Exam#3 communitcation, patient education, physical assesment
Physical assessment (FA-Davis questions) The nurse is providing care for a patient from a culture whose members are extremely modest and sensitive about being touched. Which statement by the nurse indicates cultural respect for this patient? 1. "Can you suggest how I can check you physically without touching your body?' 2. "The ability to monitor what is going on will be much easier if you are in a gown." 3. "I suggest that we come to some understanding about your culture and your physical care." 4. "May I place my hands under your clothing and touch your abdomen to evaluate the pain?"
"May I place my hands under your clothing and touch your abdomen to evaluate the pain?"
Physical assessment (canvas questions ) what is the order of assessment technique
( Inspection- Palpation-Percussion-Auscultation)
Physical assessment (canvas questions ) What are objective signs observed during a physical examination for lung assessment?
(barrel chest), breathe sounds, respiratory rate, color of skin
Physical assessment ( terms to know for alteration in breathing)
*bradypnea= regular but abnormally slow (less than 12 breaths/min) *Tachypnea=regular but abnormally rapid (greater than 20/min) *Hypernea= labored, in depth and rate(greater than 20 and can occur normally during exercise) *apnea= temporary cessation of breathing(if persistent-arrest) *dyspnea= disfficulty or labored breathing *orthopnea= dyspnea lying flat, but improved in high fowlers position *hyperventilation= increase rate and depth(hypocarbia) *hypoventilation=rate abnormally low-depressed depth(hypercarbia)
Physical assessment (canvas questions ) What techniques are appropriate when assessing patients of different ages?
-Speaking privately with adolescents about their concerns -providing time for children to play -performing the examination for an older adult to finish is as quickly as possible
Physical assessment (canvas questions ) what are the risk factors associated with osteoporosis:
-smoking -a history of falls -a history of Cushing disease -a thin, light body frame
Communication(Fa-Davis quiz assignment) Which statements from the nurse indicate a correct understanding of active listening? Select all that apply. 1. "I also listen to what the patient is not saying." 2. "I use all my senses to interpret verbal and nonverbal messages from the patient." 3. "I focus solely on the spoken words of the patient." 4. "I tune out other distractions and focus on the patient." 5. "I know what I am going to say before the patient is through speaking."
1. "I also listen to what the patient is not saying." 2. "I use all my senses to interpret verbal and nonverbal messages from the patient." 4. "I tune out other distractions and focus on the patient."
Communication(Fa-Davis quiz assignment) Which responses by the nurse would facilitate communication? Select all that apply. 1. "What is causing you the greatest concern at this time?" 2. "Tell me more about this pain you are having." 3. "Why did you do that?" 4. "I don't think you should divorce your spouse." 5. "It will be OK; my father had this surgery and did fine."
1. "What is causing you the greatest concern at this time?" 2. "Tell me more about this pain you are having."
Patient teaching (Fa-Davis quiz) The nurse is preparing to review patient teaching with a patient. Which assessment finding is most likely to cause the nurse to modify the review process? 1. A patient has a hearing deficit. 2. A patient is watching television. 3. A patient has visitors at their bedside. 4. A patient is preparing to take a shower.
1. A patient has a hearing deficit.
Patient teaching (ATI modules questions) A nurse is collecting data about the clients health literacy prior reinforcing education.Which of the following actions should the nurse take? (Select all that apply) 1. Ask questions regarding the clients health literacy 2. Obtain health history 3. Collect the clients educational level 4. assist with performing physical assesment 5.Use medical terminology when educating the client
1. Ask questions regarding the clients health literacy 2. Obtain health history 3. Collect the clients educational level
Patient teaching (ATI modules questions) A nurse is assisting with the evaluation of a client's plan of care. The desired outcome of having the client sit on the side of the bed by the end of the shift was not met. Which of the following actions should the nurse recommend? 1. Determine if different nursing interventions are required 2.Formulate a new analysis 3.Notify the health care provider 4.Notify physical therapy to assist getting the client out of bed meet goals
1. Determine if different nursing interventions are required
Communication(Fa-Davis quiz assignment) The LPN/LVN tells the unlicensed assistive personnel to have a patient's complete bed bath done by 0900 and to report any skin problems. Which types of communication did the nurse use? Select all that apply. 1. Downward 2. Upward 3. Job instructions 4. Aggressive 5. Job rationale
1. Downward 3. Job instructions
Communication (ATI modules questions) A nurse is assisting with the planning of a presentation about skincare for a group of older adults at a senior center. Which of the following actions should the nurse recommend to enhance client learning? 1. Ensure the room is well lit 2. Have soft music playing in the background 3. Hand out examples of products during teaching 4. SPeak quickly during teaching
1. Ensure the room is well lit
Communication (ATI modules questions) A nurse in a provider's office is caring for a client who has hypertension during a follow-up appointment and is focusing on the client's ability to make healthy behavior changes.Which of the following statements by the nurse is an example of the use of affirmation. 1. I'm glad you decided to continue your fitness routine 2. You could achieve better results if you applied yourself more 3. You are adjusting well for your age 4. Reducing your caffeine intake is good, but you really need to stop completely .
1. I'm glad you decided to continue your fitness routine
Physical assessment(ati physical assesment module questions) A nurse is teaching a newly licensed nurse about using a stethoscope. Which of the following should the nurse include? 1. Insert the earpieces at a downward angle toward your nose 2. Use the diaphragm to listen to low pitched sounds 3. drape the stethoscope over your neck when not in use 4. clean the stethoscope by immersing in soapy water
1. Insert the earpieces at a downward angle toward your nose
Physical assessment (FA-Davis questions) The nurse is preparing to review the physical assessment performed on a newly admitted patient. Which purpose of the physical assessment will the nurse identify as inaccurate? 1. It provides guidelines for decisions about medical treatment. 2. It establishes a baseline of the patient's current condition for comparison. 3. It uses data to evaluate the effectiveness of nursing interventions. 4. It identifies real or potential problems for which the patient is at risk.
1. It provides guidelines for decisions about medical treatment.
Communication(Fa-Davis quiz assignment) Which information should the nurse include in a change-of-shift report? Select all that apply. 1. Lungs clear bilaterally with no cough. 2. Oh, I forgot, the blood pressure is continuing to rise. 3. You should see what the patient's mother is wearing. 4. Chest x-ray indicates tuberculosis. 5. The patient uses a walker.
1. Lungs clear bilaterally with no cough. 2. Oh, I forgot, the blood pressure is continuing to rise. 4. Chest x-ray indicates tuberculosis. 5. The patient uses a walker.
