Health Assessment Study Guide Questions
Course Introduction
Health Assessment is a foundational course designed to equip students with the knowledge and skills necessary to systematically collect and analyze health data from individuals across the lifespan. Emphasizing a holistic approach, the course covers the principles and techniques of physical, psychological, sociocultural, and developmental assessments. Students will learn to conduct comprehensive health histories, perform physical examinations, and interpret findings to identify normal and abnormal health patterns. Through a combination of theoretical instruction and practical application, students will develop critical thinking and clinical reasoning abilities essential for effective patient-centered care in diverse healthcare settings.
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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Chapter 1: Critical Thinking in Health Assessment
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Sample Questions
Q1) Novice nurses,without a background of skills and experience to draw from,are more likely to make their decisions using:
A)intuition.
B)a set of rules.
C)articles in journals.
D)advice from supervisors.
Answer: B
Q2) In the health promotion model,the focus of the health professional includes:
A)changing the patient's perceptions of disease.
B)identification of biomedical model interventions.
C)identifying negative health acts of the consumer.
D)helping the consumer choose a healthier lifestyle.
Answer: D
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Chapter 2: Developmental Tasks and Health Promotion
Across the Life Cycle
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Sample Questions
Q1) A 12-month-old infant is screened with the Denver II and is found to have some delays in gross motor skills.The screening is important because it:
A)can help diagnose a child with problems.
B)provides for early detection,leading to earlier intervention.
C)can be used by a physical therapist to determine the appropriate treatment.
D)can be used in conjunction with other tests to determine a child's overall intellectual level.
Answer: B
Q2) The nurse is teaching a class to day care providers.Which of the following statements about growth,development,and preschoolers should be included?
A)Preschoolers are highly egocentric.
B)They are capable of delayed imitation.
C)They are still very unaware of gender and sex.
D)Preschoolers "pretend" to reduce anxiety about their sex roles.
Answer: B
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4
Chapter 3: Cultural Competence: Cultural Care
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Sample Questions
Q1) One aspect of society's value orientation concerns the dimension of time.An example of a person with "present" time value orientation would be:
A)a patient with a total hip replacement who has not been able to plan for discharge.
B)a patient with leukemia who continually seeks the latest medication and treatments.
C)a patient who feels loss after an amputation but is looking forward to finding out about prosthetic limbs.
D)a newly diagnosed diabetic who seeks a consultation with a medicine man who can contact ancestral spirits for guidance.
Answer: A
Q2) Which of the following examples illustrates the concept of a cultural taboo?
A)Belief that illness is a punishment of sin
B)Trying prayer before seeking medical help
C)Refusing to accept blood products as part of treatment
D)Stating that a child's birth defect is the result of the parents' sins
Answer: C
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Chapter 4: The Interview
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Sample Questions
Q1) During an interview,the nurse states: "You mentioned shortness of breath.Tell me more about that." Identify the verbal skill used with this statement.
A)Reflection
B)Facilitation
C)Direct question
D)Open-ended question
Q2) As the nurse enters a patient's room,the nurse finds her crying.The patient states that she has just found out that the lump in her breast is cancer and says,"I'm so afraid of,um,you know." The nurse's most therapeutic response would be to say,in a gentle manner:
A)"You're afraid you might lose your breast?"
B)"No,I'm not sure what you are talking about."
C)"I'll wait here until you get yourself under control and then we can talk."
D)"I can see that you are very upset.Perhaps we should discuss this later."
Q3) The interview portion of data collection collects:
A)physical data.
B)historical data.
C)objective data.
D)subjective data.
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Page 6
Chapter 5: The Complete Health History
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Sample Questions
Q1) 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?"
Q2) The nurse is assessing a patient's headache pain.Which questions reflect one or more of the critical characteristics of symptoms that should be assessed? (Select all that apply. )
A)"Where is the headache pain?"
B)"Did you have these headaches as a child?"
C)"On a scale of 1 to 10,how bad is the pain?"
