Health Appraisal Exam Practice Tests
Course Introduction
Health Appraisal offers a comprehensive overview of the principles and practices involved in evaluating individual and community health status. The course covers methods of health assessment including physical examinations, health histories, lifestyle analyses, screenings, and diagnostic tools. Students will learn to interpret health data and identify risk factors for common diseases, considering physiological, psychological, and environmental influences. Emphasis is placed on culturally competent communication, ethical considerations, and collaborative approaches within interdisciplinary healthcare teams to promote wellness and early intervention.
Recommended Textbook
Physical Examination and Health Assessment 5th Edition by Carolyn Jarvis
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30 Chapters
966 Verified Questions
966 Flashcards
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Page 2
Chapter 1: Critical Thinking in Health Assessment
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Critical thinking in the expert nurse is greatly enhanced by opportunities to:
A)apply theory in real situations.
B)work with physicians to provide patient care.
C)follow physician orders in providing patient care.
D)develop nursing diagnoses for commonly occurring illnesses.
Answer: A
Q2) Which of the following would be formulated by a nurse using diagnostic reasoning?
A)Nursing diagnosis
B)Medical diagnosis
C)Diagnostic hypothesis
D)Diagnostic assessment
Answer: C
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Chapter 2: Developmental Tasks and Health Promotion
Across the Life Cycle
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) While examining an 18-month-old child,the nurse notes that he does not demonstrate skills typical for his age.He walks while holding on to furniture but prefers to crawl,rarely speaks,has a flat affect,and is small for his age.Which of the following is an appropriate nursing diagnosis for this child?
A)Impaired parenting
B)Imbalanced nutrition
C)Situational low self esteem
D)Delayed growth and development
Answer: D
Q2) An infant weighs 7 pounds at birth.At the well-child visit 6 months later,the nurse would expect the infant to weigh at least:
A)12 pounds.
B)14 pounds.
C)17 pounds.
D)21 pounds.
Answer: B
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Page 4
Chapter 3: Cultural Competence: Cultural Care
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A physician in the clinic is frequently bothered when patients arrive late for appointments.He is so irritated by this behavior that he often finds it hard to provide appropriate care to these individuals.What should he do first in trying to overcome his difficulty?
A)Identify the meaning of health to the patient.
B)Understand that these cultural practices are helpful to the patient.
C)Allow the patients to arrive late and build this into his schedule.
D)Examine his own culturally based values,beliefs,attitudes,and practices.
Answer: D
Q2) The belief in a divine or superhuman power or powers to be obeyed and worshipped as the creator(s)and ruler(s)of the universe is known as: A)culture.
B)religion.
C)ethnicity.
D)spirituality.
Answer: B
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Chapter 4: The Interview
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A 17-year-old single mother is describing how difficult it is to raise a 2-year-old by herself.During the course of the interview she states,"I can't believe my boyfriend left me to do this by myself! What a terrible thing to do to me!" Which of the following responses by the nurse uses empathy?
A)"You feel alone?"
B)"You can't believe he left you alone."
C)"It must be so hard to face this all alone."
D)"I would be angry,too;raising a child alone is no picnic."
Q2) During a prenatal check,a patient begins to cry as the nurse asks her about previous pregnancies.She states that she is remembering her last pregnancy,which ended in miscarriage.The nurse's best response to her crying would be:
A)"I'm so sorry for making you cry!"
B)"I can see that you are sad remembering this.It is all right to cry."
C)"Why don't I step out for a few minutes until you're feeling better?"
D)"I can see that you feel sad about this;why don't we talk about something else?"
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6
Chapter 5: The Complete Health History
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) In response to a question regarding use of alcohol,a patient asks the nurse why the nurse needs to know.What is the reason for needing this information?
A)This is necessary to determine the patient's reliability.
B)Alcohol can interact with all medications and make some diseases worse.
C)The nurse needs to be able to teach the patient about the dangers of alcohol use.
D)It's not really necessary to have this information unless there is an obvious drinking problem.
Q2) When incorporating the person's spiritual values into the health history,which of the following questions illustrates the "community" portion of the FICA questions?
A)"Do you believe in God?"
B)"Are you a part of any religious or spiritual congregation?"