Communication (ATI modules questions) A nurse is collecting data from a client who was admitted for surgery. The client tells the nurse they have hearing loss and forgot to bring their hearing device. Which of the following actions should the nurse take to improve communication with the client? (select all that apply) 1. Move the client to a quiet area or private room 2. speak at a slower pace 3. delay collecting data until client's family bring hearing aid 4. have a sign language interpreter translate 5. Stand next to the client while talking 6. Avoid using medical terminology
1. Move the client to a quiet area or private room 2. speak at a slower pace 6. Avoid using medical terminology
Communication(Fa-Davis quiz assignment) The nurse is interviewing a patient and states, "I will be asking you questions about nausea and vomiting you have been having." This represents which stage of the interview process? 1. Opening 2. Closing 3. Body 4. Structure
1. Opening
Physical assessment (FA-Davis questions) The nurse enters a patient's room and discovers the patient sitting on the side of the bed and leaning forward over the bedside table. Which condition does the nurse associate with the patient's position? 1. Orthopnea. 2. Lethargy. 3. Dysphagia. 4. Hypoxia.
1. Orthopnea.
Communication(Fa-Davis quiz assignment) As the nurse walks into a patient's room, the patient states, "Where is my medication?" The nurse replies, "It is not time for your medications." According to the communication process, which component of this scenario is the sender? 1. Patient 2. Nurse 3. "Where is my medication?" 4. "It is not time for your medications."
1. Patient
Physical assessment (FA-Davis questions) Which olfaction assessment is most common among medical healthcare providers? 1. The odor of acetone on the breath of a patient with diabetes mellitus. 2. Cerumen with a mousey odor related to an infection from Proteus. 3. The differentiation between the smell of strep and other infections. 4. The odor of normal menstrual flow in a non-medical setting.
1. The odor of acetone on the breath of a patient with diabetes mellitus.
Patient teaching (Fa-Davis quiz) The nurse manager is aware that patient teaching is taking place at the time of discharge. Which important process of teaching and learning is being neglected? 1. The opportunity for repetition. 2. A chance to ask questions. 3. Availability of printed materials. 4. Appropriate environment.
1. The opportunity for repetition.
Physical assessment (FA-Davis questions) The nurse is preparing to interview a patient admitted to the hospital. Which is the nurse's most important objective during the interviewing process? 1. To foster rapport and communication with the patient 2. To obtain a personal and medical history from the patient 3. To learn about the symptoms that caused the patient to seek medical help 4. To become aware of the patient's expectations for hospitalization
1. To foster rapport and communication with the patient
Patient teaching (Fa-Davis quiz) The nurse is reinforcing patient teaching with a patient learning to change a dressing after discharge. The nurse has identified the patient as being a kinesthetic learner. Which method of evaluation will the nurse use? 1. Watch as the patient changes the dressing. 2. Ask if the patient has questions about the process. 3. Listen as the patient describes each step of the process. 4. Ask the patient questions about why certain actions are important.
1. Watch as the patient changes the dressing.
Patient teaching (ATI modules questions) A nurse is assisting with the plaining of an in-service for staff nurses about psychomotor client teaching strategies.Which of the following activities should the nurse identify as requiring the use of gross motor skill.?(select all that apply). 1. a client walking with crutches 2. a client using a manual wheelchair 3. administering an intradermal injection to client 4.opening a client's medication bottle 5.applying an adhesive bandage to client's finger
1. a client walking with crutches 2. a client using a manual wheelchair
Patient teaching (ATI modules questions) A nurse is participating in a question- and-answer session with a client.Which of the following domain of learning uses this type of client education? 1. cognitive domain 2.affective domain 3. pshychomotor domain 4.adaptation domain
1. cognitive domain
Physical assessment(ati physical assessment module questions) A nurse is performing a respiratory assessment on a client. The nurse auscultates a wet, popping sound upon the inspiration of the client's breathing. The nurse should identify this observation as to which of the following findings? 1. crackles 2. stridor 3. wheezes 4. friction rub
1. crackles
Communication (ATI modules questions) A hospice nurse is caring for a client who states that they want to have their last rites before they die. The nurse recognizes that which of the following factors is influencing the client's request? 1. cultural factor 2. developmental factor 3. environmental factor 4. physiological factor
1. cultural factor
Communication (ATI modules questions) A nurse is caring for a client who has a new prescription for dialysis three times a week. The client avoids eye contact while talking and explains that he works two jobs to support their family. The client also states "I don't know how I'm going to have time for dialysis. Which of the following factors is influencing the client's communication? (select all that apply) 1. psychosocial factors 2. cognitive factors 3. situational factors 4. environmental factors 5. physiological factors
1. psychosocial factors 3. situational factors
Communication(Fa-Davis quiz assigment) Which statement would an assertive nurse use during patient care? 1."I do not appreciate that kind of behavior." 2."Do you think you could walk for me today?" 3."It doesn't matter what I do." 4." Who do you think you are talking to?"
1."I do not appreciate that kind of behavior."
Physical assessment (FA-Davis questions) The new graduate nurse states, "I am always fearful that I will forget part of the physical assessment process." Which assistance does the experienced nurse provide? 1."Start at the top and move downward to the toes, then do the arms and legs." 2."I begin with the part of the body associated with the symptoms shared by the patient." 3."Everyone has their own technique so just find an order that makes sense to you." 4."Write everything down and go back if you need to find missing information."
1."Start at the top and move downward to the toes, then do the arms and legs."
Patient teaching (ATI modules questions) A nurse is reinforcing teaching about performing blood glucose checks with a client who has a new diagnosis of diabetes mellitus.Which of the following strategies indicates the nurse is using the affective domain of learning? 1.Ask the client how they feel about checking their blood glucose level 2.Ask the client to demonstrate how to check their blood glucose level 3.ask the client to verbalize the steps of checking their blood glucose level 4. Ask the client if they understand the importance of monitoring their blood glucose level
1.Ask the client how they feel about checking their blood glucose level
Communication(Fa-Davis quiz assignment) The nurse is collecting data from a patient about specific information to contribute to the health history. Which type of questions should the nurse use to obtain this data? 1. Closed-ended 2. Open-ended 3. Nondirective 4. Health literacy
1.Closed-ended Important to know=The nurse will use close-ended questions as the interview progresses to obtain specific data, such as a health history. MEANWHILE,OPEN-ENDED questions are good questions for beginning an interview, changing topics, and drawing out attitudes.
Patient teaching (ATI modules questions) A nurse is reviewing information about client education with a newly licensed nurse. Which of the following information should the nurse include as the focus of the client education? 1. Empowering clients to be accountable for self-care 2. Providing the client with disease-oriented education 3. Providing education only to the client to protect the confidentiality 4. Encouraging clients to let go of previous experiences
1.Empowering clients to be accountable for self care
Patient teaching (ATI modules questions) A nurse is reinforcing teaching with a client who has a recent diagnosis of pancreatic cancer. The nurse is using strategies in the affective domain of learning. Which of the following statements by the client should the nurse identify as being part of an affective domain? 1.I have been crying a lot since I learned about my diagnosis 2. I am learning how to take my bp 3.I understand I may lose weight because I may not feel like eating much 4. I will take my pain med on a schedule to prevent pain from becoming severe
1.I have been crying a lot since I learned about my diagnosis
Patient teaching (Fa-Davis quiz) The nurse is preparing to reinforce teaching about the patient's diagnosis of obesity. In this session, the nurse will cover dietary restrictions and the effects of obesity on the body. For which reason will the nurse provide this reinforcement? 1. Patient compliance will increase with a greater understanding of and reasons for the treatment. 2. The patient is likely to be resistant to change, and reinforcement is necessary. 3. Most patients with this diagnosis feel helpless to change behaviors. 4. Reinforcement will prevent the patient from making excuses for their diagnosis.
