To conduct a physical examination of a patient, which examination technique is used?

History taking

Palpation of an area

Communication

Weighing of a patient

Answer and Explanation

The Correct Answer is B

A. History taking: This refers to the process of gathering information about a patient's medical history, including their symptoms, past illnesses, medications, and family history. It involves asking questions and actively listening to the patient's responses.

B. Palpation of an area: Palpation involves using the hands to feel the body's surface, usually to assess the texture, size, consistency, and location of certain organs or structures. For example, a healthcare provider might palpate the abdomen to feel for any abnormalities or tenderness.

C. Communication: Communication is a broad term that encompasses various aspects of interacting with a patient, including asking questions, active listening, providing explanations, and expressing empathy. Effective communication is crucial for building trust, understanding the patient's concerns, and delivering appropriate care.

D. Weighing of a patient: Weighing a patient is a specific measurement and is not a technique used for a physical examination. However, a patient's weight can be an essential piece of information in understanding their overall health and can be considered during the assessment process.

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Correct Answer is B

Explanation

A. Patient leaving against medical advice:
When a patient decides to leave the hospital against medical advice, it's crucial to communicate this decision effectively. However, this situation does not specifically require a structured communication tool like SBAR. Rather, it necessitates clear communication to ensure the patient understands the risks and implications of leaving against medical advice.

B. Patient transfer to another facility:
During a patient transfer, especially between different healthcare facilities, it's essential to provide a comprehensive hand-off communication. SBAR is commonly used in such situations.

Situation: Describes the current situation and why the patient is being transferred.
Background: Provides relevant medical history and context.
Assessment: Presents the patient's current condition and vital signs.
Recommendation: Specifies what care and interventions the receiving facility should provide.
Using SBAR in this context ensures that all critical information is passed on accurately, minimizing the risk of errors and improving the continuity of care.

C. Visitor fall:
While a fall involving a visitor is an important incident, it doesn't typically require a structured communication tool like SBAR. Instead, it necessitates immediate response, assessment, and appropriate reporting within the hospital’s incident reporting system.

D. Needle stick injury to a nurse:
In the case of a needle stick injury, prompt reporting and proper follow-up are vital. While communication is crucial, it doesn't usually follow the structured format of SBAR. The nurse needs to report the incident to their supervisor or employee health, which would initiate appropriate protocols for testing, treatment, and documentation. Clear communication is necessary, but it doesn’t typically involve the use of the SBAR tool.

A. Pain B. Headache C. Lightheadedness D. Temperature

Correct Answer is D

Explanation

A. Pain:

Explanation: Pain is a subjective experience because it is based on the patient's feelings and emotions. It varies from person to person and can't be precisely measured or observed by others. Patients often describe their pain based on personal sensations, making it subjective information.

B. Headache:

Explanation: Like pain, a headache is a subjective symptom. Patients report their experience of a headache based on personal sensations, such as throbbing or pressure. It can't be directly measured or observed by healthcare providers; instead, it relies on the patient's description.

C. Lightheadedness:

Explanation: Lightheadedness is another subjective symptom. Patients may feel dizzy or unsteady, but this sensation can't be quantified objectively. It is based on the patient's perception of feeling lightheaded, making it subjective information.

D. Temperature:

Explanation: Temperature is objective data because it can be precisely measured using a thermometer. It provides a specific numerical value, such as 98.6°F (37°C). Objective data is observable and measurable, making temperature a clear example of objective information obtained through examination or assessment.

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To conduct a physical examination of a patient, which examination technique is used?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Hand-off communication tools such as the SBAR are used in the following situation:

Correct Answer is B

Explanation

Which is an example of objective data?

Correct Answer is D

Explanation

To begin talking with a newly admitted patient about pain management, the nurse would most appropriately state:

The general rule is that the initial care plan for a patient is:

A nurse tells her neighbor personal information about a hospitalized patient. Telling her neighbor about this indicates that the:

The major goal of the admission interview (usually performed by the RN) is to:

Preparing a patient for a diagnostic test, and telling the patient what to expect during and after the test, is considered:

Identify the independent nursing actions. (Select All That Apply)

The medication order is 400mg. The supply is 300mg/ml. How many ml will the nurse then give?

Active listening includes