When the nurse asks for a description of who lives with a child, the method of discipline, and support system of the child, what part of the assessment is being performed?
NURS330 Individual Assessment
Chapter 4 Quiz
Question 1When the nurse asks for a description of who lives with a child, the method of discipline, and support system of the child, what part of the assessment is being performed?
Family history
Review of systems
Functional assessment
Reason for seeking care
Question 2A 90-year-old patient tells the nurse that he can’t remember the names of the medications he is taking or for what reason he is taking them. An appropriate response from the nurse would be:
“Can you tell me what they look like?”
“Don’t worry about it. You are only taking two medications.”
“How long have you been taking each of the pills?”
“Would you have your family bring in your medications?”
Question 3The nurse is incorporating a person’s spiritual values into the health history. Which of these questions illustrates the “community” portion of the FICA questions?
“Do you believe in God?”
“Are you a part of any religious or spiritual congregation?”
“Do you consider yourself to be a religious or spiritual person?”
“How does your religious faith influence the way you think about your health?”
Question 4During an assessment of a patient’s family history, the nurse constructs a genogram. Which statement best describes a genogram?
A list of diseases present in a person’s near relatives
A graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family members
A drawing that depicts the patient’s family members up to five generations back
A description of the health of a person’s children and grandchildren
Question 5In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate?
Patient denies usual childhood illnesses.
Patient states he was a “very healthy” child.
Patient states sister had measles, but he didn’t.
Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
Question 6A patient is describing his symptoms to the nurse. Which of these statements reflects a description of the setting of his symptoms?
“It is a sharp, burning pain in my stomach.”
“I also have the sweats and nausea when I feel this pain.”
“I think this pain is telling me that something bad is wrong with me.”
“This pain happens every time I sit down to use the computer.”
Question 7A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure?
The child’s birth weight
The age at which he crawled
Whether he has had the measles
Reactions to previous hospitalizations
Question 8In response to a question regarding use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information?
This information is necessary to determine the patient’s reliability.
Alcohol can interact with all medications and can make some diseases worse.
The nurse needs to be able to teach the patient about the dangers of alcohol use.
It’s not really necessary to have this information unless there is an obvious drinking problem.
Question 9When the nurse is evaluating the reliability of a patient’s responses, which of these statements would be correct? The patient:
has a history of drug abuse and therefore is not reliable.
provided consistent information and therefore is reliable.
smiled throughout interview and therefore is assumed reliable.
would not answer questions concerning stress and therefore is not reliable.
Question 10Which of these responses might the nurse expect during a functional assessment of a patient whose leg is in a cast?
“I broke my right leg in a car accident 2 weeks ago.”
“The pain is decreasing, but I still need to take acetaminophen.”
“I check the color of my toes every evening just like I was taught.”
“I’m able to transfer myself from the wheelchair to the bed without help.”
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