D)"How often do the headaches occur?"
E)"What makes the headaches better?"
F)"Do you have any family history of headaches?"
G)"What do you think is causing these headaches?"
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Chapter 6: Mental Status Assessment
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Sample Questions
Q1) A woman brings her husband to the clinic for an examination.She is particularly worried because after a recent fall,he seems to have lost a great deal of his memory of recent events.Which statement reflects the nurse's best course of action?
A)The nurse should plan to perform a complete mental status examination.
B)It would be most appropriate to refer him to a psychometrician.
C)The nurse should plan to integrate the mental status examination into the history and physical examination.
D)The nurse should reassure his wife that memory loss after a physical shock is normal and will subside soon.
Q2) A 45-year-old woman is at the clinic for a mental status assessment.In giving her the Four Unrelated Words Test,the nurse would be concerned if:
A)she could not invent four unrelated words within 5 minutes.
B)she could not invent four unrelated words within 30 seconds.
C)she could not recall four unrelated words after a 30-minute delay.
D)she could not recall four unrelated words after a 60-minute delay.
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Chapter 7: Domestic Violence Assessment
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Sample Questions
Q1) Which term refers to a wound produced by the tearing and/or splitting of body tissue,usually from blunt impact over a bony surface?
A)Abrasion
B)Contusion
C)Laceration
D)Hematoma
Q2) The nurse is assessing an elderly woman and suspects abuse.Which questions are appropriate for screening for abuse?
A)Has anyone ever physically hurt you?
B)Are you being abused?
C)Are you alone a lot?
D)Are you afraid of anybody at home or who enters your home?
E)Has anyone ever failed to help you take care of yourself when you needed help?
Q3) The nurse is aware that intimate partner violence (IPV)screening should occur with which situation?
A)When IPV is suspected
B)When a woman has an unexplained injury
C)As a routine part of each health care encounter
D)When there is a known history of abuse in the family
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Page 9
Chapter 8: Assessment Techniques and the Clinical Setting
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Sample Questions
Q1) When performing a physical assessment,the technique the nurse will always use first is:
A)palpation.
B)inspection.
C)percussion.
D)auscultation.
Q2) Base of fingers (metacarpophalangeal joints)or ulnar surface of the hand
A)Should be used to detect the shape and consistency of a mass in the axilla
B)Best for evaluating the skin texture over the abdomen.
C)Used to determine the temperature of the patient's skin.
D)Best for detecting vibration over the thorax and abdomen.
Q3) 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.
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Chapter 9: General Survey, measurement, vital Signs
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Sample Questions
Q1) Which of the following describes the correct technique the nurse should use when assessing oral temperature with a mercury thermometer?
A)Wait 30 minutes if the patient has ingested hot or iced liquids.
B)Leave the thermometer in place 3 to 4 minutes if the patient is afebrile.
C)Place the thermometer in front of the tongue and have the patient close his or her lips.
D)Shake the mercury-in-glass thermometer down to 98° F before taking the temperature.
Q2) 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
Q3) When counting an infant's respirations,the nurse will:
A)watch the chest rise and fall.
B)watch the abdomen for movement.
C)place a hand across the infant's chest.
D)use a stethoscope to listen to the breath sounds.
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11
Chapter 10: Pain Assessment: the Fifth Vital Sign
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Sample Questions
Q1) The nurse is assessing a patient's pain.The nurse knows that which of the following is considered the most reliable indicator of pain?
A)Vital signs
B)The physical examination
C)Computerized axial tomography scan findings
D)The subjective report
Q2) When assessing a patient's pain,the nurse knows that an example of visceral pain would be:
A)hip fracture.
B)cholecystitis.
C)second-degree burns.
D)pain after a leg amputation.
Q3) Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?
A)Visceral pain
B)Referred pain
C)Cutaneous pain
D)Neuropathic pain
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12
Chapter 11: Nutritional Assessment
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Sample Questions
Q1) Which of the following interventions is most appropriate when the nurse is planning nutritional interventions for a healthy,active 74-year-old woman?