C)"Do you consider yourself to be a religious or spiritual person?"
D)"How does your religious faith influence the way you think about your health?"
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Chapter 6: Mental Status Assessment
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which of the following individuals would the nurse consider at highest risk for a suicide attempt?
A)A man who jokes about death
B)A woman who,during a past episode of major depression,attempted suicide
C)An adolescent who has just broken up with her boyfriend and states that she would like to kill herself
D)An elderly man who tells the nurse that he is going to "join his wife in heaven" tomorrow and plans to use a gun
Q2) During an interview,the nurse notes that the patient gets up several times to wash her hands even though they are not dirty.This is an example of:
A)social phobia.
B)compulsive disorder.
C)generalized anxiety disorder.
D)posttraumatic stress disorder.
Q3) To assess affect,the nurse should ask the patient:
A)"How do you feel today?"
B)"Would you please repeat the following words?"
C)"Have these medications had any effect on your pain?"
D)"Has this pain affected your ability to get dressed by yourself?"
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Page 8
Chapter 7: Domestic Violence Assessment
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) During a home visit,the nurse notices that an elderly woman has very little food in her cabinets or refrigerator and that most of her prescription bottles are empty.She says that she has enough money,but her nephew has her checkbook and he "takes care of everything." She says,"Oh,my nephew will get around to getting groceries and my medicine when he can.He's very busy." This is an example of:
A)financial abuse.
B)financial neglect.
C)psychologic neglect.
D)physical abuse.
Q2) A female patient has denied any abuse when answering the Abuse Assessment Screen,but the nurse has noticed some other conditions that are associated with intimate partner violence.Examples of such conditions include:
A)asthma.
B)confusion.
C)depression.
D)frequent colds.
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9
Chapter 8: Assessment Techniques and the Clinical Setting
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The nurse is preparing to percuss to assess the underlying:
A)tissue turgor.
B)tissue texture.
C)tissue density.
D)tissue consistency.
Q2) The nurse is preparing to percuss the thorax of an adult.Which technique is correct?
A)Use the direct percussion technique.
B)Use the indirect percussion technique.
C)Use the ulnar surface of the hand to percuss the thorax.
D)Use the dorsal surface of the hand to percuss the thorax.
Q3) The nurse is unable to palpate the right radial pulse on a patient.The best action would be to:
A)auscultate over the area with a fetoscope.
B)use a goniometer to measure the pulsations.
C)use a Doppler device to check for pulsations over the area.
D)check for the presence of pulsations with a stethoscope.
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Chapter 9: General Survey, measurement, vital Signs
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) When assessing a patient's pulse the nurse should note which of the following characteristics?
A)Force
B)Pallor
C)Capillary refill time
D)Timing in the cardiac cycle
Q2) A 75-year-old man has a history of hypertension and was recently changed to a new antihypertensive drug.He reports feeling dizzy at times.How should the nurse evaluate his blood pressure?
A)Assess blood pressure and pulse in the supine,sitting,and standing positions.
B)Have Mr.Jones walk around the room and assess his blood pressure after activity.
C)Assess his blood pressure and pulse at the beginning and end of the examination.
D)Take the blood pressure on the right arm and then 5 minutes later take the blood pressure on the left arm.
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Chapter 10: Pain Assessment: the Fifth Vital Sign
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The nurse knows that which statement is true regarding the pain experienced by infants?
A)Pain in infants can only be assessed by physiologic changes,such as increased heart rate.
B)The Wong-Baker scale can be used to assess pain in infants.
C)A procedure that induces pain in adults will also induce pain in the infant.
D)Infants feel pain less than adults do.
Q2) When assessing the intensity of a patient's pain,which question by the nurse is appropriate?
A)"What makes your pain better or worse?"
B)"How much pain do you have now?"
C)"How does pain limit your activities?"
D)"What does your pain feel like?"
Q3) Nociception is the term used to describe how noxious stimuli are typically perceived as pain.During which phase of nociception does the conscious awareness of a painful sensation occur?
A)Perception
B)Modulation
C)Transduction
D)Transmission
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Chapter 11: Nutritional Assessment
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A 16-year-old girl is being seen at the clinic for gastrointestinal complaints and weight loss.The nurse determines that many of her complaints may be related to erratic eating patterns,eating predominantly fast foods,and high caffeine intake.In this situation,which of the following is most appropriate when collecting current dietary intake information?
