Exam 1 practice questions

Erikson's theory identifies multiple developmental tasks across the lifespan. Match the following age range with appropriate developmental tasks. Toddler (1- 3 yr)

autonomy v. shame and doubt

Match the appropriate therapeutic communication technique with the nurse's (RN) following statements: RN with adult: "So tell me about what sorts of issues you're concerned with today." Validation Broad opening Closed-ended Restating Clarifying

broad opening

Match the nutrition assessment tool in the left hand column with the corresponding correct statement in the right hand column Plasma calcium levels

cannot be used to measure body stores

Match the appropriate therapeutic communication technique with the nurse's (RN) following statements: Rn with adult: "Let me repeat back to you what I think I heard you say." Validation Broad opening Closed-ended Restating Clarifying

clarifying

Match the nutrition assessment tool in the left hand column with the corresponding correct statement in the right hand column Waist circumference

does indicate location of body fat

Match the nutrition assessment tool in the left hand column with the corresponding correct statement in the right hand column Bioelectrical impedance

does measure body fat

Match the nutrition assessment tool in the left hand column with the corresponding correct statement in the right hand column. Body Mass Index (BMI)

does not measure body composition

Match the macronutrient with its function: Transports vitamins in the body A) Carbohydrate B) Protein C) Fat

B) Protein

Erikson's theory identifies multiple developmental tasks across the lifespan. Match the following age range with appropriate developmental tasks. Adulthood (30- 65 yr)

generativity v. stagnation

Erikson's theory identifies multiple developmental tasks across the lifespan. Match the following age range with appropriate developmental tasks. Adolescence (12- 20 yr)

identity v. role confusion

Erikson's theory identifies multiple developmental tasks across the lifespan. Match the following age range with appropriate developmental tasks. School Age (6- 12 yr)

industry v. inferiority

Match the nutrition assessment tool in the left hand column with the corresponding correct statement in the right hand column Physical exam of oral mucous membranes

influenced by short term nutrition intake

Erikson's theory identifies multiple developmental tasks across the lifespan. Match the following age range with appropriate developmental tasks. Preschooler (3- 6 yr)

initiative v. guilt

Erikson's theory identifies multiple developmental tasks across the lifespan. Match the following age range with appropriate developmental tasks. Mature Age (65+ yr)

integrity v. despair

Erikson's theory identifies multiple developmental tasks across the lifespan. Match the following age range with appropriate developmental tasks. Young Adulthood (20- 30 yr)

intimacy v. isolation

Non-verbal communication involves all of the following EXCEPT: touch proxemics kinesis tone of voice

tone of voice

Which question would be an appropriate way to explore the influence of culture on a client's nutritional status? "I see that you wrote that you are Muslim in the patient questionnaire. Tell me about what you eat after you observe a fast" "I noticed in your chart that you lived in India until you went away to college and that your family still lives there. Tell me about how you eat now and whether any part of your diet is influenced by your upbringing or beliefs." "Tell me about how it has been for you trying to get used to the American diet after moving from Mexico." "You told me that you are from China. What are the core foods you include in your diet that are from your country?"

"I noticed in your chart that you lived in India until you went away to college and that your family still lives there. Tell me about how you eat now and whether any part of your diet is influenced by your upbringing or beliefs."

The amount of MyPlate that is comprised of fruits and vegetables

0.5

You are caring for Neil, a 23 year old man recovering from appendectomy. Place the following nursing activities in the correct sequential order of the nursing process (e.g. 1-5). RN observes that patient is wincing; heart rate and respiratory rate are elevated; pain is rated as 9/10 Medication as per standing orders will be administered, pain will be reassessed in 1 hour Morphine 2mg IV is administered for pain relief (analgesia) at 0800 Ineffective pain control related to surgical incision as evidenced by abnormal vital signs and elevated pain score. Repeat pain assessment 1 hour later (0900) = 3/10; heart rate and respiratory rate are within normal limits

1. RN observes that patient is wincing; heart rate and respiratory rate are elevated; pain is rated as 9/10 2. Ineffective pain control related to surgical incision as evidenced by abnormal vital signs and elevated pain score. 3. Medication as per standing orders will be administered, pain will be reassessed in 1 hour 4. Morphine 2mg IV is administered for pain relief (analgesia) at 0800 5. Repeat pain assessment 1 hour later (0900) = 3/10; heart rate and respiratory rate are within normal limits

The maximum percentage of total calories to consume from added sugar

10

The grams of carbohydrate in a half cup cereal or juice

15

The amount of calories in 1 gm of carbohydrate or protein

4

The minimum recommended number of fruit & vegetable servings/ day

5

The percentage of grain intake that should be whole grain

50

The amount of calories in 1 gm of fat

9

Match the macronutrient with its function: Component of enzymes A) Carbohydrate B) Protein C) Fat