A)Decrease the amount of carbohydrates to prevent lean muscle catabolism.
B)Increase the amount of soy and tofu in her diet to promote bone growth and reverse osteoporosis.
C)Decrease the number of calories she is eating because of the decrease in energy requirements from loss of lean body mass.
D)Increase the number of calories she is eating because of the increased energy needs of the elderly.
Q2) During a nutritional assessment,why is it important for the nurse to ask a patient what medications he or she is taking?
A)Certain drugs can affect the metabolism of nutrients.
B)The nurse needs to assess the patient for allergic reactions.
C)Medications need to be documented on the record for the physician's review.
D)Medications can affect one's memory and ability to identify food eaten in the last 24 hours.
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Chapter 12: Skin, hair, and Nails
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Sample Questions
Q1) During the aging process,the hair can look gray or white and begin to feel thin and fine.The nurse knows that this is because of a decrease in the number of functioning: A)metrocytes.
B)fungacytes.
C)phagocytes.
D)melanocytes.
Q2) During an examination,the nurse finds that a patient has excess dryness of the skin.The best term to describe this condition is: A)xerosis.
B)pruritus.
C)scoliosis.
D)seborritus.
Q3) The nurse is examining a patient who tells the nurse,"I sure sweat a lot,especially on my face and feet but it doesn't have an odor." The nurse knows that this could be related to:
A)the eccrine glands.
B)the apocrine glands.
C)a disorder of the stratum corneum.
D)a disorder of the stratum germinativum.
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Page 14
Chapter
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Sample Questions
Q1) During an examination,the nurse knows that the best way to palpate the lymph nodes in the neck is described by which statement?
A)Using gentle pressure,palpate with both hands to compare the two sides.
B)Using strong pressure,palpate with both hands to compare the two sides.
C)Gently pinch each node between one's thumb and forefinger and move down the neck muscle.
D)Using the index and middle fingers,gently palpate by applying pressure in a rotating pattern.
Q2) During a well-baby checkup,a mother is concerned because her 2-month-old infant cannot hold her head up when she is pulled to a sitting position.Which response by the nurse is appropriate?
A)"Head control is usually achieved by 4 months of age."
B)"You shouldn't be trying to pull your baby up like that until she is older."
C)"This is a concern because head control should be achieved by this time."
D)"This is a concern because it indicates possible nerve damage to the neck muscles."
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Page 15
Chapter 14: Eyes
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Sample Questions
Q1) During an examination of the eye,the nurse would expect what normal finding when assessing the lacrimal apparatus?
A)The presence of tears along the inner canthus
B)A blocked nasolacrimal duct in a newborn infant
C)A slight swelling over the upper lid and along the bony orbit if the individual has a cold
D)The absence of drainage from the puncta when pressing against the inner orbital rim
Q2) The nurse is performing an eye assessment on an 80-year-old patient.Which of the following findings is considered abnormal?
A)A decrease in tear production
B)Unequal pupillary constriction in response to light
C)The presence of arcus senilis seen around the cornea
D)Loss of the outer hair on the eyebrows due to a decrease in hair follicles
Q3) In a patient who has anisocoria,the nurse would expect to observe:
A)dilated pupils.
B)excessive tearing.
C)pupils of unequal size.
D)an uneven curvature of the lens.
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Page 16
Chapter 15: Ears
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Sample Questions
Q1) 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.
Q2) A colleague is assessing an 80-year-old patient who has ear pain and asks him to hold his nose and swallow.The nurse knows that which of the following is true concerning this technique?
A)This should not be used in an 80-year-old patient.
B)This technique is helpful in assessing for otitis media.
C)This is especially useful in assessing a patient with an upper respiratory infection.
D)This will cause the eardrum to bulge slightly and make landmarks more visible.
Q3) Which of the following statements concerning the eustachian tube is true?