1.Patient compliance will increase with greater understanding of and reasons for the treatment.
Patient teaching (ATI modules questions) A nurse is preparing a low-stimulus environment for an educational seesion on smoking.Which of the following should the nurse implement?. 1.Set the thermostat to a comfortable temperature 2. Dim the lights in the room 3.Leave the door open during educational session 4.Play relaxing music
1.Set the thermostat to a comfortable temperature
Patient teaching (ATI modules questions) A nurse is reviewing the goals of client education with a newly licensed nurse. Which of the following information should the nurse include? 1.improvement of health 2.provide knowledge about illness or injury 3.relevance 4.health promotion 5.motivation
1.improvement of health 2.provide knowledge about illness or injury 4.health promotion
Physical assessment (canvas questions ) A patient is suspected of substance abuse. What physical findings would be found on the skin? Select all that apply. 1.spider angiomasir 2.regularly shaped moles 3.red, dry areas 4.hematomas 5.burns on the fingers 6.loss of pigment
1.spider angiomas 3.red, dry areas- 5.burns on the fingers
Communication (ATI modules questions) A nurse is planning to reinforce teaching with new assistive personnel (AP) how to use a bedside glucose monitor. The nurse will include a 30-minute face to face lecture and a written copy of the step by step procedure. Which of the following is the nurse teaching plan?(select all that apply) 1. verbal 2.written 3.electronic 4.nonbervak 5.assertive
1.verbal 2.written 4.nonverbal
Physical assessment (canvas questions ) When evaluating the vital signs of a group of patients the nurse takes into consideration the circadian rhythm of body temperature. At which time of day is body temperature usually at its lowest? 1) 4 p.m. to 6 p.m. 2) 4 a.m. to 6 a.m. 3) 8 p.m. to 10 p.m. 4) 8 a.m. to 10 a.m.
2) 4 a.m. to 6 a.m.
Patient teaching (Fa-Davis quiz) The nurse is caring for a patient diagnosed with chronic obstructive pulmonary disease (COPD). Which assessment question by the nurse will be least effective when developing a patient teaching plan? 1."What did your health-care provider tell you about your diagnosis?" 2."Do you have a family history of this disease?" 3."What would you like to know about your condition?" 4."Do you have questions about treatment and care?"
2. "Do you have a family history of this disease?"
Patient teaching (Fa-Davis quiz) The nurse states, "I guess I will start reinforcing patient teaching now. I feel like I just say the same things over and over." Which reply by the nurse manager will promote correct patient teaching? 1. "The patient will become more interested if you keep saying something over and over." 2. "The key to understanding and remembering information is repetition." 3. "I understand, maybe you could switch information around to sound more interesting." 4. "Maybe it is time to give the patient printed material to be reviewed as desired."
2. "The key to understanding and remembering information is repetition."
Communication (ATI modules questions) A nurse is preparing to reinforce education to a group of newly licensed nurses about methods to enhance communication with clients. Which of the following statements should the nurse include? (Select all that apply) 1." interrupt the client occasionally during the conversation' 2. "respect the client during the conversation" 3. "Use complex terms when explaining with the client" 4. "allow time for reflection during the conversation with the client" 5." show empathy during the conversation with client"
2. "respect the client during the conversation" 4. "allow time for reflection during the conversation with the client" 5." show empathy during the conversation with client"
Communication (outside source) Which one of the following medications has the greatest potential to influence patient communication? 1. Diuretics 2. Antipsychotics 3. Anticholinergics 4. Antipyretics
2. Antipsychotics
Communication(Fa-Davis quiz assignment) Which technique can the nurse use to facilitate communication with a patient on a ventilator? 1. Place the patient in a side-lying position. 2. Ask "Are you in pain?" 3. Speak softly into the good ear. 4. Stand in front of the patient.
2. Ask "Are you in pain?"
Physical assessment (canvas questions ) You notice that a teenager has an irregular pulse. The best action you should take includes 1. Reading the history and physical 2. Assessing the apical pulse rate for 1 full minute. 3. Auscultating for strength and depth of pulse 4. Asking whether the patient feels any palpitations or faintness of breath
2. Assessing the apical pulse rate for 1 full minute.
Communication(Fa-Davis quiz assignment) The nurse is preparing to notify the healthcare provider that a patient's pain is not relieved by the current pain medication. Which information should the nurse have available? Select all that apply. 1. Number of visitors in the room 2. Current pain assessment 3. Recent vital signs 4. Patient allergies 5. Type of insurance
2. Current pain assessment 3. Recent vital signs 4. Patient allergies
Patient teaching (ATI modules questions) A nurse is caring for a client who has impaired cognition and has begun taking a new medication. Which of the following actions should the nurse take during client education? 1. Expect the client to understand information 2. Direct the education to the caregivers as well as the client 3. Provide written handouts only 4. Speak quickly
2. Direct the education to the caregivers as well as the client
Patient teaching (Fa-Davis quiz) A patient recently diagnosed with rheumatoid arthritis asks the nurse to recommend good resources to learn more about the disease. Which resource is least reliable for the nurse to recommend? 1. Ask your librarian about available journals on the topic. 2. Do an internet search for other people with the condition. 3. Check with a local medical school about available information. 4. Use the computer to contact the Centers for Disease Control and Prevention.
2. Do an internet search for other people with the condition.
Patient teaching (Fa-Davis quiz) The nurse is preparing to reinforce previous teaching activities. The patient states, "Just show me what I need to know. I get bored watching videos and reading pamphlets." Which learning style does the nurse recognize for this patient? 1. Auditory 2. Kinesthetic 3. Passive 4. Visual
2. Kinesthetic
Communication(Fa-Davis quiz assignment) The nurse is using the ISBARR to report a patient problem to the healthcare provider. Which information should the nurse include for the B? 1. Dr. Smith, this is Mary Jones, LPN, at Lakeview Hospital. 2. Mr. Allan is having chest pain that is not relieved by medication. 3. The patient's O2 sats are 86% and pulse is 54 and irregular. Skin is clammy. 4. Would you like an ECG done and cardiac enzymes drawn?
