Uf Nur3066Chealth Assessment Exam 1 Study Guide Latest Updat video

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.UF NUR3066C-Health Assessment Exam 1 Study
Guide Latest Update 2024-2025 Actual Exam 250
Questions and 100% Verified Correct Answers
Guaranteed A+
5 rights of delegation - CORRECT ANSWER: 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
A patient with no history of hypertension has a blood pressure reading of 190/100. Why might this be
possible? - CORRECT ANSWER: - A blood pressure cuff that is too small can cause a falsely high reading.
The nurse would determine if the appropriate cuff size is being used before repeating the blood
pressure
A preschooler with autism spectrum disorder exhibits.... - CORRECT ANSWER: irritable mood, poor eye
contact, repetitive speech, strict adherence to routines, and difficulty in making friends
A, B, C, T - CORRECT ANSWER: Components of a mental assessment.
Appearance, Behavior, Cognition, Thought process
abnormality observed in a child with oppositional defiant disorder (ODD) - CORRECT ANSWER: mental
health disorder seen in children who are extremely irritable
tend to lose their tempers, argue with adults, and disobey set rules
According to Piaget, a child who has developed logical thinking and is able to use numbers for calculation
is in which stage of cognitive development? - CORRECT ANSWER: Concrete operations
7- to 11-year-old
According to Piaget, what age is in the range for the preoperational stage of cognitive development? -
CORRECT ANSWER: age group of 2 to 6 years
According to Piaget's theory of cognitive development, what age is a child considered to be in
presymbolic language development? - CORRECT ANSWER: children younger than the age of 2 years
action cues - CORRECT ANSWER: posture, facial expressions, and gestures
Ad hoc interpreter - CORRECT ANSWER: friend or relative of the patient, and the patient may be stressed
while talking about the problems with such an interpreter
ADPIE - CORRECT ANSWER: Assessment.
Diagnosis.
Planning.
Implementation.
Evaluation.
Affect - CORRECT ANSWER: temporary expression of feelings or state of mind
agoraphobia - CORRECT ANSWER: an irrational fear of being out in the open or in any place from which it
would be difficult to escape
patient is reluctant to move home
aphasia - CORRECT ANSWER: speech disorder in which the patient has difficulty understanding or
producing language
Assessment - CORRECT ANSWER: What do I think the problem is?
Nurses interpretation of data relative to patient issue
attention deficit/hyperactivity disorder - CORRECT ANSWER: child is unable to complete tasks because he
or she is easily distracted
Axillary Temperature - CORRECT ANSWER: measures 1° F lower than oral
Background - CORRECT ANSWER: What is the clinical background?
Providing context and assessment data relative to patient issue
Bradycardia - CORRECT ANSWER: slow heart rate, less than 50 beats per minute in the adult
Checking pulse force - CORRECT ANSWER: Use a rating scale of 0-4+ or 0-3+, 2+ pulse is Normal
Checking pulse rate - CORRECT ANSWER: number per minute
Checking pulse rhythm - CORRECT ANSWER: If regular rhythm---count number of beats in 30 seconds &
multiply by 2.
If irregular rhythm---count number of beats for full minute.
Circumlocution - CORRECT ANSWER: thought process abnormality in which the patient substitutes a
word or phrase, such as "thing," to denote an object, such as glasses, instead of asking directly for it
Circumstantiality - CORRECT ANSWER: refers to excessive talking and unnecessary detail that delays in
answering the questions
Communication techniques in adolescents - CORRECT ANSWER: puberty - communication is transparent.
Use honest & respectful approach.
Communication techniques in infants - CORRECT ANSWER: birth to 1 years - nonverbal communication.
Handle gently & use quiet, calm voice, face infants directly
Communication techniques in older adults - CORRECT ANSWER: communication is adjusted for older
adults if sensory or physical deficits.
Be respectful; no "elderspeak" of honey, sweetie, dearie.
Communication techniques in preschoolers - CORRECT ANSWER: 3-6 years - developing communication
with 6-8 words.
Short simple sentences.
Education & explanations through play, puppet shows, dress up, drawings.
Communication techniques in school age children - CORRECT ANSWER: 7-12 years - communication is
functional.
Use nonjudgmental approach; child wants to know how & why.
Communication techniques in toddlers - CORRECT ANSWER: 1-3 years - developing communication with
6-8 word sentences.
Keep simple, one direction at a time, simple choices.
Comprehensive assessment - CORRECT ANSWER: Includes all data - subjective & objective - and holistic
assessment
Confabulation - CORRECT ANSWER: Falsification of events to fill in memory gaps
While describing the actual event to the nurse, the patient adds false information because he or she
cannot remember the actual cause of injury
patient creates story
Cons of usin