Fundamentals Exam 4
The nurse is caring for Mexican American patient who is in labor. How can this nurse best demonstrate cultural sensitivity?
Encouraging female family members to be present for the delivery.
A young athlete asks the nurse why he felt little pain when he broke his leg during a game. What does the nurse describe as having an effect on this patient's perception of pain?
Endorphins
What is the term for a group of people who share a common social and cultural heritage based on shared traditions, national origin, and physical and biological characteristics?
Ethnicity
A nurse must violate the personal space of a patient to preform an invasive procedure. How can the nurse reduce the discomfort of the patient?
By approaching the interaction in a professional manner
The nurse is caring for an African- American patient. Who would the nurse expect to be the primary decision maker in the patient's family?
Women
The patient is to be catheterized for residual urine. The nurse must preform this catheterization within how many minutes following voiding?
10 minutes
A nurse is calculating a clients fluid intake over the past 8 hr. The client has one 8oz cup of coffee, 3oz of juice, and 12oz of soda. The client's water pitcher had 800 mL and 200mL remain. The client also had IV fluids infusing at 40mL/hr via an IV pump. How many mL should the nurse document as the client's total intake for the shift?
1610 mL
A nurse is caring for a male neonate born to observant Orthodox Jewish parents. Who will the nurse anticipate will circumcise the neonate?
A mohel
What does maintaining eye contact for 2 to 6 seconds during communication with a patient do?
Indicates continuous focused attention
Anaerobic organisms tend to grow within body cavities. What will the nurse use to collect an anaerobic specimen?
Sterile syringe tip
The nurse is trying to establish an effective relationship with a patient in pain. What is the best statement for the nurse to make when beginning the assessment?
"I believe you are in pain"
The nurse recognizes that a patient experiencing stress feels vulnerable. What would be the most appropriate way for the nurse to intervene?
Modify communication methods
A nurse is caring for a neonate born to observant Orthodox Jewish parents. Who can the nurse anticipate will name the neonate?
Father
Which questions below is open- ended?
"What are you most looking forward to in Europe?"
What is the defining term for continuous or intermittent pain that does not serve as a warning of tissue damage?
Chronic
During a complete assessment, which type of questioning is not usually conducive to fostering communication?
Closed
The nurse is preparing a patient for a diagnostic examination. What can the nurse implement to assist with reducing anxiety?
Fill out required paperwork
What should the nurse encourage the patient to consume when preparing for an electroencephalogram (EEG)?
Food
The nurse is trying to reassure a patient who is concerned about receiving addictive drugs. What percentage of patients become addicted to analgesics?
Less than 1%
Which statement about the biomedical health belief system is true?
Life processes can be manipulated by humans by mechanical interventions
What is the probable source of bright red blood in stool?
Lower gastrointestinal tract
How may a nurse caring for a pediatric patient best be perceived as nonthreatening?
Maintaining an open posture
What is the term used to describe cultures in which women make decisions about health care and provide the care and discipline to the children?
Matriarchal
The nurse is obtaining a throat culture. What area will the nurse swab with a cotton tipped applicator?
Pharynx
A nurse is caring for a patient who is Latter- Day Saint. The nurse is aware members of this faith may wear sacred undergarments. What intervention is appropriate for the nurse caring for this patient?
Remove the undergarments in emergency situations only
How can the nurse demonstrate warmth and acceptance when listening to a patient?
Uncrossing her arms
A nurse is calculating the total fluid intake for a client during a 4 hr period. The client consumed 1 cup of coffee, 4oz of orange juice, 3oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5oz of broth, and 3oz of water. The nurse should record how many mL of intake on the client's record? ( Round the answer to the nearest whole number.)
1170
A nurse is calculating a client's intake and output for an 8hr shift. The client's intake included 1000 mL 0.9% sodium chloride IV solution, one 6oz cup of coffee, 6oz of water, one 180mL bowl of soup, 3oz of flavored gelatin, and 3oz of ice cream. How many mL should the nurse document as the client's total intake for the shift?
