ADVANCED HEALTH ASSESSMENT FINAL EXAM

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ADVANCED HEALTH ASSESSMENT FINAL EXAM

AND PRACTICE EXAM NEWEST 2024-2025 ACTUAL

EXAM COMPLETE 250 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A+

ADVANCED HEALTH ASSESSMENT FINAL EXAM

You are interviewing an elderly woman in the ambulatory setting and trying to get more information about her urinary symptoms. Which of the following techniques is NOT a component of guided questioning?

• Reassuring the patient that the urinary symptoms are benign

and that she doesn't need to worry about it being a sign of cancer.

• Offering the patient multiple choices in order to clarify the

character of the urinary symptoms she is experiencing.

• Asking her to tell you what she means when she states that

she has a urinary tract infection.

• Directed questioning starting with the general and proceeding

to the specific in a manner that does not make the patient give a yes/no answer. - CORRECT ANSWER -A) Reassuring the patient that the urinary symptoms are benign and that she doesn't need to worry about it being a sign of cancer.

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Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her regular provider is on vacation and she wanted to be seen. You have heard about her many times from your colleague and are aware that she is a very talkative person.Which of the following is a helpful technique to improve the quality of the interview for both the provider and the patient?

• Allow the patient to speak uninterrupted for the duration of

the appointment.

• Briefly summarize what you heard from the patient in the

first 5 minutes and then try to have her focus on one aspect of what she told you.

• Set the time limit at the beginning of the interview and stick

with it, no matter what occurs in the course of the interview.

• Allow your impatience to show so that the patient picks up

on your nonverbal cue that the appointment needs to end. - CORRECT ANSWER -B) Briefly summarize what you heard from the patient in the first 5 minutes and then try to have her focus on one aspect of what she told you.

Rationale; Give the patient free rein for the first 5-10 minutes, listening closely to the conversation. Focus on what seems most important to the patient. Learn to set limits when needed. A brief summary may help you change the subject yet validate any concerns. Do no show your impatience. 2 / 4

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Which of the following will help to optimize success from a pediatric examination?

• Doing the examination out of order if necessary to take

advantage of quiet periods for auscultation, etc.

• Being very orderly, so as not to miss a portion of the

examination.

• Using firmness throughout your examination, letting the

child know you are in charge.

• Making sure to place the infant on the table during the

examination while Mom watches close by. - CORRECT ANSWER-A) Doing the examination out of order if necessary to take advantage of quiet periods for auscultation, etc.

Rationale; With certain exceptions, physical examination does not require use of the examining table, or with the child in a parent's lap. Plan the examination to start with the least distressing procedures and end with the most distressing, usually involving the throat and ears. Patience, distraction, play flexibility in the order of the examination, and caring but firm approach are all key to successfully examining the young child.

A patient has come in for an examination and states, "I have this spot in front of my ear lobe here on my cheek that seems to be getting bigger and is tender. What do you think it is?" The NP 3 / 4

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notes swelling above the angle of the jaw and suspects it could

be an inflammation of his:

• occipital node
• thyroid gland
• parotid gland
• none of the above - CORRECT ANSWER -C) parotid gland

Rationale; The swelling of the parotid gland is seen anterior to the ear lobes and above the angles of the jaw.

All of the following are a common or concerning symptom in a health history for a respiratory assessment EXCEPT?

• palpitations
• blood-streaked sputum
• chest pain
• snoring - CORRECT ANSWER -A) palpitations

Rationale; Chest pain, blood-streaked sputum, and snoring are all common or concerning symptoms in a health history for respiratory assessment.

A 29-year-old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball appears to be

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