Question 1

What would be included in a list of the five techniques of health assessment? (Select all that apply.)

Accepted Answer

A)   Inspection
B)   Palpation
C)   Interview
D)   Auscultation
E)   PercussionF) None of the above
G) B) and E)

Question 2

What should be considered when planning a health interview with an older adult? (Select all that apply.)

Accepted Answer

A)   Comfort of the physical setting
B)   Methods to develop trust and rapport
C)   Timing for minimal distractions
D)   The age and ethnicity of the patient
E)   Income levelF) A) and B)
G) A) and C)

Question 3

The nurse conducting a patient assessment records a seated blood pressure of 135/86. What standing blood pressure would be indicative of orthostatic hypotension?

Accepted Answer

A)   145/85
B)   134/76
C)   130/72
D)   124/62E) B) and D)
F) None of the above

Question 4

What data would be collected during the identifying information portion of the health interview? (Select all that apply.)

Accepted Answer

A)   Ethnicity
B)   Previous or current occupation
C)   Educational background
D)   Perception of general health
E)   Completion of advanced directivesF) None of the above
G) A) and B)

Question 5

Which of the following tests should be performed annually in a 55-year-old woman?

Accepted Answer

A)   Fecal occult blood test
B)   Sigmoidoscopy
C)   Hearing screening
D)   MammogramE) B) and D)
F) B) and C)

Question 6

What is the best way to assess psychological status in an older adult?

Accepted Answer

A)   Direct observation
B)   Input from family members
C)   Subjective findings
D)   Review of nursing notesE) A) and B)
F) A) and C) A

Question 7

What statement would put the older woman most at ease during a health interview?

Accepted Answer

A)   "The interview will take quite a while."
B)   "Please have a seat over there across from the desk."
C)   "There are lots of questions that we must finish."
D)   "The bathroom is behind that green door. We'll be taking a break in about 30 minutes."E) B) and D)
F) C) and D)

Question 8

Where would the nurse place the head of the stethoscope when assessing an apical pulse?

Accepted Answer

A)   Third intercostal space at proximal edge of the clavicle
B)   Fourth intercostal space at the edge of the sternum
C)   Fifth intercostal space even with the middle of the clavicle
D)   Sixth intercostal space above the diaphragmE) B) and D)
F) All of the above

Question 9

How should the nurse begin the health interview in order to most effectively build rapport with the patient?

Accepted Answer

A)   Focus on the problems that the patient sees as important.
B)   Explain the importance of health maintenance.
C)   Inform the patient of the number of questions that will be asked.
D)   Reassure the patient that the interview is private.E) C) and D)
F) A) and B)

Question 10

The nurse explains that the tool that allows the evaluation of core function in a resident in a long-term facility is the __________ __________ __________.

Accepted Answer

Minimum Data Set

Question 11

Which statement by the nurse would be the most appropriate at the beginning of the health interview?

Accepted Answer

A)   "Hello, Mrs. Smith. My name is Alice. We'll start with a few questions before the physical exam."
B)   "Welcome, Sara. I'm Alice. Let's get down to some questions about your health."
C)   "I'm Alice Jones. I'm here to do an interview about your health."
D)   "Hey, Mrs. Smith! Are you ready for some questions about your health?"E) A) and D)
F) A) and C)

Question 12

The 94-year-old woman has come to the health assessment interview with her 70-year-old daughter, who answers all the interview questions for her mother. What response by the nurse would be the most effective?

Accepted Answer

A)   Say, "I'm speaking to your mother. Please let her answer for herself."
B)   Continue to interact with the daughter to facilitate completion of the interview.
C)   Look directly at the patient and say, "Mrs. Smith, now I'd like to hear from you about your health."
D)   Document that all answers to the interview came from a third party.E) A) and B)
F) C) and D)

Question 13

By what means can a health screening be conducted? (Select all that apply.)

Accepted Answer

A)   A health professional
B)   Telephone interview
C)   Telecomputer
D)   Pen and paper surveys
E)   Lay personsF) A) and B)
G) A) and C)

Question 14

What communication technique would be most helpful during the health interview?