2. Mr. Allan is having chest pain that is not relieved by medication.
Physical assessment(ati physical assessment module questions) A nurse is palpating a tender area of a client's abdomen. The nurse slowly applies pressure over the area with their fingertips, then quickly releases it. The client reports increased pain on the release of pressure. Which of the following findings should the nurse document? 1. Borborygmi 2. Rebound tenderness 3. Tympany 4. Abdominal guarding
2. Rebound tenderness
Communication (ATI modules questions) A nurse manager is planning to introduce a new scheduling policy to the unit staff. Which of the following methods of communication should the nurse manager use? 1. Send an email to staff via the facility's email system 2. Schedule a face to face unit staff meeting 3. Place a copy of the policy on the bulletin board in the hallway 4. Leave a voicemail on each staff's member's phone
2. Schedule a face to face unit staff meeting
Physical assessment (FA-Davis questions) The nurse is reassessing a patient admitted to the hospital. When inspecting the patient's mouth, the nurse notes that the patient has no teeth. The patient states, "I have dentures but they hurt my mouth so I didn't even bring them." Which action should the nurse take? 1. Inspect the patient's mouth for sores. 2. Seek an order for a mechanically soft diet. 3. Ask if a family member can bring the dentures. 4. Inquire if the patient has consulted a dentist.
2. Seek an order for a mechanically soft diet.
Patient teaching (Fa-Davis quiz) The nurse is providing care for a patient with a strong ethnic and cultural background. Prior to reinforcing patient teaching, which assessment should the nurse make? 1. The family member who should hear the information. 2. The anticipated response to teaching from a person outside of the patient's culture. 3. The patient's interest in receiving information. 4. Who the patient is most likely to listen to.
2. The anticipated response to teaching from a person outside of the patient's culture.
Physical assessment (FA-Davis questions) The nurse is performing an abdominal reassessment on a patient who had abdominal surgery under general anesthesia. Which is the correct conclusion if the nurse counts 22 clicks and gurgles after auscultating the patient's abdomen for 1 min? 1. Bowel sounds support a clear liquid diet. 2. The bowel is exhibiting normal activity. 3. Bowel sounds are indicative of a blockage. 4. The bowel is still affected by the anesthesia.
2. The bowel is exhibiting normal activity.
Patient teaching (ATI modules questions) A nurse is reinforcing a diabetic diet with a client. Which of the following outcomes is an example of cognitive learning? 1. The client will be able to prepare a diabetic meal 2. The client understands a diabetic meal plan 3. The client accepts a diabetic meal plan 4. The client states that he is never giving up on soda and candy
2. The client understands a diabetic meal plan
Communication (ATI modules questions) A nurse in the PACU is determining if a client has pain. The client is drowsy and opens the eyes to verbal stimuli but is unable to communicate their pain level. Which of the following action should the nurse take? 1. Administer an antagonist to reverse effects of anesthesia 2. Use an alternative method for determining the client's pain level 3. Administer medication for severe pain 4. Wait until the client is awake, alert, and able to vocalize pain level.
2. Use an alternative method for determining the client's pain level
Physical assessment(ati physical assessment module questions) A nurse is performing a physical examination of the spine for an older adult client. The nurse should identify that which of the following findings is common with aging? 1. Lordosis 2. kyphosis 3.ankylosis 4.scoliosis
2. kyphosis
Patient teaching (ATI modules questions) A nurse is assisting with the planing of a 30-min educations class. Which of the following actions should the nurse recommends to address various learning syles related to domain of learning? 1.Give demonstration only 2. provide games, disscussion, and question and answer 3.repeat demonstrations at the completion of class and lecture 4. allow time for role play and demonstration
2. provide games, disscussion, and question and answer
Patient teaching (Fa-Davis quiz) The nurse is caring for a patient after the placement of a cast for a lower leg fracture. The patient states, "I have never had a cast before. How do I take care of myself?" Which answer will the nurse provide? 1."As soon as the cast dries, you can shower." 2."Do not stick anything down in the cast." 3."You should be able to bear weight immediately." 4."I don't think you will need the cast for very long."
2."Do not stick anything down in the cast."
Patient teaching (Fa-Davis quiz) The nurse is caring for a patient with diabetes mellitus who has had multiple hospitalizations for hypoglycemia. Which patient statement will guide the nurse toward patient teaching related to a knowledge deficit? 1."I am very careful to take insulin exactly as directed." 2."I have begun an intense exercise program for weight control." 3."I follow my diet so that I can control my glucose levels." 4."If I get sick, I call my health-care provider about insulin management."
2."I have begun an intense exercise program for weight control."
Patient teaching (Fa-Davis quiz) The nurse is discussing a patient's genetic disorder. The patient states, "I found this website about people like me who have been cured." Which statement should the nurse make? 1. "That's wonderful. The web is full of the newest information." 2. "I would like to look it up. Would you share the website with me?" 3. "Did you ask your health-care provider about some of the newest research and cures?" 4. "I would be careful, the Internet is full of opinions and misinformation.
2."I would like to look it up. Would you share the website with me?"
Physical assessment (FA-Davis questions) The nurse in an adult clinic is assessing a patient who just arrived. Which assessment of the patient's general appearance indicates physical distress? 1.Facial expression with wide eyes 2.Breathing through the mouth 3.Unkempt physical appearance 4.Slow response to verbal stimuli
2.Breathing through the mouth
Physical assessment (FA-Davis questions) The nurse is reassessing a patient. The nurse begins assessment at the patient's head and neck. Which action does the nurse perform first? 1. Observes the patient's pupil reaction 2. Checks the patient's skin color 3. Inspects the patient's oral membranes 4. Evaluate the patient's swallowing
2.Checks the patient's skin color
Physical assessment (FA-Davis questions) The nurse is preparing to perform a head-to-toe assessment on a patient. Which action by the nurse is performed first? 1.Ensure the patient's privacy. 2.Gather all the necessary equipment. 3.Suggest that the patient use the bathroom. 4.Explain the purpose of the assessment.
2.Gather all the necessary equipment.
Communication (ATI modules questions) A nurse recieves a phone call from a client who was discharged yesterday. The client asks the nurse to email them a copy of their discharge instructions. Which of the following responses should the nurse make? 1. The nurse manager will need to email the discharge instructions to you 2. I am unable to send the instructions due to HIPPA privacy 3. You will need to ask your provider to email discharge instructions 4. Sending instructions is a violation of affordable Care Act
2.I am unable to send the instructions due to HIPPA privacy
Physical assessment (canvas questions ) While completing a physical examination, a nurse assesses and reports that a patient has petechiae. The nurse has found: 1.Thickness on the soles of the feet 2.Pin-point size, flat, red spots 3.Moles with regular edges 4.Light perspiration on the skin
2.Pin-point size, flat, red spots
Physical assessment (FA-Davis questions) The nurse is providing care for a patient who suddenly develops abdominal pain at a level of 7 on a scale of 0 to 10. Which resource will the nurse use to evaluate the patient's condition? 1.The patient's health-care provider to ascertain if the development of pain is significant. 2.The physical assessment notes acquired at the time of admission. 3.The patient's significant other for information about previous pain. 4.The patient's previous nurse to learn if the pain is reoccurring.
2.The physical assessment notes acquired at the time of admission.
