NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles

NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles

Question 1
Which of the following factors is not known to affect patient compliance with his or her treatment regimen?

Response Feedback: The controlling factors of compliance include the nature of the relationship you have developed, your recognition of the patient s autonomy, your success in communicating the basics of the patient s condition, and the clarity of your instructions. Always ask the patient to repeat the instructions to you to make sure they are understood. Equally important factors are the patient s ability to understand the problem and the value the patient places on resolving the problem.
Question 2
One of the most important aspects to consider in the orthopedic screening examination is:
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Response Feedback: The most important aspect to consider when conducting an orthopedic examination is to look for symmetry of muscle, stature, and joint movement.
Question 3
The sequence of the physical examination should be individualized to:

Response Feedback: There is no one right way to put together the parts of the physical examination. The sequence should be individualized to minimize the number of times the patient has to change positions to conserve the patient s energy.
Question 4
As you greet the patient, which examination technique is first implemented?

Response Feedback: Begin to inspect the patient as you greet them, as you look for signs of distress or disease. Inspect their appearance, gait, orientation, and difficulty in hearing or speech.
Question 5
Which of the following is most likely to enhance examiner reliability? NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles

Response Feedback: The examiner may not always be correct, but questioning yourself and seeking confirmation from others when necessary will serve to assure your reliability. A person should never be prejudged because this can interfere with your examination and findings. Showing that you are uncomfortable with your skills can make the patient feel uncomfortable and see you as unreliable. The use of unselective technology should not substitute for a well-honed history and physical.
Question 6
Premature infant respiratory distress is often manifested by:

Response Feedback: Respiratory distress of premature infants is indicated by a sustained increased rate, grunting, retraction of intercostal and subcostal spaces and suprasternal notch, seesaw sinking of the chest with rising abdomen in contrast to the normal synchronous motions, and flaring nose. The other choices are not expected findings in premature infants.
Question 7
A common method of estimating gestational age of a newborn is to assess:

Response Feedback: To determine gestational age, look at the soles of the feet. Before 36 weeks gestation, only one or two transverse creases are present; by 40 weeks gestation, many creases are present on the soles of the feet. Other clues to gestational age include breast nodule less than 3 cm, cartilage in the helix of the ear, descending of the scrotum and amount of rugae, and extremities in flexed positions.
Question 8
Proprioception should be assessed while the patient is:

Response Feedback: Proprioception examination involves the Romberg test, heel-to-toe walking, standing on one foot and then on the other with eyes closed, hopping in place, and deep knee bends. The standing position is required to conduct these examinations.
Question 9
The examination of the newborn should begin with:

Response Feedback: The examination of a newborn should begin with inspection noting skin color, flaccidity, tension, gross deformities, or distortions of facies. All of the other examination techniques follow inspection.
Question 10
When assessing the abdomen, one needs to expose the patient:

Response Feedback: While the patient is in the supine position, the examiner can assess the abdomen. Arrange draping to expose the abdomen from pubis to epigastrium, ensuring to cover the private areas of the patient. All of the other options would not allow for a thorough inspection and examination or they would expose the patient inappropriately.
Question 11
Functional assessment is most important during the examination of a(n):

Response Feedback: Functional assessment is most important when examining the older adult. Initial observation and interaction can provide a great deal of information about the individual s independent functional capacity. Attention should be given to self-care activities and instrumental activities.
Question 12 NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles
The goals of preparticipation sports evaluation include:

Response Feedback: The ultimate goal of preparticipation physical evaluation is to ensure safe participation in an appropriate sports activity. A preparticipation evaluation may not predict a brain injury and concussion, but it can help you learn the normal neuropsychologic status of the person involved before injury.
Question 13
Part of the screening orthopedic component of the examination includes evaluating the person while:

Response Feedback: Duck walking for four steps assesses hip, knee, and ankle range of motion, strength, and balance.
Question 14
You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. What additional diagnostic testing would be required for her?

Response Feedback: This girl is experiencing symptoms of atlantoaxial joint instability and should therefore have a cervical spine radiograph with neurologic consultation before beginning sports activities.
Question 15
An ophthalmoscopic eye examination involves:

Response Feedback: Ophthalmoscope eye examination involves testing the red reflex and inspecting the lens, disc, cup margins, vessels, and retinal surface. The other assessments do not involve the use of the ophthalmoscope.
Question 16
Which of the following is true regarding the relationship between the examiner and the patient?

Response Feedback: The patient is a full partner with the examiner. The examiner should keep the patient informed and should develop a relationship to ensure trust. Cultural issues should be acknowledged, not ignored. Clinical judgment can allow deviations from rigid structures and allow adaptations to a particular circumstance.
Question 17
The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

Response Feedback: The best way to ease the apprehension of a 3-year-old child before a physical examination is to encourage the child to participate by helping you. Ask the child to hold the end piece of the stethoscope or to blow out your flashlight.
Question 18
Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

Response Feedback: A partial or total loss of any of the senses can limit a patient s reliability as a historian. Emotional constraints, language barriers, cultural barriers, and an unresponsive or comatose patient can all affect a patient s ability to be a thorough historian. All of the other options would not limit a patient s reliability.
Question 19
The greatest risk for potential health problems occurs in which age group?

Response Feedback: The newborn is at greater risk for potential health problems than other ages but also has the potential for better health than the other age groups.
Question 20
To inspect the abdominal muscles, ask the:

Response Feedback: Asking the patient to raise the head will contract the rectus abdominis muscles, which produces muscle prominence, making abdominal wall masses visible. All of the choices would not show the abdominal muscles contracting.

