Question

7 can be documented as a genogram? Which section of the health his A Family history B. Chief complaint C. Current health status D. Past health history 8. The nurse is concluding an interview with a client which statement by the nurse is most appropriate at this time? "Did we forget something?" "I need to go on to the next patient. I will be back." C. "Is there anything else you would like to mention? D. "While I am here, let's talk about your upcoming surgery." 9. The nurse is preparing to perform a physical assessment. Which of the following actions by the nurse is correct? A Organize assessment to minimize changes in patient position Examine painful areas first to help relieve the client's anxiety C. Perform examination from the left side of the client D. Follow the same examination sequence for all clients 10. A 33-year old client smoked a pack of cigarettes per day from the time he was 16 years old until his 21" birthday. He stopped smoking for two years but started smoking I pack per day when he turned 23 years old and currently continues to smoke 1 pack per day. The nurse would calculate the client's Smoking Pack Years as: A. 10.5 Pack Years B. 11.5 Pack Years C. 12.5 Pack Years D. 13 Pack Years 11. A client reports that they are allergic to penicillin. What would be the nurse's best response to this information? A. "When was the last time you received penicillin?" B. "Are you allergic to any other drugs besides penicillin?" C. "Describe what happens to you when you take penicillin." D. "This will be documented, and you will not receive any penicillin." 12. Which of the following external factors can affect communication with the patient? SELECT ALL THAT APPLY. A. Language B. Education C. Sensory impairments D. Physical environment E. Privacy

Answer 1

7.D. Past Health History.

Genogram is a pictoral representation of a person's familial relationships and medical history.

Family history cannot be represented as a genogram but familial relationships can be.Also Chief complaints and current health status cannot be represented.

8.C. "Is there anything else you would like to mention".

The interview should be closed at a right note by giving a lasting impression. So all other options should be omitted. Asking "Did we forget something'' leaves an impression that the interviewer is not prepared.

"I need to go on to the next patient.I will be back" statement shows that the interviewer is leaving to the next patient without concluding the interview.

"While i am here let's talk about your upcoming surgery" statement is not appropriate for concluding an interview.

9. A. Organize assessment to minimize changes in patient position.

It will reduce the discomfort of the patient.

If we examine painful areas first,patient will not allow the nurse to do further examination as it can alleviate pain.

Examination should be performed from the right side of the client and not from the left side.

Same examination sequence cannot be performed for all the clients as the patients have different diagnosis.

10. C. 12.5 pack years.

Number of cigarettes in a pack = 20 cigarettes.

1/2 pack cigarette means 10 cigarettes.

Therefore, Number of pack years = number of cigarettes smoked per day * number of years smoked / 20

= 10 * 5 / 20

= 50 / 20 = 2.5 pack years.

He stopped cigarette for 2 years. Again started smoking 1 pack (20 cigarettes) per day.

Therefore, Number of pack years = 20 * 10 / 20

= 200 / 20 = 10 pack years.

So,Total pack years =2.5 + 10 = 12.5 pack years.

11. D. " This will be documented and you will not receive any penicillin."

This statement gives the patient an assurance that the nurse have taken the matter into consideration and they will not receive any penicillin.Other Statements does not do so.

12. A,B, C,D,E

If language is not understandable it will affect the communication.If the patient is uneducated he can't communicate properly.

Sensory impairments like hearing loss affects communication.

Physical environment like noise also affects communication.

Lack of privacy also affects communication as the patient will not be able to speak out important matters which he don't want others to listen.