Patient teaching (ATI modules questions) A nurse is reviewing a client's plan of care."The client will ambulate 20 feet using a walker' is the desired outcome. Which of the following aspect of the SMART goal should the nurse identify from the outcome?. 1.Specific 2.Timed 3.Measurable 4.Achievable
2.Timed
Communication(Fa-Davis quiz assignment) The nurse is beginning care with a patient who was just admitted with a stroke. What is essential for the nurse to develop in the nurse-patient relationship? 1. Humor 2. Trust 3. Encouragement 4. Intellect
2.Trust
Physical assessment( ati physical assessment module questions) A nurse is preparing to perform a comprehensive physical assessment on a client. which of the following actions should the nurse take first? 1. document accurate data 2. develop a plan of care 3. validate previous data 4.evaluate outcomes of care
2.develop a plan of care
Physical assessment (canvas questions ) Which assessment requires the nurse to assess the patient further? 1)18-year-old woman with a pulse rate of 140 after riding 2 miles on an exercise bike 2) 50-year-old man with a BP of 112/60 mm Hg on awakening in the morning 3) 65-year-old man with a respiratory rate of 10 4) 40-year-old woman with a pulse of 88
3) 65-year-old man with a respiratory rate of 10
Communication(Fa-Davis quiz assignment) Question 20. Place the sequence of the communication process in the correct order. 1 Receiver 2 Information 3Sender 4 Feedback
3,2,1,4
Communication (Fa-Davis quiz assignment) The nurse is having problems getting the unlicensed assistive personnel to complete assigned tasks. Which communication technique would the nurse use? 1. "Tasks are not getting completed. Why are you so lazy?" 2. "You have been working here for over 6 months. I don't understand your lack of organizational skills." 3. "Patient care is not getting completed for your assigned patients. What is happening?" 4. "Stop wasting time. Try to get the rest of your work done on time."
3. "Patient care is not getting completed for your assigned patients. What is happening?"
Communication(Fa-Davis quiz assignment) A patient says to the nurse, "I was hurting so bad that I called my husband at work. He works at a school as a teacher, so it was hard to get a hold of him. The pain is just so overwhelming." The nurse responds by saying, "Are you saying the pain is unbearable?" Which therapeutic technique did the nurse use? 1. Summarizing 2. Reflecting 3. Clarifying 4. Using open-ended question
3. Clarifying
Patient teaching (ATI modules questions) A nurse is orienting a newly licensed nurse to the unit. Which of the following statements by the newly licensed nurse indicates an understanding of the importance of documentation of client education? 1. Client documentation can decrease hospital reimbursement 2. Client documentation can decrease the need to re-evaluate the client's educational needs 3. Client documentation can increase staffing and services 4. Client documentation can increase liability
3. Client documentation can increase staffing and services
Patient teaching (Fa-Davis quiz) The nurse is preparing to review preoperative teaching with a patient. The nurse is aware that English is the patient's second language. Which action will the nurse take to ensure that learning is reinforced? 1. Arrange for an adult family member to be present to clarify information. 2. Ask a hospital housekeeper who speaks the patient's native language to assist. 3. Contact an interpreter to present the information in the patient's native language. 4. Provide all of the teaching information in written form and ask if there are questions.
3. Contact an interpreter to present the information in the patient's native language.
Communication (ATI modules questions) A nurse is planning to reinforce teaching with a client about wound care. Which of the following actions should the nurse take? 1. Use medical terminology while reinforcing teaching 2. Sit across from the client at a table in the cafeteria while reinforcing teaching 3. Ensure the client is wearing their glasses 4. Use the communication technique of probing .
3. Ensure the client is wearing their glasses
Communication (ATI modules questions) A nurse is instructing a client regarding heart-healthy activities. This action represents which of the following phases of the nurse-client relationship? 1. Identification 2.Orientation 3. Explotation 4.Resolutiion
3. Explotation
Patient teaching (Fa-Davis quiz) The nurse is providing care to a patient who is hospitalized with hyperglycemia. The patient is diagnosed with type 1 diabetes mellitus. Which teaching reinforcement process is important for this patient? 1. Introduction of information about the disease process. 2. Soliciting and answering patient questions. 3. Provide time for repetition of disease-related skills. 4. Encourage the reading of material about the disease.
3. Provide time for repetition of disease-related skills.
Physical assessment (FA-Davis questions) The nurse is reviewing the admission notes for a newly admitted patient. Which assessment finding is recognized as a symptom of the patient's condition? 1. The patient grimaces when the muscles of the arms and legs are palpated. 2. The patient needs assistance when getting up and down from the exam table. 3. The patient reports generalized muscle tenderness and fever. 4. The patient's skin is pink in color, warm and dry to the touch, and intact.
3. The patient reports generalized muscle tenderness and fever.
Communication(Fa-Davis quiz assignment) Which action should the nurse take to facilitate communication with a patient who wears a hearing aid? 1. Use an interpreter. 2. Speak loudly into the good ear. 3. Turn off the television. 4. Leave the door open.
3. Turn off the television.
Patient teaching (ATI modules questions) A nurse is preparing to reinforce teaching witha client.Which of the following should the nurse identify as part of the implementation step of teaching process?. 1. Determine clients health literacy 2. Develop a teaching plan that meets the clients needs 3. Use demonstration to teach the client about vitamin B12 injections 4.Determine if the clients met the goals
3. Use demonstration to teach the client about vitamin B12 injections
Physical assessment(ati physical assesment module questions) A nurse is performing a cardiovascular assesment on a client.Which of the following finding should the nurse expect? 1.A contnious sensation of vibration felt over the second and the third intercostal spaces 2.A high pitched, scrapping sound heard in the third intercostal space on the left sternum 3.A brief thump felt near the fourth or fifth intercostal space near the left midclavicular line 4.A whooshing or swishing soung over the seconf intercostal space
3.A brief thump felt near the fourth or fifth intercostal space near the left midclavicular line
Physical assessment (canvas questions ) A nurse concludes that a patient is experiencing pyrexia. Which assessment precipitated this conclusion? 1) Mental confusion 2) Increased appetite 3) Rectal temperature of 101 F 4) Heart rate of 50 beats per minute
3.A rectal temperature of 101°F (38.3°C) or oral temperature of 100°F (37.8°C) is a common human response that indicates pyrexia (fever).
Physical assessment (canvas questions ) When teaching a 45-year-old patient in the gynecologist's office about breast cancer, a nurse includes information on recommendations for screening. The patient is informed that a woman her age should have: 1.Physical examinations every 3 years 2.Breast self-examinations every 3 months 3.Annual mammograms 4.Biannual CT scans
3.Annual mammograms
Communication (ATI modules questions) A nurse is reinforcing discharge instructions with a client during a follow-up telephone call. Based on Shanon-Weaver communication model, which of the following component of the model is the nurse demonstrating? 1. Reciever 2. Sender 3. Channel 4. Decoder
3.Channel
Patient teaching (Fa-Davis quiz) A patient is newly diagnosed with type 2 diabetes mellitus. The nurse overhears a patient tell a family member, "I will never be required to take insulin." Which action by the nurse needs to occur? 1.Reinforce the patient's belief about future management of type 2 diabetes mellitus. 2.Inquire about where the patient got the information about treatment. 3.Clarify for the patient about disease progression and possible treatments. 4.Inform the patient that the information is wrong and the need for insulin is high.
