Health Assessment Nurs 2370 Chapter 6, 23, 24, and 25 Test Bank

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Sample questions from Health Assessment Nurs 2370 Chapter 6, 23, 24, and 25 Test Bank

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A client says, "I drink most nights, but I can stop whenever I want." Which response best begins a nonjudgmental substance-use assessment?

   • A.You know drinking every night is unhealthy, don't you?
   • B.Have you ever been arrested for drinking?
   • C.How many drinks do you have on a typical day, and how often do you drink?
   • D.Why do you keep drinking if you know it is harmful?

   Rationale: Asking about amount and frequency uses neutral, open language and establishes a pattern of use. Accusatory or moralizing questions can increase stigma and reduce disclosure, while an arrest-focused question does not adequately assess current use. A therapeutic assessment explores use without assuming that the client is ready to change.

2. 2.During a clinic visit, a client reports using alcohol and a prescribed sedative. Which assessment questions are appropriate? Select all that apply.

   • A.When was your last dose of the sedative, and how do you take it?
   • B.How much alcohol do you typically drink, and how often?
   • C.What effects has your use had on your health, work, or relationships?
   • D.Have you tried to cut down or stop, and what happened?
   • E.Why are you abusing your medication?

   Rationale: Amount, frequency, timing, prescribed-medication use, effects on functioning, and attempts to change provide clinically useful information. Asking why the client is "abusing" medication presumes misuse and uses stigmatizing language. Neutral wording supports accurate disclosure and a more complete substance-use history.

3. 3.Which statement about a negative alcohol screening result is most accurate?

   • A.It means the client has no alcohol-related health effects.
   • B.It lowers concern but does not replace clinical assessment of use and risk.
   • C.It confirms that the client has never experienced withdrawal.
   • D.It rules out alcohol-related risk for the current year.

   Rationale: A screening tool helps identify possible risk; it is not proof that risk or harm is absent. A negative result does not establish lifetime abstinence, rule out health effects, or determine withdrawal history. Follow up when the client's history, symptoms, or observed findings raise concern.

4. 4.In a community clinic, a client completes the CAGE questionnaire and answers yes to needing to cut down. What is the best interpretation?

   • A.The screening result confirms current intoxication.
   • B.The client has demonstrated readiness to stop drinking immediately.
   • C.One affirmative response establishes alcohol dependence.
   • D.The response warrants further assessment of drinking patterns and consequences.

   Answer and rationale are in the full material.

5. 5.Which documentation best describes a client's reported alcohol use objectively?

   • A.Client reports two beers on weekdays and four on weekend days; denies morning drinking.
   • B.Client is an alcoholic and is not cooperative.
   • C.Client has a drinking problem but says it is under control.
   • D.Client admits to drinking too much and has poor judgment.

   Answer and rationale are in the full material.