NURS 5220 ADVANCED PHYSICAL ASSESSMENT

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NURS 5220 ADVANCED PHYSICAL ASSESSMENT

EXAM 1 MODULE 1,2,3,5,6,8 NEWEST 2025 ACTUAL

EXAM COMPLETE 177 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

|ALREADY GRADED A+

Mr. Sandstrom has come for his routine appointment for his hypertension. He is not experiencing medication side effects or other health problems. Which of the following questions is most appropriate to ask when you begin the interview?

• "How have you been doing since your last visit?"
• "Have you been taking your medications?"
• "What brings you to the office today?"
• "How are you doing with your hypertension?" - ANSWER-

A:CorrectAt the start, greet the patient and those with the

patient.Rationale; Begin by asking open-ended questions ("How have you been feeling since we last met?" "What questions would you like to discuss?" "What do you want to make sure we cover in today's visit?").

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During an interview, a patient admits to feeling worthless and having a sleep disturbance for the last 3 weeks. These clues

warrant exploring the possibility of:

• altered cognition.
• suicidal ideation or plan.
• substance abuse.

D. panic attacks. - ANSWER-B:CorrectA

Rationale; sense of sluggishness in the daily experience; disturbances in sleeping, eating, and social contact; and feelings of loss of self-worth can be clues for depression.

When questioning a patient regarding a sensitive issue such as

drug use, it is best to:

• begin by describing the effects of drug abuse on health.
• be direct, firm, and to the point.
• explain that only health care workers will share the

information.

• explain that only health care workers will share the

information. - ANSWER-B: 2 / 4

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Rationale; Sensitive issues, which may be difficult to discuss but are important to address, include sex, drug or alcohol use, or concerns about death. Being direct, firm, and to the point are successful techniques used in these types of interviews. Answers a, c, and d, have proven to be ineffective techniques in these situations.

When taking a patient's history, you are asked questions about your personal life. What is the best response to facilitate the interview process?

• Answer briefly and then refocus on the patient's history.
• Give as much detail as possible about the asked information.
• Ignore the question and continue with the patient's history.
• Tell the patient that it is inappropriate to answer personal

questions. - ANSWER-A:Correct

Rationale; Patients will sometimes ask about you. Although you are not the point, you may be comfortable revealing some relevant aspects of your experience ("I have trouble remembering to take medicines, too"). A direct answer will usually do. Often, simply informing your patients that you have experienced similar life events (e.g., illness, pregnancy, and childbirth) can help alleviate fears and help in the identification of the patient's concerns. The message that you 3 / 4

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are a "real" person can lead to a trust-enhancing or even therapeutic exchange.

Mr. Jerry Spenser, a 26-year-old homosexual man, is having a health history taken. Which question regarding sexual activity would most likely hamper trust between Jerry and the interviewer?

• "Are you married or do you have a girlfriend?"
• "Tell me about your living situation."
• "Are you sexually active?"
• "Are your partners men, women, or both?" - ANSWER-

A:Correct

Rationale; The sexual orientation of a patient must be known if appropriate continuity of care is to be offered. The apprehension these patients may feel in revealing their preferences should be respected. Reassuring, nonjudgmental words help. Trust is best achieved if questions are gender neutral and open ended. If you use a nonjudgmental approach, a variety of questions applicable to any patient and any sexual circumstance becomes possible.

Long periods of silence during an interview may indicate:

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