A)Schedule a time for direct observation of the adolescent during meals.
B)Ask the patient for a 24-hour diet recall and assume this is reflective of a typical day for her.
C)Have the patient complete a food diary for 3 days-2 weekdays and 1 weekend day.
D)Use the food frequency questionnaire to identify the amount of intake of specific foods.
Q2) Which of the following statements is true concerning the nutritional assessment?
A)It is only useful in patients who are overweight.
B)It identifies patients who are at risk of malnutrition.
C)This assessment can only be thoroughly done by a dietician.
D)It provides the nurse with physical findings related to all the systems.
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13
Chapter 12: Skin, hair, and Nails
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) When assessing inflammation in a dark-skinned person,the nurse may need to:
A)assess the skin for cyanosis and swelling.
B)assess the oral mucosa for generalized erythema.
C)palpate the skin for edema and increased warmth.
D)palpate for tenderness and local areas of ecchymosis.
Q2) A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for about 3 days with his feet down and he wants the nurse to evaluate his feet.During the assessment,the nurse might expect to find:
A)pallor.
B)coolness.
C)distended veins.
D)decreased capillary filling time.
Q3) A thorough skin assessment is very important because the skin holds information about:
A)support systems.
B)circulatory status.
C)socioeconomic status.
D)psychological wellness.
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14
Chapter
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Sample Questions
Q1) Head circumference equal to chest circumference.
A)A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood glucose levels with a glucometer.
B)A teenager who was stung by a bee during a soccer match is having trouble breathing.
C)An older adult with a urinary tract infection is also showing signs of confusion and agitation.
Q2) During an admission assessment,the nurse notices that a male patient has an enlarged and rather thick skull.The nurse suspects acromegaly and would further assess for:
A)exophthalmos.
B)bowed long bones.
C)coarse facial features.
D)an acorn-shaped cranium.
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15
Chapter 14: Eyes
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) During an ophthalmscopic examination of the eye,the examiner notes areas of exudate that look like "cotton wool" or fluffy gray-white cumulus clouds.This finding indicates which possible problem?
A)Diabetes
B)Hyperthyroidism
C)Glaucoma
D)Hypotension
Q2) A patient's vision is recorded as 20/80 in each eye.The nurse recognizes that this finding indicates that:
A)the patient has poor vision.
B)the patient has acute vision.
C)the patient has normal vision.
D)the patient is presbyopic.
Q3) An ophthalmic examination reveals papilledema.The nurse is aware that this finding indicates:
A)retinal detachment.
B)diabetic retinopathy.
C)acute-angle glaucoma.
D)increased intracranial pressure.
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Page 16
Chapter 15: Ears
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) While performing the otoscopic exam of a 3-year-old boy who has been pulling on his left ear,the nurse finds that his left tympanic membrane is bright red and the light reflex is not visible.The most likely cause is:
A)fungal infection.
B)acute otitis media.
C)rupture of the drum.
D)blood behind the drum.
Q2) A patient with a middle ear infection asks the nurse,"What does the middle ear do?" The nurse responds by telling the patient that the middle ear functions to:
A)maintain balance.
B)interpret sounds as they enter the ear.
C)conduct vibrations of sounds to the inner ear.
D)increase amplitude of sound for the inner ear to function.
Q3) The portion of the ear that consists of movable cartilage and skin is called the: A)auricle.
B)concha.
C)outer meatus.
D)mastoid process.
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Chapter 16: Nose, mouth, and Throat
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) When assessing the tongue of an adult,the nurse knows that an abnormal finding would be:
A)a smooth glossy dorsal surface.
B)a thin white coating over the tongue.
C)raised papillae on the dorsal surface.
D)visible venous patterns on the ventral surface.
Q2) While obtaining a history from the mother of a 1-year-old,the nurse notices that the baby has had a bottle in his mouth the entire time.The mother states,"it makes a great pacifier." The best response by the nurse would be:
A)"You're right,bottles make very good pacifiers."
B)"Use of a bottle is better for the teeth than thumb sucking."
