview takes place is an important
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consideration for the success of an interview, the interviewer should: - answer-reduce
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noise by turning off televisions and cell phones
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A nurse is taking complete health histories on all the patients attending a wellness
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workshop. While conducting an interview with a patient, the nurse asks, "Can you tell me
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a little about yourself?" This question is an example of: - answer-an open-ended question
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During an interview, a parent of a hospitalized child is sitting in an open position. As the
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interviewer begins to discuss the child's treatment, however, the parent suddenly crosses
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the arms against the chest and crosses the legs. Based on the understanding that
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nonverbal modes of communication provide clues to understanding feelings, the sudden
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change in body position would suggest that the parent is: - answer-uncomfortable talking
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about his child's treatment
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A 59-year-old patient is returning to the outpatient clinic for a follow up visit. The patient
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has a history of ulcerative colitis. The patient states he has been having "black stools" for
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the last 24 hours. Which of the following would be the most complete way for the nurse to
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document the patient's reason for seeking care? - answer-J.M. is a 59-year-old patient here
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for having "black stools" for the past 24 hours.
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,Which of the following statements best describes the purpose of a health history? -
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answer-to provide a database of subjective information about the patient's past and
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current health.
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The inspection phase of the physical assessment: - answer-begins the moment you first
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meet the person and develop a "general survey".
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A patient is at the clinic for a physical examination. He states that he is "very anxious"
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about the physical exam. What steps can the examiner take to make the patient more
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comfortable? - answer-Appear unhurried and confident when examining the patient.
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When performing a physical examination, safety must be considered to protect the
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examiner and the patient against the spread of infection. Which of the following
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statements describes the most appropriate actions the examiner should take when
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performing a physical examination? - answer-Wash hands at the beginning of the
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examination and any time that one leaves and re-enters the room.
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A 50-year-old patient who is taking anti-hypertensive medications returns to the clinic to
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have their blood pressure (BP) checked. The last BP was 146/88. The BP reported to the
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nurse is 168/96. Both blood pressures were taken at the brachial site. Which of the
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following is true regarding blood pressure assessment in this patient? Choose all that
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apply:
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1. The patient should be allowed to adequately rest prior to assessing the blood pressure.
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2. The width of the cuff should cover 40% of the circumference of the upper arm.
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3. The position of the arm used for blood pressure assessment should be above the level of
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the heart.
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4. Goal blood pressure for this patient should be systolic less than 120 mm Hg and
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diastolic less than 80 mmHg.
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5. The last audible sound auscultated during blood pressure assessment should be
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recorded for the systolic reading.
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, 6. An unsupported arm may be used for an accurate blood pressure measure - answer-1, 2,
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4
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While caring for a patient with heart disease, the nurse notices an irregularity in the
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rhythm of the patient's radial pulse. The previous assessment did not reveal an irregular
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pulse. What would be the BEST action to take? - answer-count the patient's apical pulse
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for one minute
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Which of the following statements is true regarding use of the tympanic thermometer? -
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answer-The practitioner needs to wait at least 10 minutes to obtain the temperature if the
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patient has been outdoors.
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Which of the following is true regarding an oral temperature? - answer-The thermometer
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should be placed in the posterior sublingual pocket of the mouth.
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The nurse is taking a blood pressure on a patient; the patient's baseline blood pressure is
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unknown. The nurse does not have any previous information about the patient's blood
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pressure measurements, nor is the patient able to give any information about previous
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blood pressure readings. Which of the following techniques would be the MOST accurate
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way to measure this patient's blood pressure? - answer-Inflate the blood pressure cuff 30
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mm Hg above the point at which the palpated pulse disappeared.
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A patient is being seen in the clinic for "fainting episodes". The patient has a blood
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pressure of 150/90 in a lying position, 120/80 in a sitting position, and 90/60 in a
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standing position. How should the nurse interpret these findings? - answer-The change in
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blood pressure readings is called orthostatic hypotension.
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In the article by Rakotz, 'Medical students and measuring blood pressure: Results from the
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American Medical Association Blood Pressure Check Challenge', what are the
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consequences of poor technique when measuring blood pressure? - answer-all of the
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above
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