NURS 6512 Week 11 Quiz 2 Assessment Solution

NURS 6512 Week 11 Quiz 2 Assessment Solution

NURS 6512 Week 11 Quiz 2 Assessment Solution

1. A therapeutic technique for dealing with grieving individuals is to:
2. The examination of the newborn should begin with:
3. Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
4. In crying infants, it is often difficult to:
5. Which of the following is true regarding the relationship between the examiner and the patient?
6. Which of the following are examined with the patient in a reclining 45-degree position? NURS 6512 Week 11 Quiz 2 Assessment Solution
7. The greatest risk for potential health problems occurs in which age group?
8. Examination of the patient in the lithotomy, or knee-chest, position includes:
9. Which portion of the physical examination is best done with the patient standing? NURS 6512 Week 11 Quiz 2 Assessment Solution
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:
11. One of the most important aspects to consider in the orthopedic screening examination is:
12. Functional assessment is most important during the examination of a(n):
13. The checkout station for pre participation physical evaluation (PPE) is critical because at this point:
14. A common method of estimating gestational age of a newborn is to assess:
15. Palpation of epitrochlear nodes is part of the:
16. Observation of the child playing in the playroom provides information about which two systems?
17. As you greet the patient, which examination technique is first implemented? NURS 6512 Week 11 Quiz 2 Assessment Solution
18. Part of the screening orthopedic component of the examination includes evaluating the person while:
19. The best way to ease the apprehension of a 3-year-old child before a physical examination is to:
20. The sequence of the physical examination should be individualized to:

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NURS 6512 Week 11 Discussion:  Ethical Concerns

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Discussion, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

Scenario 1:

The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

Scenario 2:

A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.

Scenario 3:

A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.

Scenario 4:

A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.

Scenario 5:

A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.

Scenario 6:

A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.

Scenario 7:

A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.

To prepare:

• Select three scenarios, and reflect on the material presented throughout this course.
• What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
• Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

By Day 3

Post the explanation of the health assessment information required for a diagnosis of your selected patients (include the scenario numbers). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your responses.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days who selected different scenarios than you, using one or more of the following approaches:

• Suggest additional health assessment information that would be necessary to collect from the patient
• Critique your colleague’s response, and explain alternative approaches to the situation.
• Validate an idea with your own experience and additional research.