C)"It's okay to do this as long as the bottle contains milk and not juice."
D)"Prolonged use of a bottle can increase the risk for tooth decay and ear infections."
Q3) The tissue that connects the tongue to the floor of the mouth is the:
A)uvula.
B)palate.
C)papillae.
D)frenulum.
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Page 18
Chapter 17: Breasts and Regional Lymphatics
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) When a breast-feeding mother is diagnosed with a breast abscess,which of the following instructions from the nurse is correct? The mother needs to:
A)continue to nurse on both sides to encourage milk flow.
B)discontinue nursing immediately to allow for healing.
C)temporarily discontinue nursing on affected breast and must manually express milk and discard it.
D)temporarily discontinue nursing on affected breast but can manually express milk and give it to the baby.
Q2) In performing an assessment of a woman's axillary lymph system,the nurse will assess the:
A)central,axillary,lateral,and sternal nodes.
B)pectoral,lateral,anterior,and sternal nodes.
C)central,lateral,pectoral,and subscapular nodes.
D)lateral,pectoral,axillary,and suprascapular nodes.
Q3) If a patient reports a recent breast infection,the nurse would expect to find:
A)nonspecific node enlargement.
B)ipsilateral axillary node enlargement.
C)contralateral axillary node enlargement.
D)inguinal and cervical node enlargement.
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Page 19
Chapter 18: Thorax and Lungs
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Sample Questions
Q1) During palpation of the anterior chest wall,the nurse notes a coarse,crackling sensation over the skin surface.On the basis of these findings,the nurse suspects:
A)tactile fremitus.
B)crepitus.
C)friction rub.
D)adventitious sounds.
Q2) Which of the following is true regarding the vertebra prominens? The vertebra prominens is:
A)the spinous process of C7.2.usually not palpable in most individuals.
B)opposite the interior border of the scapula.
C)located next to the manubrium of the sternum.
Q3) A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure.Which of the following findings is the nurse most likely to observe in this situation?
A)Shortness of breath,orthopnea,paroxysmal nocturnal dyspnea,ankle edema
B)Rasping cough,thick mucoid sputum,wheezing
C)Productive cough,dyspnea,weight loss,anorexia
D)Fever,dry nonproductive cough,bronchial breath sounds
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Chapter 19: Heart and Neck Vessels
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Sample Questions
Q1) Which of the following describes the closure of the valves in a normal cardiac cycle?
A)The aortic valve closes slightly before the tricuspid valve.
B)The pulmonic valve closes slightly before the aortic valve.
C)The tricuspid valve closes slightly later than the mitral valve.
D)Both the tricuspid and pulmonic valves close at the same time.
Q2) Which of the following statements is true regarding the apical impulse?
A)It is palpable in all adults.
B)It occurs with the onset of diastole.
C)Its location may be indicative of heart size.
D)It should normally be palpable in the anterior axillary line.
Q3) The component of the conduction system referred to as the pacemaker of the heart is the:
A)atrioventricular (AV)node.
B)sinoatrial (SA)node.
C)bundle of His.
D)bundle branches.
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Chapter 20: Peripheral Vascular System and Lymphatic System
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36 Verified Questions
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Sample Questions
Q1) A patient has hard,nonpitting edema of the left lower leg and ankle.The nurse knows that:
A)nonpitting,hard edema occurs with lymphatic obstruction.
B)alterations in arterial function will cause this edema.
C)phlebitis of a superficial vein will cause bilateral edema.
D)long-standing arterial obstruction will cause pitting edema.
Q2) When performing an assessment of a patient,the nurse notes the presence of an enlarged right epitrochlear lymph node.What should the nurse do next?
A)Assess the patient's abdomen,noting any tenderness.
B)Carefully assess the cervical lymph nodes,checking for any enlargement.
C)Ask additional history questions regarding any recent ear infections or sore throats.
D)Examine the patient's lower arm and hand,checking for the presence of infection or lesions.
Q3) The major artery supplying the arm is the:
A)ulnar artery.
B)radial artery.
C)brachial artery.
D)deep palmar artery.
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Chapter 21: Abdomen
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Sample Questions
Q1) A nurse notes that a patient has ascites,which indicates that which of the following is present?