A)It is responsible for the production of cerumen.
B)It remains open except when swallowing or yawning.
C)It allows passage of air between the middle and outer ear.
D)It helps equalize air pressure on both sides of the tympanic membrane.
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Chapter 16: Nose, mouth, and Throat
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Sample Questions
Q1) A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth.During the assessment the nurse finds the following: areas of buccal mucosa that are raw and red with some bleeding as well as other areas that have a white,cheesy coating.The nurse recognizes that this abnormality is:
A)carcinoma.
B)candidiasis.
C)leukoplakia.
D)Koplik's spots.
Q2) During an assessment of a 26-year-old at the clinic for "a spot on my lip I think is cancer" the nurse notes the following findings: a group of clear vesicles with an erythematous base around them located at the lip-skin border.The patient mentions that she just returned from Hawaii.What would be the most appropriate response by the nurse?
A)Tell the patient she will need to see a skin specialist.
B)Discuss the benefits of having a biopsy done of any unusual lesion.
C)Tell the patient this is herpes simplex I and will heal in 4 to 10 days.
D)Tell the patient that this is most likely the result of a riboflavin deficiency and discuss nutrition.
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Chapter 17: Breasts and Regional Lymphatics
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Sample Questions
Q1) Which of the following statements reflects the best approach to teaching a woman about breast self-examination (BSE)?
A)"BSE is more important than ever for you since you have never had any children."
B)"BSE is so important because one out of nine women will develop breast cancer in her lifetime."
C)"BSE on a monthly basis will help you feel familiar with your own breasts and their normal variations."
D)"BSE will save your life because you are likely to find a cancerous lump between mammograms."
Q2) A 54-year-old man comes to the clinic with a "horrible problem." He tells the nurse that he has just discovered a lump on his breast and is fearful of cancer.The nurse knows that which statement about breast cancer in males is true?
A)Breast masses in men are difficult to detect because of minimal breast tissue.
B)Breast masses in men are noticeable early because of minimal breast tissue.
C)Fewer than 1% of all breast cancer occurs in men.
D)Most breast masses in men are diagnosed as gynecomastia.
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Chapter 18: Thorax and Lungs
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Sample Questions
Q1) The nurse knows that bronchovesicular breath sounds are:
A)musical in quality.
B)usually pathological.
C)expected near the major airways.
D)similar to bronchial sounds except that they are shorter in duration.
Q2) When auscultating the lungs of an adult patient,the nurse notes that over the posterior lower lobes low-pitched,soft breath sounds are heard,with inspiration being longer than expiration.The nurse knows that these are:
A)sounds normally auscultated over the trachea.
B)bronchial breath sounds and are normal in that location.
C)vesicular breath sounds and are normal in that location.
D)bronchovesicular breath sounds and are normal in that location.
Q3) During an assessment,the nurse knows that expected assessment findings in the normal adult lung include the presence of:
A)adventitious sounds and limited chest expansion.
B)increased tactile fremitus and dull percussion tones.
C)muffled voice sounds and symmetrical tactile fremitus.
D)absent voice sounds and hyperresonant percussion tones.
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Page 20
Chapter 19: Heart and Neck Vessels
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Sample Questions
Q1) When listening to heart sounds,the nurse knows that which of the following statements concerning S<sub>1</sub> is true?
A)S<sub>1</sub> is louder than S<sub>2</sub> at the base.
B)S<sub>1</sub> indicates the beginning of diastole.
C)S<sub>1</sub> coincides with the carotid artery pulse.
D)S<sub>1</sub> is caused by closure of the semilunar valves.
Q2) The nurse is assessing a patient's pulses and notices a difference between the patient's apical pulse and radial pulse.The apical pulse was 118 beats per minute;the radial pulse was 105 beats per minute.Calculate the pulse deficit.
Pulse deficit equals: _________
Q3) When assessing a newborn infant who is just 5 minutes old,the nurse knows that which of the following would be true?
