NURS 5220 400 Advanced Health Assessment Quiz - University of Texas at Arlington
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Free NURS 5220 400 Advanced Health Assessment Quiz - University of Texas at Arlington Questions
Family history should include at least how many generations?
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2
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5
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3
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1
Explanation
Explanation:
Correct Answer: (C) 3 A thorough family history typically includes at least three generations to identify patterns of hereditary or familial health conditions that may affect the patient.
Why Other Options are Incorrect:
A. 2 — This is insufficient to adequately capture familial health patterns across generations.
B. 5 — This exceeds the standard minimum requirement typically used in clinical practice.
D. 1 — A single generation does not provide enough information to identify hereditary health trends.
Sally tells you that she is having headaches for the last few days after you finish your physical exam. Where would you place this information on your SOAP note?
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Physical Assessment
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Review of Systems/Symptoms
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Plan
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This information is irrelevant because she told you after the exam
Explanation
Explanation:
Correct Answer: (B) Review of Systems/Symptoms Since the headache is a patient-reported symptom, it belongs in the Review of Systems/Symptoms section regardless of when during the visit it was mentioned, as this section captures subjective patient-reported information.
Why Other Options are Incorrect:
A. Physical Assessment — This section documents the provider's objective examination findings, not patient-reported symptoms.
C. Plan — This section outlines the treatment approach, not where new subjective symptom information is initially documented.
D. This information is irrelevant because she told you after the exam — Timing of disclosure does not make patient-reported symptoms irrelevant; all relevant information should be documented appropriately.
A pedigree diagram is drafted for the purpose of obtaining:
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Growth and developmental status
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Ethnic and cultural backgrounds
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Genetic and familial health problems
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Sexual orientation
Explanation
Explanation:
Correct Answer: (C) Genetic and familial health problems A pedigree diagram visually maps family relationships and health conditions across generations, helping to identify patterns of genetic or familial diseases.
Why Other Options are Incorrect:
A. Growth and developmental status — This is unrelated to the purpose of a pedigree diagram, which focuses on hereditary health information.
B. Ethnic and cultural backgrounds — While ethnicity may be noted, it is not the primary purpose of creating a pedigree diagram.
D. Sexual orientation — This is not information typically captured or intended to be obtained through a pedigree diagram.
Shortness of breath reported when walking one block is an example of which type of information? Shortness of breath when getting on the exam table for the physical assessment is an example of which type of information?
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Subjective, subjective
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Objective, objective
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Subjective, objective
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Objective, subjective
Explanation
Explanation:
Correct Answer: (C) Subjective, objective Shortness of breath reported by the patient about their experience walking one block is subjective (patient-stated), while shortness of breath observed by the provider during the physical exam is objective (directly observed).
Why Other Options are Incorrect:
A. Subjective, subjective — The second instance is directly observed by the provider during the exam, making it objective, not subjective.
B. Objective, objective — The first instance is patient-reported history, making it subjective, not objective.
D. Objective, subjective — This reverses the correct classification; the reported symptom is subjective and the observed finding during exam is objective.
Which question would be considered a "leading question"?
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"You don't get headaches often, do you?"
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"What do you think is causing your headaches?"
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"On a scale of 1 to 10, how would you rate the severity of your headaches?"
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"At what time of the day are your headaches the most severe?"
Explanation
Explanation:
Correct Answer: (A) "You don't get headaches often, do you?" A leading question suggests the expected answer within the question itself, guiding the patient toward a particular response rather than allowing an open, unbiased answer.
Why Other Options are Incorrect:
B. "What do you think is causing your headaches?" — This is an open-ended question that invites the patient's own perspective without suggesting an answer.
C. "On a scale of 1 to 10, how would you rate the severity of your headaches?" — This is a neutral, structured question used to quantify symptom severity without bias.
D. "At what time of the day are your headaches the most severe?" — This is a neutral, direct question seeking factual information without leading the patient toward a specific answer.
The Chief Complaint is an example of which type of data?
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Subjective
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Objective
Explanation
Explanation:
Correct Answer: (A) Subjective The chief complaint is stated by the patient in their own words, describing their reason for seeking care, which makes it subjective data since it reflects the patient's personal experience rather than measurable findings.
Why Other Options are Incorrect:
B. Objective — Objective data consists of measurable, observable findings gathered by the provider, such as vital signs or physical exam results, not the patient's stated reason for the visit.
A brief statement of the reason the patient is seeking health care is called the:
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Assessment
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Medical history
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Chief Complaint
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Review of Symptoms/Systems
Explanation
Explanation:
Correct Answer: (C) Chief Complaint The chief complaint is a concise statement, often in the patient's own words, describing the primary reason for seeking healthcare during that visit.
Why Other Options are Incorrect:
A. Assessment — This refers to the provider's clinical evaluation and judgment, not the patient's stated reason for the visit.
B. Medical history — This encompasses a broader review of past health conditions, surgeries, and family history, not just the reason for the current visit.
D. Review of Symptoms/Systems — This is a systematic inquiry into symptoms across body systems, not a brief statement of the primary complaint.
A health care provider develops a cultural knowledge base to:
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Understand the behaviors, practices, and problems observed
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Anticipate the patient's adherence to a treatment plan
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Change undesirable behavior or practices to conform to health care practice
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Predict behaviors and attitudes
Explanation
Explanation:
Correct Answer: (A) Understand the behaviors, practices, and problems observed Developing a cultural knowledge base helps healthcare providers understand and interpret the behaviors, practices, and health-related issues observed in patients from diverse backgrounds, fostering culturally competent care.
Why Other Options are Incorrect:
B. Anticipate the patient's adherence to a treatment plan — This assumes a predictive, potentially biased use of cultural knowledge rather than genuine understanding.
C. Change undesirable behavior or practices to conform to health care practice — This reflects an inappropriate, non-patient-centered approach that disregards cultural respect and individualized care.
D. Predict behaviors and attitudes — This implies stereotyping patients based on generalized cultural assumptions rather than understanding individual context.
In issues surrounding ethical decision making, beneficence refers to the:
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Need to avoid harming the patient
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Need to do good
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Provider knowing what is best for the patient
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Appropriate use of medical resources
Explanation
Explanation:
Correct Answer: (B) Need to do good Beneficence is the ethical principle that obligates healthcare providers to act in ways that promote the well-being and best interests of the patient.
Why Other Options are Incorrect:
A. Need to avoid harming the patient — This describes the principle of nonmaleficence, not beneficence.
C. Provider knowing what is best for the patient — This describes paternalism, which can conflict with patient autonomy and is not the definition of beneficence.
D. Appropriate use of medical resources — This relates to the principle of justice, not beneficence.
The Review of Symptoms/Systems in a SOAP note documents which type of information?
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Objective
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Subjective
Explanation
Explanation:
Correct Answer: (B) Subjective The Review of Symptoms/Systems is based on the patient's self-reported symptoms across various body systems, making it subjective data gathered through patient interview.
Why Other Options are Incorrect:
A. Objective — Objective data comes from measurable findings observed by the provider, such as physical exam results or lab values, not patient-reported symptoms.
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