3.Clarify for the patient about disease progression and possible treatments.
Patient teaching (ATI modules questions) A nurse is assisting planning of a smoking cesssation program for a client.Which of the following actions is a component of SMART outcome goal? 1.Providing a reward for acomplishing the outcome 2. Providing motivation to acomplish the outcome 3.Providing a time frame to acomplish the outcome 4.Providing demonstration on how to complete the outcome,
3.Providing a time frame to acomplish the outcome
Communication(Fa-Davis quiz assignment) The nurse is giving report about a transgender patient. On the chart, the patient's legal name is shown as Shawn, but the patient prefers the name Lisa. Which information should the nurse share in a report to the oncoming shift? 1. He was admitted with chest pain. 2. Shawn does not like orange juice. 3. She has stable vital signs. 4. His mother is in the room.
3.She has stable vital signs.
Patient teaching (ATI modules questions) A nurse is preparing to reinforce teaching about the proper procedure for a dressing change with a client. Which of the following statements indicates an understanding of Knowles's principles of client readiness? 1. The client states :I will do it myself" 2. The client has been awake all night 3. The client is engaged and alert 4. The client used to help change their partner's dressings
3.The client is engaged and alert
Physical assessment (FA-Davis questions) The nurse is preparing to reassess a patient's neurological status. Which reason is why the nurse verbally explains the assessment process to a patient who is comatose? 1. It helps the nurse to remain organized. 2. Family members will repeat the behavior. 3. The sense of hearing may still be present. 4. It demonstrates respect for the patient.
3.The sense of hearing may still be present.
Patient teaching (ATI modules questions) A nurse is collecting data from a posoperative client prior to the teaching session. The nurse notes the client is grimacing and restless.Which of the following barriers to learning is the client exhibiting? 1.phycomotor deficit 2.depression 3.physical discomfort 4.lack of motivation
3.physical discomfort
Patient teaching (Fa-Davis quiz) Which situation presents the nurse with a teachable moment? 1. A patient who is on complete bedrest for pulmonary emboli calls for assistance with a bedpan. 2. A patient who is on a low-fat diet orders baked chicken, steamed broccoli, and a salad. 3. A patient with pneumonia requests that the water pitcher be refilled. 4.A patient with gastrointestinal irritation requests caffeinated coffee with meals.
4. A patient with gastrointestinal irritation requests caffeinated coffee with meals.
Communication(Fa-Davis quiz assignment) The nurse is caring for a patient who had eye surgery and has patches over both eyes. Which action should the nurse take? 1. Avoid body language. 2. Speak in a loud voice. 3. Quietly slip out the door. 4. Announce when entering the room.
4. Announce when entering the room.
Physical assessment (FA-Davis questions) During the reassessment of a patient's chest, the patient states, "I have been coughing up stuff that is kind of foamy and pink in color." Which patient diagnosis does the nurse relate to the character of the patient's sputum? 1. Bacterial pneumonia. 2. Tuberculosis. 3. Chronic pulmonary disease. 4. Congestive heart failure.
4. Congestive heart failure.
Communication(Fa-Davis quiz assignment) The nurse is observing an unlicensed assistive personnel (UAP) who is caring for a comatose patient. Which action by the UAP would require the nurse to intervene? 1. Talking to the patient about the weather 2. Telling the patient that laboratory personnel is here to draw blood 3. Informing the visitors in the room that they can talk to the patient 4. Explaining the care plan for a family member who is in the hospital to the patient
4. Explaining the care plan for a family member who is in the hospital to the patient
Communication (Fa-Davis canvas) A patient tells a nurse that there are other people in the room that are watching her from under the bed. The nurse employs therapeutic communication when he or she: 1. Tells the patient that he or she will help look for the other people 2. Asks the patient why other people are watching her 3. Reassures the patient that he or she will tell the people to go away 4. Identifies that there are no people under the bed
4. Identifies that there are no people under the bed
Patient teaching (ATI modules questions) A nurse is reinforcing teaching with a client about how to perform daily blood pressure readings at home. Which of the following statements by the client is an example of the teach-back method of learning? 1. Show me again how to position the blood pressure cuff on my arm 2. I have an electronic blood pressure machine at home that I will use 3. I believe I can take my blood pressure successfully after talking tru the steps 4. Let me show you how I will take my blood pressure at home each day
4. Let me show you how I will take my blood pressure at home each day
Patient teaching (Fa-Davis quiz) The health-care provider just informed a patient of a life-threatening condition with limited treatment options. The nurse wants to start a patient teaching plan. Which action should the nurse take? 1. Ask the patient to express feelings related to the health-care provider 's news. 2. Express feelings of empathy to the patient to promote a good teaching opportunity. 3. Suggest that the patient call their family in order to get their feedback. 4. Sit quietly and allow the patient to develop some questions.
4. Sit quietly and allow the patient to develop some questions.
Communication (ATI modules questions) A nurse is caring for a patient with dementia. Which of the following therapeutic communication should the nurse implement to communicate? 1. Explain the daily schedule to the client in detail 2. Turn the overhead lights on the client's room when speaking with them 3. Speak in a loud voice to clients 4. Speak to the client clearly and at a slow pace
4. Speak to the client clearly and at a slow pace
Physical assessment(ati physical assessment module questions) A nurse is assessing a client's cranial nerves. Which of the following client actions is an indication of cranial nerve 1 is intact? 1. The client can stick their tongue out 2. The client can smile symmetrically 3. The client can hear whispered words 4. The client can identify the mint scent
4. The client can identify the mint scent
Physical assessment (FA-Davis questions) The nurse in the emergency department is assessing an older adult patient. Which assessment technique used by the nurse will prompt suspicion of physical abuse? 1. The patient is reluctant to talk to the nurse. 2. The nurse acquires a set of vital signs. 3. The patient appears fearful of family members. 4. The nurse detects odors of urine and feces.
4. The nurse detects odors of urine and feces.
Patient teaching (Fa-Davis quiz) The nurse is caring for a patient who had surgery for the placement of a colostomy. The nurse is planning to review colostomy care with a patient. Which situation is most likely to interfere with learning? 1. The patient voices the need for a nap. 2. The patient's pain is a level 5 on a 0 to 10 scale. 3. The patient's roommate has visitors. 4. The patient will not look at the surgery site.