A)The left ventricle is larger and weighs more than the right.
B)The circulation of a newborn is identical to that of an adult.
C)There is an opening in the atrial septum where blood can flow into the left side of the heart.
D)The foramen ovale closes just minutes before birth and the ductus arteriosus closes immediately after.
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21
Chapter 20: Peripheral Vascular System and Lymphatic System
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Sample Questions
Q1) When performing a peripheral vascular assessment on a patient,the nurse is unable to palpate the ulnar pulses.The patient's skin is warm and capillary refill time is normal.The nurse would next:
A)check for the presence of claudication.
B)refer the individual for further evaluation.
C)consider this a normal finding and proceed with the peripheral vascular evaluation. D)ask the patient if he or she has experienced any unusual cramping or tingling in the arm.
Q2) During a routine office visit,a patient takes off his shoes and shows the nurse "this awful sore that won't heal." On inspection,the nurse notes a 3-cm round ulcer on the left great toe,with a pale ischemic base,well-defined edges,and no drainage.The nurse will assess for other signs and symptoms of:
A)varicosities.
B)a venous stasis ulcer.
C)an arterial ischemic ulcer.
D)pitting edema.
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Chapter 21: Abdomen
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Sample Questions
Q1) A 40-year-old man states that his doctor told him that he has a hernia.He asks the nurse to explain what a hernia is.Which action by the nurse is appropriate?
A)Tell him not to worry,that most men his age develop hernias.
B)Refer him to his physician for additional consultation because he or she made the initial diagnosis.
C)Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.
D)Explain that hernias that occur in adulthood are often the result of prenatal growth abnormalities.
Q2) Percussion notes heard during the abdominal assessment may include:
A)flatness,resonance,and dullness.
B)resonance,dullness,and tympany.
C)tympany,hyperresonance,and dullness.
D)resonance,hyperresonance,and flatness.
Q3) The incidence of lactose intolerance is higher in adults of which ethnic group?
A)American Indians
B)Hispanics
C)Whites of British descent
D)Americans of northern European descent
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Page 23
Chapter 22: Musculoskeletal System
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Sample Questions
Q1) The nurse is assessing the joints of a woman who has stated,"I have a long family history of arthritis,and my joints hurt." The nurse suspects that she has osteoarthritis.Which of the following are symptoms of osteoarthritis? Select all that apply.
A)Symmetric
B)Asymmetric
C)Pain with motion of affected joints
D)Affected joints swollen with hard,bony protuberances
E)Affected joints may have heat,redness,and swelling.
Q2) The functional units of the musculoskeletal system are the:
A)joints.
B)bones.
C)muscles.
D)tendons.
Q3) An 80-year-old woman is visiting the clinic for a checkup.The nurse is observing for motor dysfunction in her hip and would have her:
A)internally rotate her hip while she is sitting.
B)abduct her hip while she is lying on her back.
C)adduct her hip while she is lying on her back.
D)externally rotate her hip while she is standing.
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Page 24
Chapter 23: Neurologic System
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Sample Questions
Q1) A 32-year-old woman tells the nurse that she has noticed "very sudden,jerky movements" mainly in her hands and arms."They seem to come and go,primarily when I am trying to do something.I haven't noticed them when I'm sleeping." This description suggests:
A)chorea.
B)athetosis.
C)myoclonus.
D)Parkinson's disease.
Q2) The nurse is performing a neurologic assessment on a 41-year-old woman with a history of diabetes.When testing her ability to feel the vibrations of a tuning fork,the nurse notes the following: unable to feel vibrations on the great toe or ankle bilaterally;is able to feel vibrations on both patellae.Given this information,what would the nurse suspect?
A)Hyperalgesia
B)Hyperesthesia
C)Peripheral neuropathy
D)Lesion of sensory cortex
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Chapter 24: Male Genitourinary System
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Sample Questions
Q1) When the nurse is performing a testicular examination on a 25-year-old man,which of the following findings is considered normal?
