Adult health prep u chapter 4

"If you would like to listen to your murmur, I'd be glad to help you and to show you how to use a stethoscope."

A client has a newly diagnosed heart murmur. During the nurse's subsequent health education, he asks if he can listen to it. What would be the nurse's best response? "Listening to the body is called auscultation. It is done with the diaphragm, and it requires a trained ear to hear a murmur." "Listening is called palpation, and I would be glad to help you to palpate your murmur." "Heart murmurs are pathologic and may require surgery. If you would like to listen to your murmur, I can provide you with instruction." "If you would like to listen to your murmur, I'd be glad to help you and to show you how to use a stethoscope."

A minority

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by European American people. How would the nurse characterize the Hispanic people in this community? An underclass A subgroup A minority a A subculture

"A trust and belief in a higher power or something you cannot see"

A hospice nurse is discussing spirituality and faith with a client and the client's family member. The client asks the nurse what is the difference between spirituality and faith. How will the nurse describe faith? "A concept to help you understand qualities of life" "A relationship with a higher power" "A trust and belief in a higher power or something you cannot see" "A way to discover a purpose in your life"

cultural

A new client is admitted to the unit, and the nurse's initial assessment will include a systematic appraisal of the client's cultural characteristics, health practices, and beliefs. What type of assessment will the nurse perform to gather this information? cultural biocultural multicultural procedural

beefy red tongue ( Signs of poor nutrition include a beefy-red tongue, palpable thyroid gland, pale eye membranes, and flaccid, poorly toned, wasted, or underdeveloped muscles.)

A nurse determines that a patient has poor nutrition based on which assessment finding? Beefy-red tongue Nonpalpable thyroid gland Pink conjunctiva Firmly developed muscles

Maintaining eye contact and carefully listening to client responses and concerns

A nurse identifies a nursing diagnosis of "Anxiety related to hospitalization and uncertainty about diagnostic test results." Which of the following actions by the nurse will be an attempt to decrease client anxiety? Giving the client space and asking only yes and no questions Maintaining eye contact and carefully listening to client responses and concerns Giving advice about ways to decrease anxiety Staying on task and completing the health history questions

This is an aspect of the client's religious practice.

A nurse on a medical unit is conducting a spiritual assessment of a client who is newly admitted. In the course of this assessment, the client indicates that she does not eat meat. Which of the following is the most likely significance of this client's statement? The client does not understand the principles of nutrition. This is an aspect of the client's religious practice. This constitutes a nursing diagnosis of Risk for Imbalanced Nutrition. This is an example of the client's coping strategies.

"I need to do at least 15 minutes of physical activity one day a week." ( MyPyramid recommends physical activity 30 minutes on most days, not 15 minutes only one day. The other options are MyPyramid recommendations about the major food groups.)

After educating a client on MyPyramid recommendations, the nurse realizes more education is needed when the client makes which of the following remarks? "Limiting the amount of butter in my diet is necessary." "I need to do at least 15 minutes of physical activity one day a week." "Two and a half cups of a variety of vegetables are recommended." "Frying foods is not recommended; baking or broiling are better options."

Madeline Leininger (Madeleine Leininger is the founder of the specialty called transcultural nursing. Jean Watson founded the caring theory, Orem the self-care theory, and Benner the novice to expert model.)

Of the following nurse theorists, which one is considered the founder of transcultural nursing? Dorothea Orem Madeline Leininger Jean Watson Patricia Benner

lower than 18.5 ( People who have a BMI lower than 18.5 (or who are 80% or less of their desirable body weight for height) are at increased risk for problems associated with poor nutritional status)

At which body mass index (BMI) value are patients considered to have increased risk for problems associated with poor nutritional status? lower than 18.5 between 25 and 29 between 30 and 39.9 higher than 40

By offering multicultural health studies in nursing curricula

The future of transcultural nursing care lies in finding ways to promote cultural competence in nursing students. How can this goal be best accomplished? By offering multicultural health studies in nursing curricula By enhancing the content of community nursing classes By requiring students to care primarily for clients from other ethnic groups By screening applicants according to their cultural competence

People with disabilities

The nurse is assessing health disparities in the community and is focusing on disparities that exist apart from those between ethnic groups. In which of the following groups are these disparities most evident? Urban men People with disabilities People who are single Middle-aged adults

Make other arrangements with the physician to facilitate a meeting with the spouse.

The nurse is caring for a client who is very ill. The client's spouse has asked to speak with the physician, who makes rounds between 0900 and 1000 every morning. The nurse tells the spouse to be at the bedside at that time in order to talk with the physician, but the spouse never arrives until the afternoon. Knowing that some individuals view time in a wider frame of reference, the appropriate response to this behavior is which of the following? Make other arrangements with the physician to facilitate a meeting with the spouse. Talk to the spouse and be firm about the time issue; let the spouse know that the physician cannot see her in the afternoon. Do nothing; let the spouse handle the issue. Report the issue to the nurse supervisor and ask her to talk to the spouse.

The client who presents with a respiratory rate of 22 and a productive cough and reports shortness of breath when climbing stairs

The nurse is completing a physical examination of a group of clients. What client situation is the nurse most likely to use percussion during the assessment? The client who presents with a respiratory rate of 22 and a productive cough and reports shortness of breath when climbing stairs The client who reports numbness and tingling in three fingers on each hand upon awakening in the morning The client who presents with a mild pruritic rash on trunk and oral temperature of 101.1°F (38.4°C) The client who reports increased sensitivity to cold, dry skin, and thinning hair

Changes the subject

The nurse is providing education to an English-speaking client who immigrated to the United States 2 years ago. The nurse determines that further education may be needed when the client does which action? Changes the subject Laughs appropriately Makes eye contact Asks several questions

Ask questions slowly, directly, and in a voice loud enough to be heard by those who are hearing impaired. Clarify the frequency, severity, and history of signs and symptoms of the present illness. Conduct the interview in a calm, unrushed manner using eye-to-eye contact

When obtaining a health history from an older adult patient, what should the nurse remember to do? (Select all that apply.) Ask questions slowly, directly, and in a voice loud enough to be heard by those who are hearing impaired. Clarify the frequency, severity, and history of signs and symptoms of the present illness. Conduct the interview in a calm, unrushed manner using eye-to-eye contact. Have a family member in the room when asking questions to make sure the patient's answers are accurate. Frequently touch the patient so that you may bring his or her attention back to the interview.

Ethnocentrism

Which of the following is the belief that one's values and beliefs are superior to others? Acculturation Ethnocentrism Cultural imposition Cultural taboo

Ethnocentrism

Which of these terms refers to the belief that one's values and beliefs are superior to others? Acculturation Ethnocentrism Cultural imposition Cultural taboo

Consider that the client's cultural preferences for space and distance may be a reason for this behavior.

While taking a nursing history, the nurse is made to feel uncomfortable when a client positions himself very close to the nurse. The nurse should do which of the following? Calmly ask the client to move back to a distance that is more comfortable for the nurse. Consider that the client's cultural preferences for space and distance may be a reason for this behavior. Report the inappropriate behavior to the nurse's supervisor. Ask a colleague to complete the health history.

"You seem upset about the pain. Tell me what's happening."

While undergoing a health history and physical assessment, a patient states, "I'm really afraid this pain in my belly is cancer." Which response by the nurse would be MOST appropriate? "Let's not worry about that now. I need to get your information first." "So you think you have cancer?" "You seem upset about the pain. Tell me what's happening." "We can't say yes or no until the doctor does some testing."