1720 mL
A nurse is calculating the fluid intake for an infant at the end of an 8hr shift. For oral intake, the infant had 10 mL of medication, 3oz of formula, and 2oz of juice. In addition, the infant had IV fluid infusing at 20mL/hr via an IV pump. The nurse should record how many mL of intake on the client's record? (round the answer to the nearest whole number)
320 mL
A nurse is preparing to administer amoxicillin 320 mg PO every 12 hr to an infant. The amount available is amoxicillin suspension 400 mg/ 5 mL. How many mL should the nurse administer per dose? (Round answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
4 mL
The nurse is caring for a postpartum patient who requests to dry and bury the umbilical cord near an object or in a place that symbolizes what the parents want for the child's future. Which cultural beliefs does the nurse recognize this patient adhering to?
American Indian
The father of an American Indian has just died. What should the nurse do immediately after death?
Ask about providing help with the death ceremony
The nurse considers the feelings and needs of a need of a patient by stating, "I know you are concerned about your surgery tomorrow. How can I help you?" What type of communication is this?
Assertive
Where does the nurse recognize that many institutions are now including pain assessment in implementing patient care?
Assessing vital signs
What basic philosophy in the United States is relevant to health care?
Biomedical therapy
The nurse has an order to perform occult blood testing on a patient's emesis. What color will the sample turn to indicate that the test is positive for occult blood?
Blue
What is the term for when members of a particular ethnic group believe that their beliefs and practices are the best?
Ethnocentrism
A nurse is caring for a female neonate born to observant Orthodox Jewish parents. What book does the nurse know will be used when naming this neonate?
Holy Torah
A nurse is caring for a patient experiencing respiratory distress. The health care provider places an endotracheal tube. What is the most appropriate problem for this patient?
Impaired verbal communication
A sputum specimen is ordered on a patient diagnosed with pneumonia. When is the best time for the nurse to attempt to collect this specimen?
In the early morning
What should the nurse do when preparing the patient for a brain scan?
Inform the patient that a clicking noise will be heard during scan
What is one of the main characteristics of therapeutic communication?
It involves the patient as a person
What intervention should the nurse implement when preparing the patient for a glucose tolerance test (GTT)?
Keep patient NPO 8 hours before the test.
Following a liver biopsy, the nurse should observe for hemorrhage and ensure that the patient is kept on bed rest for 24 hours. How should the nurse keep the patient for the first 1 to 2 hours?
On his or her right side
A patient reports to the nurse that he is experiencing a moderate amount of back pain rated 6 out of 10 on the pain scale. What should the nurse recognize about this assessment?
Pain is subjective for the patient
If in response to the patient statement, "I am upset about all this lab work" the nurse responds, "You're upset?" What is this an example of?
Restating
A patient states, "I do cocaine when I feel things are out of my control." The nurse responds by asking, "What else does cocaine do for you?" What communication skill does this exemplify?
Showing acceptance
What therapeutic communication technique requires a great deal of skill and is not used as frequently as other communication techniques?
Silence
The nurse from New York City is caring for a patient from Atlanta, Georgia. What difference between the nurse and patient may cause them to experience difficulty in communicating?
Subculture
When listening to a patient, what action by the nurse demonstrates disinterest and coldness?
Tightly crossing her arms
Culture varies from patient to patient. Why is it important that the nurse understand and accept each person as an individual?
To provide holistic care
All nurses should work to provide culturally appropriate nursing care. What is the integration of cultural knowledge into all aspects of care?
Transcultural nursing
What is the best approach for a nurse to use when planning pain relief measures?
Use a variety of pain relief methods
A nurse is caring for an Orthodox Jewish patient. What is the most appropriate dietary requirement for the nurse to implement?
Use of separate cooking utensils for meat and milk products
What should the nurse do when preparing the patient for an arteriography?
Verify if the patient has been taking anticoagulants