Physical Examination and Health Assessment 9th Edition Test

Question 1 of 5

The following information is best placed in which category? "The patient had a stent placed in the left anterior descending artery (LAD) in "

A. Adult illnesses B. Surgeries C. Obstetrics/gynecology D. Psychiatric

Correct Answer: B

Rationale: The information provided - "The patient had a stent placed in the left anterior descending artery (LA
D)" - is related to a medical procedure, specifically a surgical intervention involving the placement of a stent in a coronary artery. This information falls under the category of surgeries because it describes a surgical treatment to address a cardiovascular issue. It does not pertain to adult illnesses, obstetrics/gynecology, or psychiatric conditions, making option B the most appropriate category for this information.

Question 2 of 5

He works in a sales office to support his family. Recently he has injured his back and you are thinking he would benefit from physical therapy, three times a week, for an hour per session. What would be your next step?

A. Write the physical therapy prescription. B. Have your office staff explain directions to the physical therapy center. C. Discuss the plan with Mr. Larson. D. Tell Mr. Larson that he will be going to physical therapy three times a week.

Correct Answer: C

Rationale: The next step would be to discuss the physical therapy plan with Mr. Larson. It is important to communicate openly with him, explain the recommendation for physical therapy, and ensure that he understands and agrees with the plan before proceeding further. This allows for any questions or concerns to be addressed, and ensures that the treatment plan is tailored to his needs and preferences. By discussing the plan with Mr. Larson first, you can also provide him with the opportunity to ask any questions and actively involve him in his own care, which can lead to better compliance and outcomes.

Question 3 of 5

Mrs. T. comes 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?

A. Allow the patient to speak uninterrupted for the duration of the appointment. B. 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. C. Set the time limit at the beginning of the interview and stick with it, no matter what occurs in the course of the interview. D. Allow your impatience to show so that the patient picks up on your nonverbal cue that the appointment needs to end.

Correct Answer: B

Rationale: Option B, briefy summarizing what you heard from the patient in the first 5 minutes and then trying to have her focus on one aspect of what she told you, is the best technique to facilitate a more focused and efficient interview. This approach acknowledges the patient's need to talk while also guiding the conversation towards more relevant topics. By summarizing at the beginning, you demonstrate that you are listening, and by redirecting the conversation to specific points, you can ensure that important issues are addressed within the time constraints of the appointment. It can help streamline the visit and prevent it from meandering off track due to the patient's chattiness.

Question 4 of 5

When using an interpreter to facilitate an interview, where should the interpreter be positioned?

A. Behind you, the examiner, so that the lips of the patient and the patient's nonverbal cues can be seen B. Next to the patient, so the examiner can maintain eye contact and observe the nonverbal cues of the patient C. Between you and the patient so all parties can make the necessary observations D. In a corner of the room so as to provide minimal distraction to the interview

Correct Answer: B

Rationale: When using an interpreter to facilitate an interview, it is recommended that the interpreter be positioned next to the patient. This allows the examiner to maintain eye contact with the patient and observe their nonverbal cues, while also being able to hear the interpreter clearly. Placing the interpreter between the examiner and the patient may create a barrier to communication and make it difficult for all parties to observe each other's expressions and body language. Having the interpreter behind the examiner could make it challenging to fully see the patient's lips and nonverbal cues, which are essential in communication. Placing the interpreter in a corner of the room may also lead to decreased engagement and interaction among the participants.
Therefore, positioning the interpreter next to the patient provides the most effective communication flow and allows for better observation and understanding during the interview.

Question 5 of 5

Mrs. Lenzo weighs herself every day with a very accurate balance-type scale. She has noticed that over the past 2 days she has gained 4 pounds. How would you best explain this?

A. Attribute this to some overeating at the holidays. B. Attribute this to wearing different clothing. C. Attribute this to body fluid. D. Attribute this to instrument inaccuracy.

Correct Answer: C

Rationale: The most likely explanation for Mrs. Lenzo noticing a 4-pound weight gain over just 2 days is fluctuations in body fluid. Our body weight can fluctuate throughout the day due to factors such as hydration levels, sodium intake, and hormonal changes. It is not physically possible to gain 4 pounds of actual body mass (e.g., fat or muscle) in such a short period of time by overeating or wearing different clothing. Additionally, if Mrs. Lenzo's scale is very accurate as mentioned, it is less likely that the weight gain is due to instrument inaccuracy.
Therefore, the most plausible reason for the sudden weight gain is fluctuations in body fluid retention.

Physical Examination and Health Assessment 9th Edition Test Bank -Nurselytic

Nurselytic

ATI RN

ATI RN