A) Carbohydrate

Which of the following individuals is MOST at risk for limited health literacy? A) an 85-year old non-English speaking widower B) a 30-year old female seeking prenatal care C) a 65-year old male returning to his PCP (primary care provider) for follow up visit and BP check D) a 20-year old male college student

A) an 85-year old non-English speaking widower

Match the following cultural term with the correct example John now embraces the west coast lifestyle after relocating from NY. He no longer spends long days at the office. Enculturation Acculturation Culture shock Acculturative stress

Acculturation

Match the following cultural term with the correct example Neil, a recent immigrant is struggling to adapt to his new life in Boston. He has been suffering from anxiety and depression since moving to the U.S. Enculturation Acculturation Culture shock Acculturative stress

Acculturative stress

You are a nurse in a pediatrician's office and a mother mentions she is concerned about Bisphenol-A (BPA) exposure in her children. How can you advise her to limit exposure to BPA? Use glass or stainless steel instead of plastic. Do not heat food or drink in plastic Choose fresh or frozen foods instead of canned foods. All of the above

All of the above

You are a nurse in an intensive care unit. You set the alarm limits to reduce unnecessary alarms and shut the doors and curtains whenever possible in order to reduce excessive noise for your patients. You do this because you know that excessive noise is associated with: Diminished sleep Impaired Healing Decreased pain threshold All of the above

All of the above

Which of the following in NOT an element of health (genetic) literacy? Understanding information Processing information Asking for information Obtaining information

Asking for information

Which of the following theories is based on the idea that behavior can be controlled or modified based on antecedents and consequences of a behavior? Sociocultural theory Ecological systems theory Psychodynamic theory Behaviorism

Behaviorism

Match the macronutrient with its function: Prevents ketosis A) Carbohydrate B) Protein C) Fat

C) Fat

Match the appropriate therapeutic communication technique with the nurse's (RN) following statements: RN with child: "Where is the pain?" Validation Broad opening Closed-ended Restating Clarifying

Close-ended

Match the following cultural term with the correct example Linda is volunteering for 6 months at a clinic in a developing country and is overwhelmed by the language barrier. Enculturation Acculturation Culture shock Acculturative stress

Culture shock

Health literacy is important because it affects an individual's ability to: A) act on health related news and information B) navigate the healthcare system C) engage in self-care and chronic disease management D) All of the above

D. All of the above

This phenomenon occurs about 50% of the time and is predictive of death occurring within 48 hours: Decreased ability to cough and clear the airway Respirations with jaw movements Anorexia Delirium

Decreased ability to cough and clear the airway

Match the following cultural term with the correct example Molly, a 3-yr old girl has been getting really excited about Halloween as a time to dress up and decorate pumpkins. Enculturation Acculturation Culture shock Acculturative stress

Enculturation

Match the following theoretical concept with the appropriate health promotion theory: perceived risk of disease Social Cognitive Theory Health Belief Model Transtheoretical Model Maslow's Hierarchy of Needs Theory of Planned Behavior

Health Belief Model

To be an effective provider of care to someone facing the end-of-life, which of the following attributes is the most important for the nurse to possess? Using therapeutic communication skills Knowing where one stands regarding end of life issues Being familiar with the theories of loss and grief Avoid being judgmental

Knowing where one stands regarding end of life issues

Match the following theoretical concept with the appropriate health promotion theory: self-actualization Social Cognitive Theory Health Belief Model Transtheoretical Model Maslow's Hierarchy of Needs Theory of Planned Behavior

Maslow's Hierarchy of Needs

Which of the following is inconsistent with the definition of motivational interviewing? Motivational interviewing is aimed at behavior change; focuses on intrinsic motivation; and is consistent with clients' personal values. Motivational interviewing is non-judgmental; focuses on intrinsic motivation; and is focused on the present. Motivational interviewing is aimed at increasing clients' awareness of consequences of their actions; is focused on the present; helps to assess clients' self-efficacy. Motivational interviewing is aimed at improving disease knowledge; focuses on past experience; and is nurse-directed.

Motivational interviewing is aimed at improving disease knowledge; focuses on past experience; and is nurse-directed.

You are caring for Neil, a 23 year old man recovering from surgery for appendicitis (appendectomy). A potential nursing diagnosis is "pain related to surgical incision". Which of the following best describes how this nursing diagnosis (Nursing Dx) is distinct from a medical diagnosis (Med Dx)? Nursing dx is directed at curing dysfunction; Med dx involves a holistic approach Nursing dx re-words medical diagnosis as "nursing language"; Med dx is geared toward optimizing patient outcomes Nursing dx reflects holistic approach; Med dx directed at Neil's response to actual or potential problem Nursing dx describes Neil's response to an actual or potential problem; Med dx is oriented toward identifying a clinical problem

Nursing dx describes Neil's response to an actual or potential problem; Med dx is oriented toward identifying a clinical problem

Which of the following phases of the nursing process involves setting short or long term goals, and decides how patient progress towards these goals will be measured? Implementation Differential Diagnosis Assessment Prioritization Planning