A)Fluid
B)Feces
C)Flatus
D)Fibroid tumors
Q2) Which structure is located in the left lower quadrant of the abdomen?
A)Liver
B)Duodenum
C)Gallbladder
D)Sigmoid colon
Q3) During report,the student nurse hears that a patient has "hepatomegaly" and recognizes that this term refers to a/an:
A)enlarged liver.
B)enlarged spleen.
C)distended bowels.
D)excessive diarrhea.
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Chapter 22: Musculoskeletal System
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Sample Questions
Q1) The nurse knows that the incidence of osteoporosis is greatest in which group?
A)Black men
B)Black women
C)White women
D)American Indian men
Q2) The nurse is assessing a 1-week-old infant and testing his muscle strength.The nurse lifts the infant with hands under the axillae and notes that the infant starts to "slip" between the hands.The nurse should:
A)suspect a fractured clavicle.
B)consider that the infant may have a deformity of the spine.
C)suspect that the infant may have weakness of the shoulder muscles.
D)consider this a normal finding because the musculature of an infant this age is undeveloped.
Q3) Of the 33 vertebrae in the spinal column,there are:
A)5 lumbar.
B)5 thoracic.
C)7 sacral.
D)12 cervical.
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Chapter 23: Neurologic System
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Sample Questions
Q1) While assessing a 7-month-old infant,the nurse makes a loud noise and notes the following response: abduction and flexion of arms and legs;fanning of fingers,and curling of index and thumb in C position followed by infant bringing in arms and legs to body.What does the nurse know about this response?
A)This could indicate brachial nerve palsy.
B)This is an expected startle response at this age.
C)This reflex should have disappeared between 1 and 4 months of age.
D)It is normal as long as movements are symmetric bilaterally.
Q2) The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor.With the reflex hammer,the nurse draws a light stroke up the lateral side of the sole of the foot and inward,across the ball of the foot.In response,the patient's toes fan out,and the big toe shows dorsiflexion.The nurse recognizes this as which of the following?
A)A negative Babinski's sign,which is normal for adults
B)A positive Babinski's sign,which is abnormal for adults
C)Clonus,a hyperactive response
D)The Achilles reflex,an expected response
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Chapter 24: Male Genitourinary System
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Sample Questions
Q1) A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area.On examination the nurse palpates a soft,irregular mass posterior to and above the testis on the left.This mass collapses when the patient is supine and refills when he is upright.This description is consistent with:
A)epididymitis.
B)spermatocele.
C)testicular torsion.
D)spermatic cord varicocele.
Q2) The nurse is describing how to perform a testicular self-examination to a patient.Which of the following statements is most appropriate?
A)"A good time to examine your testicles is just before you take a shower."
B)"If you notice an enlarged testicle or a painless lump,call your health care provider."
C)"The testicle is egg shaped and movable.It feels firm and has a lumpy consistency."
D)"Perform a testicular exam at least once a week to detect the early stages of testicular cancer."
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Chapter 25: Anus,rectum,and Prostate
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Sample Questions
Q1) While doing an assessment of the perianal area of a patient,the nurse notes the following: pigmentation of anus is darker than surrounding skin;anal opening closed;a skin sac that is shiny and blue.The patient mentioned that he has had pain with bowel movements and has noted some spots of blood occasionally.What would this assessment and history be most likely to indicate?
A)Anal fistula
B)Pilonidal cyst
C)Rectal prolapse
D)Thrombosed hemorrhoid
Q2) When testing stool for occult blood,the nurse is aware that a false-positive result may occur with:
A)absent bile pigment.
B)increased fat content.
C)increased ingestion of iron medication.
D)a large amount of red meat within the last 3 days.
Q3) Which of the following statements about the sphincters is correct?
A)The internal sphincter is under voluntary control.
B)The external sphincter is under voluntary control.
C)Both sphincters remain slightly relaxed at all times.
D)The internal sphincter surrounds the external sphincter.
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Chapter 26: Female Genitourinary System
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Sample Questions
Q1) A nurse is assessing a patient's risk of contracting a sexually transmitted disease (STD).An appropriate question would be:
A)"You use condoms don't you?"
B)"Do you use a condom with each episode of sexual intercourse?"
