NUR643E Week 2 Quiz Answers

NUR643E Week 2 Quiz Answers

NUR643E Advanced Health Assessment for Nurse Educators

Week 2 Quiz

•Which of the following changes are expected in vision as part of the normal aging process?

•Cataracts

•Glaucoma

•Macular Degeneration

•Blurring of near vision

•A light is pointed at a patient’s pupil, which contracts. It is also noted that the other pupil contracts as well, though it is not exposed to bright light. Which of the following terms describes this latter phenomenon?

•Direct reaction

•Consensual reaction

•Near reaction

•Accommodation

•A patient complains of knee pain on your arrival in the room. What should your first sentence be after greeting the patient?

•How much pain are you having?

•Have you injured this knee in the past?

•When did this first occur?

•Could you please describe what happened?

•Mrs. T. presents for her regular visit to the clinic. She is on your schedule because her regular provider is on vacation and she wanted to be seen. You have heard about her many times from your colleague and are aware that she is a very talkative person. Which of the following is a helpful technique to improve the quality of the interview for both the provider and the patient?

•Allow the patient to speak uninterrupted for the duration of the appointment.

•Briefly summarize what you heard from the patient in the first 5 minutes and then try to have her focus on one aspect of what she told you.

•Set the time limit at the beginning of the interview and stick with it, no matter what occurs in the course of the interview.

•Allow your impatience to show so that the patient picks up on your nonverbal cue that the appointment needs to end. NUR643E Week 2 Quiz Answers

•The following information is recorded in the health history: “The patient has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area.” To which of these categories does it belong?

•Chief complaint

•Present illness

•Personal and social history

• Review of systems

•Is the following information subjective or objective?

Mr. M. has a respiratory rate of 32 and a pulse rate of 120.

•Subjective

•Objective

•A patient is assigned a visual acuity of 20/100 in her left eye. Which of the following is true?

•She obtains a 20% correct score at 100 feet.

•She can accurately name 20% of the letters at 20 feet.

•She can see at 20 feet what a normal person could see at 100 feet.

•She can see at 100 feet what a normal person could see at 20 feet.

•Ms. Whiting is a 68-year-old who presents in for her usual follow-up visit. You notice a few flat, red, and purple lesions, about 6 centimeters in diameter, on the ulnar aspect of her forearms but nowhere else. She doesn’t mention them. They are tender when you examine them. What should you do?

•Conclude that these are lesions she has had for a long time.

•Wait for her to mention them before asking further questions.

•Ask how she acquired them.

•Conduct the visit as usual for the patient.

•Mrs. R. is a 92-year-old retired teacher who presents to your clinic accompanied by her daughter. You ask Mrs. R. why she came to your clinic today. She looks at her daughter and doesn’t say anything in response to your question. This is an example of which type of challenging patient?

•Talkative patient

•Angry patient

•Silent patient

•Hearing-impaired patient

•You have just asked a patient how he feels about his emphysema. He becomes silent, folds his arms across his chest, leans back in his chair, and then replies, “It is what it is.” How should you respond?

• “You seem bothered by this question.”

• “Next, I would like to talk with you about your smoking habit.”

•“Okay, let’s move on to your other problems.”

• “You have adopted a practical attitude toward your problem. NUR643E Week 2 Quiz Answers

MORE INFO 

Advanced Health Assessment for Nurse Educators

Introduction

Nurse educators are a vital part of the healthcare team. They play a critical role in patient care and support, but they also have an important responsibility to themselves and their own health. As such, it’s important for nurses educators to take charge of their own health by visiting their doctor regularly for check-ups or even going on an exercise program.

The purpose of health assessment

Health assessment is a process that occurs in conjunction with student teaching and educational practices. The purpose of health assessment is to identify risk factors for the students, identify those who are at-risk for developing a health problem, and plan interventions based on these factors.

In order to complete an effective health assessment, it is important to understand the following:

• What does this mean?

• What should I be looking for?

• How can I help my students with their personal lives as well as their academic lives

How to conduct a health history

A health history is a collection of questions you ask your patient that will help determine their current and long-term health. The information gathered from this process can be used to make informed decisions about care, as well as identify trends in how people are living their lives.

To begin, it’s important that nurse educators understand what constitutes a complete health history form. In general:

• Ask about past injuries or illnesses (including mental illness).

• Inquire about any medications the patient is taking (including over-the-counter drugs).

• Ask whether they’ve been diagnosed with any diseases recently; if so, what diagnosis was given?

• Ask them how often they exercise regularly—and whether there have been changes in their exercise routine since becoming pregnant/having children.*

Physical assessment

As a nurse educator, you need to be aware of common health problems and how to properly assess your clients.

• Signs and symptoms: Some signs can be obvious, such as pain or discomfort. Other signs may not be as obvious but are still important for recognizing potential problems in the future. For example, if a patient has an abnormal skin color (such as gray), you should ask them about this so that you can check for other possible disorders that might indicate an underlying condition or medication side effects. If a patient complains about feeling hot or cold all over their body but there’s no difference between their arms/legs compared to other areas where they feel heat differently (e.g., one foot feels warmer than another), then this could possibly mean they have hyperthermia (heat exhaustion).

• Vital signs: These include blood pressure reading; heart rate measurement; temperature reading measured by rectal thermometer; respiration rate measured by stethoscope on chest wall near sternum level; pulse rate measured by non-invasive method such as finger blood pressure cuff machine

Takeaway:

You should now be able to identify the health risks that nurses face, and how these can impact their work. You also know how to assess a nurse’s current health status, as well as what steps you can take to improve it.

By taking this assessment with your fellow educators, you will be able to identify potential issues that may arise from poor health or lifestyle choices. This information will help them make informed decisions about their own physical condition so they can perform at their best in the classroom and during patient care activities.

Conclusion

A health history is the key to getting a good understanding of your patient and the best way to start this process is with a physical assessment. The nurse educator should make sure that the patient is comfortable before beginning this process because it can take time. If at any point during this process, something seems off or out of place then discontinue whatever procedure was being done until further investigation can be done later on down the road if needed (this also applies if they’re not feeling well).