A)Nontender subcutaneous plaques
B)A scrotal area that is dry,scaly and nodular
C)Testes that feel oval and movable and are slightly sensitive to compression
D)A single,hard,circumscribed,movable mass,less than 1 cm under the surface of the testes
Q2) During a genital exam,the nurse notes that a male patient has clusters of small vesicles on the glans,surrounded by erythema.The nurse recognizes that these lesions are:
A)Peyronie's disease.
B)genital warts.
C)genital herpes.
D)syphilitic cancer.
Q3) Prolonged,painful erection of the penis without sexual desire is known as:
A)orchitis.
B)stricture.
C)phimosis.
D)priapism.
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Page 26
Chapter 25: Anus,rectum,and Prostate
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Sample Questions
Q1) During a discussion for a men's health group,the nurse relates that the group with the highest incidence of prostate cancer is:
A)Asian-Americans.
B)black Americans.
C)American Indians.
D)Mexican-Americans.
Q2) A 70-year-old man is visiting the clinic for "difficulty in passing urine." In the history he indicates he has to urinate frequently,especially at night.He has burning when he urinates and has noticed pain in his back.Given this history,what might the nurse expect to find during the physical assessment?
A)Asymmetric,hard,fixed prostate gland
B)Occult blood and perianal pain to palpation
C)Symmetrically enlarged,soft prostate gland
D)A soft nodule protruding from rectal mucosa
Q3) Which of the following statements about the anal canal is true?
A)The anal canal is about 2 cm long in the adult.
B)The anal canal slants backward toward the sacrum.
C)The anal canal contains hair and sebaceous glands.
D)The anal canal is the outlet for the gastrointestinal tract.
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Page 27
Chapter 26: Female Genitourinary System
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Sample Questions
Q1) The nurse is palpating a female patient's adnexa.The findings include a firm,smooth uterine wall;the ovaries are palpable and feel smooth and firm.The fallopian tube is firm and pulsating.The nurse's most appropriate course of action would be to:
A)tell the patient that her examination was normal.
B)give her an immediate referral to a gynecologist.
C)suggest that she return in a month for a recheck to verify the findings.
D)tell the patient that she may have an ovarian cyst that should be evaluated further.
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).
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Chapter
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Sample Questions
Q1) Gloves should be worn for which of the following examinations?
A)Measuring vital signs
B)Palpation of the sinuses
C)Palpation of the mouth and tongue
D)Inspection of the eye with an ophthalmoscope
Q2) When the nurse performs the confrontation test,the nurse has assessed:
A)EOMs.
B)PERRLA.
C)near vision.
D)visual fields.
Q3) While the nurse palpates the maxillary sinuses,the patient tells the nurse that he has some tenderness in that area.The nurse should proceed by:
A)tapping on the sinus area.
B)auscultating the sinus area.
C)asking him to blow his nose.
D)transilluminating the sinuses.
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Chapter 28: Reassessment of the Hospitalized Adult
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Sample Questions
Q1) When assessing the neurologic system of a hospitalized patient during morning rounds,the nurse will include which of the following?
A)Blood pressure
B)The patient's rating of pain on a 1 to 10 scale
C)The patient's ability to communicate
D)The patient's personal hygiene level
Q2) 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.
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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Chapter 29: The Pregnant Female
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Sample Questions
Q1) During auscultation of fetal heart tones (FHTs),the nurse determines that the rate is 136 beats per minute.The nurse's next action should be to:
A)document the results,which are within normal range.
B)take the maternal pulse to verify these findings as the uterine souffle.
C)have the patient change positions and count the FHTs again.
D)notify the physician immediately for possible fetal distress.
Q2) 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."
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31
Chapter 30: Functional Assessment of the Older Adult
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Sample Questions
Q1) 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.
Q2) The nurse is assessing an older adult's advanced activities of daily living,which would include:
A)recreational activities.
B)meal preparation.
C)balancing the checkbook.
D)self-grooming activities.
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