C)"Do you have an STD?"
D)"You are aware of the dangers of unprotected sex,aren't you?"
Q2) During an external genitalia examination of a woman,the nurse notes several lesions around the vulva.The lesions are pink in color,moist,soft,and pointed papules.The patient states that she is not aware of any problems in that area.The nurse recognizes that these lesions may be:
A)syphilitic chancre.
B)herpes simplex virus type 2 (herpes genitalis).
C)human papillomavirus (HPV),or genital warts.
D)pediculosis pubis (crab lice).
Q3) The female structure that corresponds with the male penis is called the:
A)labia.
B)clitoris.
C)prepuce.
D)frenulum.
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Page 28
Chapter
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Sample Questions
Q1) A 5-year-old child is in the clinic for a checkup.The nurse would expect him to:
A)have to be held on his mother's lap.
B)be able to sit on the examination table.
C)be able to stand on the floor for the examination.
D)be able to remain alone in the examination room.
Q2) During an examination,the nurse notices that a patient is unable to stick out his tongue.Which cranial nerve is involved with successful performance of this action?
A)I
B)V
C)XI
D)XII
Q3) During an examination,the patient tells the nurse that she sometimes feels as if objects are spinning around her.The nurse would note that she occasionally experiences: A)vertigo.
B)tinnitus.
C)syncope.
D)dizziness.
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Page 29
Chapter 28: Reassessment of the Hospitalized Adult
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9 Verified Questions
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Sample Questions
Q1) During an assessment,the nurse is unable to palpate pulses in the left lower leg.The nurse should:
A)document that the pulses are not palpable.
B)reassess the pulses in 1 hour.
C)have the patient turn to the side and then palpate for the pulses again.
D)use a Doppler device to assess the pulses.
Q2) Which statement reflects the assessment of the patient in the hospital setting?
A)The patient will need a brief assessment at least every 4 hours.
B)The patient will need a consistent,specialized exam every 8 hours that focuses on certain parameters.
C)The patient will need a complete head-to-toe physical examination every 24 hours.
D)Most patients require a minimal examination each shift unless they are in critical condition.
Q3) What should the nurse assess before entering the patient's room on morning rounds?
A)Posted conditions,such as isolation precautions
B)The patient's input and output chart from the previous shift
C)The patient's general appearance
D)The presence of any visitors in the room
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Page 30
Chapter 29: The Pregnant Female
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A woman who is 28 weeks' pregnant has edema in her lower legs bilaterally after working 8 hours a day as a cashier at a local grocery store.What should the nurse recommend to her?
A)"You will be at risk for development of varicose veins when your legs are edematous."
B)"I would like to listen to your heart sounds.Edema can indicate a problem with your heart."
C)"Edema is usually the result of too much salt and fluids in your diet.You may need to try to cut down on salty foods."
D)"As your baby grows,it slows blood return from your legs,causing the swelling.This often occurs with prolonged standing."
Q2) Which of the following is true regarding pregnancy after age 35 years?
A)Women over age 35 years are delivered most often by vaginal delivery.
B)The occurrence of Down syndrome is much more frequent after age 35 years.
C)Genetic counseling and prenatal screening are not routine until after age 40 years.
D)Women over age 35 years who are pregnant have the same rate of pregnancy-related complications as those who are under age 35 years.
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Chapter 30: Functional Assessment of the Older Adult
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Sample Questions
Q1) An 85-year-old man has been hospitalized after a fall at home,and his 86-year-old wife is at his bedside.She tells the nurse that she is his primary caregiver.The nurse should assess the caregiver for signs of possible caregiver burnout,such as:
A)depression.
B)weight gain.
C)hypertension.
D)social phobias.
Q2) During an assessment of a newly admitted 92-year-old woman,the nurse notes that her son does not want to leave the room.In addition,the woman has signs of old bruises and healed cuts that happened "last week," according to the son.Which action by the nurse is appropriate?
A)Ask the son for details about the nature of the patient's injuries.
B)Recognize that older people are often unsteady on their feet and that falls do occur.
C)Notify the authorities of a potential abusive situation.
D)Recognize that these findings do not necessarily indicate that abuse has occurred but are signs that further assessment is needed.
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