4. The patient will not look at the surgery site.
Physical assessment(ati physical assessment module questions) A nurse is performing to conduct a Romberg test on a client. The nurse should explain to the client that the Romberg test is used to asses which of the following? 1. gait 2. hearing 3. vision 4. balance
4. balance
Communication (ATI modules questions) A nurse is caring for a client who has refused to have a biopsy. The client states" I don't need a biopsy; I wouldn't do anything about it anyway if it's cancer". The nurse replies, "You don't want to have a biopsy because you would not seek treatment if it was cancer. Is that correct?. Which of the following therapeutic communication techniques is the nurse using? 1. affirmation 2. open-ended question 3. reflection 4. restating
4. restating(nurse understands what the client is attempting to communicate)
Physical assessment(ati physical assesment module questions) A nurse is performing a general client survey and finds that the client has a body mass (BMI) of 23. Which of the following should the nurse document. 1. The client has no nutritional issues or deficits 2. The client is at high risk for obesity-related health problems 3. The client will need a referral to a dietitian 4. the client has a BMI within the expected reference range
4. the client has a BMI within the expected reference range
Physical assessment (canvas questions ) A patient complains of thirst and headache. The patient appears emaciated. On initial examination, you find that the skin does not return to normal shape. This finding is consistent with 1• Pallor. 2• Edema. 3• Erythema 4. • Poor skin turgor
4. • Poor skin turgor
Patient teaching (Fa-Davis quiz) \he nurse is caring for a patient after surgery. Which documentation will the nurse use to indicate that the patient is ready for advanced knowledge? 1."Patient refuses to empty surgical drain stating it causes feelings of queasiness." 2."Conversations with patient focused on expectations related to healing and recovery." 3."Patient is uncomfortable with the appearance of the surgical site as indicated by a refusal to look at the incision." 4."Patient asks questions about how to take care of the incision and dressing when discharged home."
4."Patient asks questions about how to take care of the incision and dressing when discharged home."
Patient teaching (ATI modules questions) A nurse is reinforcing teaching with a client who has a new prescription for eye drops. Which of the following teaching strategies is an example of the psychomotor domain of learning? 1.Discuss with the client the use of eye drops 2. Encourage the client to ask questions about the medication 3. Provide the client with a handout that explains how to use the medication 4.Ask the client to teach-back how to use the medication
4.Ask the client to teach-back how to use the medication
Physical assessment (canvas questions ) A patient in a rehabilitation facility has experienced a cerebrovascular accident (CVA/stroke) that has left the patient with an expressive aphasia. The nurse anticipates that this patient will: 1.Respond inappropriately to questions 2.Be unable to follow directions 3.Have difficulty interpreting words and phrases 4.Be unable to speak or write
4.Be unable to speak or write
Physical assessment (canvas questions ) A patient is admitted to a medical center with a peripheral vascular problem. A nurse is performing the initial assessment of the patient. While assessing the lower extremities, the nurse is alert to venous insufficiency as indicated by: 1.Coolness to touchThin 2. shiny skin 3.Dusky red coloration 4.Marked edema
4.Marked edema
Physical assessment (canvas questions ) The patient needs to sit upright in order to breathe easier. This is recorded by the nurse as: 1.Tachypnea 2.Apnea 3.Dyspnea 4.Orthopnea
4.Orthopnea
Communication(Fa-Davis quiz assignment) When communicating with a patient, the patient says, "I don't think I can go through with this surgery." The nurse replies by stating, "You don't think you can go through with the surgery?"Which therapeutic communication technique did the nurse use? 1. Validation 2. Summarizing 3. Clarification 4. Reflection
4.Reflection
Physical assessment (FA-Davis questions) The nurse is performing a focused assessment at the beginning of the shift on a patient diagnosed with pneumonia. Which patient assessment is least informative for the nurse? 1. Oxygen saturation level. 2. Level of consciousness. 3. Bilateral breath sounds. 4. Skin color and warmth.
4.Skin color and warmth.
Communication (Fa-Davis canvas) A patient tells a nurse that he feels anxious and afraid. The nurse responds by saying, "I will stay here with you." The nurse is using the principle of effective communication known as: 1. Encouragement 2. Empathy 3. Courtesy 4. Availability
4.availability
Communication (Fa-Davis canvas) Which is characteristic of a nondirective interview? A. Questions are open-ended B. Structured to elicit specific data C. Time is limited D. Conducted to gain factual information
A. Questions are open-ended
Physical assessment(fundamentals for nursing) A nurse in a provider's office is preparing to perform a breast examination for an older adult client who is postmenopausal. Which of the following findings should the nurse expect? A.Smaller nipples b.Less adipose tissue C. Nipple discharge D.More pendulous E.nipple inversion
A.Smaller nipples D.More pendulous E.nipple inversion
Physical assessment(fundamentals for nursing) A nurse in a provider's office is preparing to auscultate and percus a client's abdomen as part of the comprehensive physical examination. Which of the following findings should the nurse expect? (Select all that apply) A.Tympany B.High-pitched clicks C. Borborygmi D.Friction rubs E.Bruits
A.Tympany B.High-pitched clicks
Physical assessment (canvas questions ) Cardiac Auscultation sites
Aorta, Pulmonic, Erb's, Tricuspid and Mitral
Physical assessment (canvas questions ) Which is the correct action when a busy nurse delegates tasks to a nursing aide? A. Asks the aide to watch/monitor a client because the client has been ill. B. Assigns the aide to measure the VS for all the clients on the unit. C. Requests that the aide take & document all of theVS for a the shift. D. Tells the aide to take VS & report any that seemunusual.
B. Assigns the aide to measure the VS for all the clients on the unit.
Physical assessment (canvas questions ) When pupils rapidly constrict simultaneously and equally, it is known as: A. Ptosis B. Consensual reflex C. Accommodation response D. Cheilitis
B. Consensual reflex
Physical assessment (canvas questions ) What are the two types of percussion? A. Temperature and pulse B. Direct percussion and indirect percussion C. Physical and visual D. Light percussion and deep percussion
B. Direct percussion and indirect percussion
Physical assessment (canvas questions ) 3. A patient is admitted with pneumonia. When auscultating the patient's chest, you hear low-pitched, continuous sounds over the bronchi. These sounds are labeled as A. Crackles. B. Rhonchi. C. Wheezes. D. Pleural rub.
B. Rhonchi.
Physical assessment(fundamentals for nursing) During a cardiovascular examination, a nurse in a provider's office places the stethoscope on the left midclavicular line at the fifth intercostal space. Which of the following data is the nurse attempting to auscultate?(Select all that apply) A.Ventricular gallop B.Closure of mitral valve C.closure of the pulmonic valve D. apical heat rate
B.Closure of mitral valve D. apical heat rate
Physical assessment (canvas questions ) The normal pulse rate for adolescents and adults ranges from 60 to 110 beats/min. • A. True • B False
B.false (normal rate= 60 to 100 beats/min)
Physical assessment (canvas questions ) 3. A postoperative patient is breathing rapidly. You should immediately A. Call the physician. B. Count the respirations. C. Assess the oxygen saturation. D. Ask the patient if he feels uncomfortable.
