Asking an adult what the statement A stitch in time saves nine ...

[appyboo]

Asking an adult what the statement A stitch in time saves nine means to him is a mental status examination technique used to assess
 
  a. Knowledge.
  b. Long-term memory.
  c. Abstract thinking.
  d. Recent memory.

Question 2

During a routine physical examination of a 70-year-old patient, a blowing sound is auscultated over the carotid artery. The nurse notifies the medical provider of the unexpected physical finding known as
 
  a. Clubbing.
  b. Bruit.
  c. Right-sided heart failure.
  d. Phlebitis.

[aadams68]

Answer to Question 1

ANS: C
For an individual to explain common phrases such as A stitch in time saves nine requires a higher level of intellectual function. Knowledge-based assessment is factual. Assess knowledge by asking how much the patient knows about his illness or the reason for seeking health care. To assess past memory, ask the patient to recall the maiden name of the patient's mother, a birthday, or a special date in history. It is best to ask open-ended questions rather than simple yes/no questions. Patients demonstrate immediate recall by repeating a series of numbers in the order in which they are presented or in reverse order.

Answer to Question 2

ANS: B
A bruit is the sound of turbulence of blood passing through a narrowed blood vessel. A bruit can reflect cardiovascular disease in the carotid artery of middle-aged to older adults'. Clubbing is due to insufficient oxygenation at the periphery resulting from conditions such as chronic emphysema and congenital heart disease; it is noted in the nails. Jugular venous distention, not bruit, is a possible sign of right-sided heart failure. Some patients with heart disease have distended jugular veins when sitting. Phlebitis is an inflammation of a vein that occurs commonly after trauma to the vessel wall, infection, immobilization, and prolonged insertion of IV catheters. It affects predominantly peripheral veins.