Accepted Answer

A)   Use medical terminology.
B)   Keep questions simple.
C)   Help patients by finishing their sentences.
D)   Allow patients to ramble as they respond.E) B) and D)
F) B) and C)

Question 15

The nurse explains that the Minimum Data Set (MDS)  3.0 used in extended-care facilities is designed to

Accepted Answer

A)   identify ethnic populations in long-term care.
B)   group residents into specified activity levels.
C)   organize information relative to diagnostic categories.
D)   make assessment processes more consistent.E) A) and D)
F) All of the above

Question 16

What type of thermometer would be the best choice when assessing the temperature of an older adult?

Accepted Answer

A)   Electronic thermometer, because it only takes a few seconds to assess temperature
B)   Oral thermometer, because the presence of dry mucous membranes gives a more valid temperature
C)   Axillary thermometer, because its position is nearer the heart
D)   Rectal thermometer, because it is the best indicator of the body core temperatureE) B) and D)
F) None of the above

Question 17

What special precautions should the nurse take during the physical exam of an 86-year-old woman?

Accepted Answer

A)   Weigh the patient carefully without clothing.
B)   Prevent the patient from becoming chilled during the examination.
C)   Give fluids before the examination.
D)   Elevate the patient's head while she is lying in a supine position.E) C) and D)
F) B) and C)

Question 18

How should the nurse interview a 90-year-old Chinese woman who is accompanied by her daughter?

Accepted Answer

A)   Use direct, short questions.
B)   Address all the questions to the daughter.
C)   Use pictures of body systems rather than anatomical terms.
D)   Use social conversation and indirect questions.E) B) and C)
F) All of the above

Question 19

What is the correct term for the difference between the apical pulse and the radial pulse?

Accepted Answer

A)   Pulse pressure
B)   Pulse deficit
C)   Pulse ratio
D)   Pulse qualityE) All of the above
F) A) and B) B

Question 20

When conducting a health assessment, which finding would be recorded as crackles?

Accepted Answer

A)   High-pitched sounds in the lung bases on inspiration
B)   Continuous low-pitched snoring sounds over major bronchi
C)   Squeaky musical sounds on expiration
D)   Coarse grating sounds on inspiration and expirationE) A) and D)
F) A) and C)

Exam 8: Health Assessment for Older Adults

What would be included in a list of the five techniques of health assessment? (Select all that apply.)

Correct AnswerverifiedShow Answer

What should be considered when planning a health interview with an older adult? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse conducting a patient assessment records a seated blood pressure of 135/86. What standing blood pressure would be indicative of orthostatic hypotension?

Correct AnswerverifiedShow Answer

What data would be collected during the identifying information portion of the health interview? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which of the following tests should be performed annually in a 55-year-old woman?

Correct AnswerverifiedShow Answer

What is the best way to assess psychological status in an older adult?

Correct AnswerverifiedA

What statement would put the older woman most at ease during a health interview?

Correct AnswerverifiedShow Answer

Where would the nurse place the head of the stethoscope when assessing an apical pulse?

Correct AnswerverifiedShow Answer

How should the nurse begin the health interview in order to most effectively build rapport with the patient?

Correct AnswerverifiedShow Answer

The nurse explains that the tool that allows the evaluation of core function in a resident in a long-term facility is the __________ __________ __________.

Correct AnswerverifiedMinimum Data Set

Which statement by the nurse would be the most appropriate at the beginning of the health interview?

Correct AnswerverifiedShow Answer

The 94-year-old woman has come to the health assessment interview with her 70-year-old daughter, who answers all the interview questions for her mother. What response by the nurse would be the most effective?

Correct AnswerverifiedShow Answer

By what means can a health screening be conducted? (Select all that apply.)

Correct AnswerverifiedShow Answer

What communication technique would be most helpful during the health interview?

Correct AnswerverifiedShow Answer

The nurse explains that the Minimum Data Set (MDS) 3.0 used in extended-care facilities is designed to

Correct AnswerverifiedShow Answer

What type of thermometer would be the best choice when assessing the temperature of an older adult?

Correct AnswerverifiedShow Answer

What special precautions should the nurse take during the physical exam of an 86-year-old woman?

Correct AnswerverifiedShow Answer

How should the nurse interview a 90-year-old Chinese woman who is accompanied by her daughter?

Correct AnswerverifiedShow Answer

What is the correct term for the difference between the apical pulse and the radial pulse?

Correct AnswerverifiedB

When conducting a health assessment, which finding would be recorded as crackles?

Correct AnswerverifiedShow Answer

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A

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The nurse explains that the tool that allows the evaluation of core function in a resident in a long-term facility is the __.

Correct Answer
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Minimum Data Set

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B

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