Question 1

A therapeutic technique for dealing with grieving individuals is to:

Response Feedback:

When a patient dies, the grieving family and friends need attention for their emotional needs. It is often difficult to find words, and often the words may be clichΓ© and not seem appropriate for the moment. It is all right to tell them that it is good to cry and to share feelings. It is permissible to talk about what has been lost and what will not be realized for the future. All of the other answers are not therapeutic for a grieving family member or friend.

Question 2

The examination of the newborn should begin with:

Response Feedback:

The examination of a newborn should begin with inspection noting skin color, flaccidity, tension, gross deformities, or distortions of facies. All of the other examination techniques follow inspection.

Question 3

Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

Response Feedback:

A partial or total loss of any of the senses can limit a patient s reliability as a historian. Emotional constraints, language barriers, cultural barriers, and an unresponsive or comatose patient can all affect a patient s ability to be a thorough historian. All of the other options would not limit a patient s reliability.

Question 4

In crying infants, it is often difficult to:

Response Feedback:

For the crying infant, lungs can be auscultated between consolable moments. While crying, the examiner can assess the lustiness of cry, tactile fremitus, lung excursion, facial symmetry, and appearance of the mouth and pharynx. Between breaths, heart tone can be auscultated.

Question 5

Which of the following is true regarding the relationship between the examiner and the patient?

Response Feedback:

The patient is a full partner with the examiner. The examiner should keep the patient informed and should develop a relationship to ensure trust. Cultural issues should be acknowledged, not ignored. Clinical judgment can allow deviations from rigid structures and allow adaptations to a particular circumstance. NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles

Question 6

Which of the following are examined with the patient in a reclining 45-degree position?

Response Feedback:

With the patient in a reclining 45-degree position, you can examine jugular venous pulsations and measure jugular venous pressure. All of the other choices can be examined with the patient in a sitting position.

Question 7

The greatest risk for potential health problems occurs in which age group?

Response Feedback:

The newborn is at greater risk for potential health problems than other ages but also has the potential for better health than the other age groups.

Question 8

Examination of the patient in the lithotomy, or knee-chest, position includes:

Response Feedback:

With the patient in the lithotomy position, the examiner can inspect the external and internal female genitalia and perform rectal examination to assess and palpate anal sphincter tone. The other answers require the patient to be in the supine or standing position.

Question 9

Which portion of the physical examination is best done with the patient standing?

Response Feedback:

With the patient in the standing position, the examiner can inspect and palpate the spine as the patient bends over at the waist and test a patient s range of motion.

Question 10

A parent is advised to restrict contact or collision sports participation for their child. An example of a sport in which this child could participate is:

Response Feedback:

Hockey and diving are considered a contact or collision sport; roller skating and skateboarding are considered to be limited-contact sports. Track is a noncontact sport.

Question 11

One of the most important aspects to consider in the orthopedic screening examination is:

Response Feedback:

The most important aspect to consider when conducting an orthopedic examination is to look for symmetry of muscle, stature, and joint movement.

Question 12

Functional assessment is most important during the examination of a(n):

Response Feedback:

Functional assessment is most important when examining the older adult. Initial observation and interaction can provide a great deal of information about the individual s independent functional capacity. Attention should be given to self-care activities and instrumental activities.

Question 13

The checkout station for pre participation physical evaluation (PPE) is critical because at this point:

Response Feedback:

At the checkout station, data collected during the evaluation are reviewed and necessary follow-up actions are shared with the athlete and/or parents. In addition, the written report is distributed. If the PPE is not itself a comprehensive service that addresses issues unrelated to sports participation, the need for routine primary care remains.

Question 14 NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles

A common method of estimating gestational age of a newborn is to assess:

Response Feedback:

To determine gestational age, look at the soles of the feet. Before 36 weeks gestation, only one or two transverse creases are present; by 40 weeks gestation, many creases are present on the soles of the feet. Other clues to gestational age include breast nodule less than 3 cm, cartilage in the helix of the ear, descending of the scrotum and amount of rugae, and extremities in flexed positions.

Question 15

Palpation of epitrochlear nodes is part of the:

Response Feedback:

Palpation of epitrochlear nodes is part of the examination of the upper extremities. To palpate the epitrochlear nodes, support the elbow in one hand and palpate in the depression above and posterior to the medial condyle of the humerus.

Question 16

Observation of the child playing in the playroom provides information about which two systems?

Response Feedback:

The child playing on the floor offers an opportunity to evaluate both the musculoskeletal and neurologic systems by noting the child s coordination of activities, such as when throwing a ball, drawing, coloring, walking, and jumping.

Question 17

As you greet the patient, which examination technique is first implemented?

Response Feedback:

Begin to inspect the patient as you greet them, as you look for signs of distress or disease. Inspect their appearance, gait, orientation, and difficulty in hearing or speech.

Question 18

Part of the screening orthopedic component of the examination includes evaluating the person while:

Response Feedback:

Duck walking for four steps assesses hip, knee, and ankle range of motion, strength, and balance.

Question 19

The best way to ease the apprehension of a 3-year-old child before a physical examination is to:

Question 20

The sequence of the physical examination should be individualized to:

Response Feedback:

There is no one right way to put together the parts of the physical examination. The sequence should be individualized to minimize the number of times the patient has to change positions to conserve the patient s energy. NURS 6512 Health Assessment, Week 11 Quiz, Neuro/Spinal/Muscles

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