C. Assess the oxygen saturation.
Communication (Fa-Davis canvas) Which of the following terms refer to words that can elicit emotional responses, resulting in a message that is distorted and altered? A. Nonverbal communication B. Therapeutic communication C. Connotative meaning D. Shared meaning
C. Connotative meaning
Physical assessment(fundamentals for nursing) During an abdominal examination, a nurse in a provider's office determines that a client has abdominal distention. The protrusion is at the midline, the skin over the area is taut, and the nurse notes no involvement of the flanks. Which of the following causes of distention should the nurse suspect? A. Fat B. Fluid C. Flatus D. Hernias
C. Flatus
Physical assessment(fundamentals for nursing) A nurse in a provider's office is preparing to auscultate and percus a client's thorax as part of the comprehensive physical examination. Which of the following findings should the nurse expect? (Select all that apply) A. Rhonchi B. Crackles C. Resonance D. Tactile fremitus E. Bronchovesicular sounds
C. Resonance E. Bronchovesicular sounds
Physical assessment (outside source ) When assessing the blood pressure of a school-aged child, using an adult cuff of normal size will affect the reading and produce a value that is A. Accurate. B. Indistinct. C. Falsely low. D. Falsely high.
D. Falsely high.
Physical assessment (canvas questions ) You have delegated vital signs to assistive personnel. The assistant informs you that the patient has just finished a bowl of hot soup. The nurse's most appropriate advice would be to A. Take a rectal temperature. B. Take the oral temperature as planned. C. Advise the patient to drink a glass of cold water. D. Wait 30 minutes and take an oral temperature.
D. Wait 30 minutes and take an oral temperature.
Patient teaching (Fa-Davis canvas ) Someone who has a kinesthetic learning preference would likely prefer to learn by: A. seeing. B. hearing. C. watching. D. touching.
D.touching
Physical assessment (canvas questions ) Define edema, ptosis, bruit, erythema, alopecia, kyphosis, Melena induration, petechiae.
Edema=fluid accumulation, swelling ptosis= drooping of eyelid over the pupil bruit= blowing, swishing sound in blood vessel erythema= a red discoloration alopecia=loss of hair kyphosis=curvature of the thoracic spine induration= a hardened area Melena= Black, tarry stools petechiae= tiny, pinpoint red spots on the skin
Communication (Fa-Davis canvas) Indicates whether the meaning of the sender's message was received
Feedback
Patient teaching (Fa-Davis quiz) The nurse works in an adult clinic. A middle-aged adult patient is overweight and smokes a pack of cigarettes daily. The patient has always worked at a desk job. Which type of information is most important for the nurse to provide? 1. Methods that will promote the continuation of good health. 2. Types of behaviors practiced by healthy persons of the patient's age. 3. Expectations of the changes in the patient's health related to age. 4 .Information about wellness strategies focused on current findings.
Information about wellness strategies focused on current findings.
Physical assessment (canvas questions ) 5 Skills of Physical Assessment
Inspection, Olfaction, Auscultation, Palpation, Percussion
Physical assessment (FA-Davis questions) The nurse is preparing to interview an older adult patient. Which assessment is most important for the nurse to perform prior to the interview? 1. Vital sign readings. 2. Visual acuity. 3. Level of consciousness. 4. Ability to hear.
Level of consciousness.
Communication (Fa-Davis canvas) Information sent or expressed by the sender
Message
Communication (Fa-Davis canvas) A message within a message that conveys a sender's attitude toward the self and toward the listener
Metacomunication
Physical assessment (canvas questions ) A nurse plans to take a patient's radial pulse. Which method of examination should be used by the nurse?
Palpation
Physical assessment (FA-Davis questions) The nurse is preparing to reassess a patient's initial shift assessment. Which physical assessment technique is least likely to be used by the nurse? 1. Palpation. 2. Percussion. 3. Auscultation. 4. Olfaction.
Percussion.
Physical assessment (canvas questions ) Define the type of pain perceived in a missing limb or a paralyzed body part.
Phantom Pain
Physical assessment (FA-Davis questions) The nurse at a pediatric clinic is preparing to weigh an infant. Which action by the nurse will interfere with acquiring an accurate weight? 1. Placing a cover on the scale after the scale is calibrated 2. Undressing the infant following facility policy about the diaper 3. Putting the infant supine on the cradle of the scale 4. Holding a protective hand one to two inches above the infant
Placing a cover on the scale after the scale is calibrated
Physical assessment (canvas questions ) adventitious breath sounds
Rales, Ronchi and Wheezes
Communication (Fa-Davis canvas) Person who initiates interpersonal communication
Sender
Communication (Fa-Davis canvas) Development of a working, functional relationship by the nurse with the patient, fulfilling the purposes of the nursing process
Therapeutic communication
Therapeutic communication (fundamental for nursing questions) Which of the following actions should the nurse take when demonstrating an empathic presence to a client? (select all that apply) a. Use an open posture b. Write down what the client says to avoid forgetting details c. Establish and maintain eye contact d. Nod in agreement with the client throughout the conversation e. Sit facing the client
a. Use an open posture c. Establish and maintain eye contact e. Sit facing the client
Therapeutic communication (fundamental for nursing questions) Which of the following strategies should a nurse use to establish a helping relationship with a client? a. Make sure the communication is equally distributed between the nurse's and client's desires b. Encourage the client to communicate their thoughts and feelings c. Give the nurse-client communication no time limits d. Allow communication to occur spontaneously throughout the nurse-client relationship
b. Encourage the client to communicate their thoughts and feelings
Therapeutic communication (fundamental for nursing questions) A nurse is caring for a school-age child who is sitting in a chair.To faccilitate effective communication, which of the following actions should the nurse take? a. Touch the child's arm b. sit at eye level with the child c. Stand facing the child d. Stand with a relaxed posture
b. sit at eye level with the child
Therapeutic communication (fundamental for nursing questions) A nurse is caring for a client who states, " I have to check with my partner and see if they think I am ready to go home". The nurse replies," How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client? a. pacing b. reflecting c. paraphrasing d. restating
b.reflecting
Therapeutic communication (fundamental for nursing questions) A nurse is caring for a client who is concerned about being discharged to home with a new colostomy because of being an avid swimmer. Which of the following statements should the nurse make? (select all that apply) a."You will do great! You just have to get used to it" b. "Why are you worried about going home? c. "Your daily routines will be different when you get home". d."Tell me about the support system you'll have after you leave the hospital.' e. "It sounds like you are not sure how having a colostomy will affect swimming.'
c. "Your daily routines will be different when you get home". d."Tell me about the support system you'll have after you leave the hospital.' e. "It sounds like you are not sure how having a colostomy will affect swimming.'
Communication (Fa-Davis canvas) Means of conveying messages
channel
Physical assessment(ati physical assesment module questions) A nurse is assessing a client's peripheral vascular status of the lower extremities. The nurse should place their fingertips on the top of the client's foot, between the tendons of the great toe and those of the toe next to it, in order to palpate which of the following?
dorsalis pedis
Communication (Fa-Davis canvas) The tone of the speaker's voice that may affect a message's meaning
innotation
Physical assessment(ati physical assessment module questions) A nurse is performing a complete head-to-toe physical examination for a client. Which of the following physical assessment should be the first to perform?
inspection
Communication (Fa-Davis canvas) Person to whom the message is sent
reciever
Physical assessment(ati physical assessment module questions) A nurse is performing an abdominal assessment on a client. Over which of the following areas of the client's abdomen should the nurse attempt to auscultate active bowel sounds first?
right lower quadrant