Planning

During which stage of moral development identified by Kohlberg is the individual's moral reasoning based on personal gain? Post-conventional Pre-conventional Instrumental relativist orientation Conventional

Pre-conventional

Match the appropriate therapeutic communication technique with the nurse's (RN) following statements: Adolescent: "I puked and I was so grossed out. Nurse: You vomited and that upset you." Validation Broad opening Closed-ended Restating Clarifying

Restate

The most universally experienced symptom of grief is said to be which of the following? Anger Guilt Sadness Frustration

Sadness

Match the following theoretical concept with the appropriate health promotion theory: self-efficacy Social Cognitive Theory Health Belief Model Transtheoretical Model Maslow's Hierarchy of Needs Theory of Planned Behavior

Social Cognitive Theory

There are many tools to guide nutrition recommendations. Which of the following is NOT a tool that guides nutrition recommendations? The "Dietary Guidelines for Americans" outlines diet specific recommendations rather than nutrient specific recommendations The Tolerable Upper Limit (UL) nutrient recommendations are the highest intake of a nutrient that is unlikely to cause a health risk The Recommended Dietary Allowances (RDAs) specify daily nutrient needs that will maintain health and prevent deficiencies in most people The MyPlate icon symbolizes meal-specific guidance on how to meet the vitamin and mineral needs of most people

The MyPlate icon symbolizes meal-specific guidance on how to meet the vitamin and mineral needs of most people

A nutrition history is one component of a nutrition assessment. Which of the following is not true about this part of a nutrition assessment? The nurse may utilize a food frequency questionnaire to supplement the diet recall. Clients may over-report or under-report certain foods because of a desire for social acceptability. The nurse may utilize this objective information as part of the overall nutrition assessment. Clients with cognitive impairment may not accurately recall their dietary intake.

The nurse may utilize this objective information as part of the overall nutrition assessment.

Which of the following best describes genomics? The study of single genes and heredity The full component of proteins translated from RNA The phenotype expression of an organism The study of all parts of an organism's DNA

The study of all parts of an organism's DNA

Match the following theoretical concept with the appropriate health promotion theory: intentions Social Cognitive Theory Health Belief Model Transtheoretical Model Maslow's Hierarchy of Needs Theory of Planned Behavior

Theory of Planned Behavior

You are conducting a health interview with Marie, a 47 year old woman who presents to the clinic for follow up after antibiotic treatment for bronchitis. She tells you, "I think that I should probably stop smoking." Her statement is most consistent with which of the following theories and associated stages? (Choose one only) Health Belief Model --> extrinsic motivation Health Promotion Model --> cue to action Transtheoretical Model --> contemplation Transtheoretical Model -->precontemplation

Transtheoretical Model --> contemplation

Parabens (e.g., propylparaben and methylparaben) are synthetic preservatives used in cosmetics, medications, and some foods to prolong shelf life and act as endocrine disruptors in the body True/False

True

Match the nutrition assessment tool in the left hand column with the corresponding correct statement in the right hand column Plasma protein levels

affected by non-nutritional factors

Which of the following interventions will improve the usability of health forms/instructions? pre-testing instructions with intended users, and editing as needed insisting that clients immediately complete health forms referring the client to the internet for online instructions specific to managing their health condition developing forms and instructions in English

pre-testing instructions with intended users, and editing as needed

As a nurse at a community health center, you are interested in prevention. To prevent overweight and obesity (leading causes of chronic illnesses like heart disease and type 2 diabetes), you know that food policies such as banning trans-fats is an example of: Primary prevention Secondary prevention Tertiary prevention Primary health care

primary prevention

Individuals with a collectivist orientation are more likely to: protect their egos and self-esteem prioritize their ability for autonomous decision making above group consensus attribute their success to personal characteristics put aside their own worries or concerns in order to maintain group harmony or cohesion

put aside their own worries or concerns in order to maintain group harmony or cohesion

Match the following theoretical concept with the appropriate health promotion theory: maintenance Social Cognitive Theory Health Belief Model Transtheoretical Model Maslow's Hierarchy of Needs Theory of Planned Behavior

transtheoretical model

Erikson's theory identifies multiple developmental tasks across the lifespan. Match the following age range with appropriate developmental tasks. Infancy (0 - 1 yr)

trust v. mistrust

Kleinman's questions highlight important questions that should be incorporated into a Health Assessment. These questions focus on: understanding the patient's interpretation of their present health condition identifying possible differential diagnoses to explain the patient's health condition utilizing established quantitative measures of sickness and health developing a nursing diagnosis that can be verified through physical assessment

understanding the patient's interpretation of their present health condition

Match the appropriate therapeutic communication technique with the nurse's (RN) following statements: RN with adolescent: "When you say your friend is crazy, does the word crazy mean "kind of wild?" Validation Broad opening Closed-ended Restating Clarifying

validation