Health Assessment - Emily's PowerPoint Practice Questions
While assessing a man for allergies, he states he is allergic to penicillin. Which response is best? • "Are you allergic to any other drugs?" • "How often have you received penicillin?" • "I'll write your allergy on your chart so you won't receive any." • "Please describe what happens to you when you take penicillin."
• "Please describe what happens to you when you take penicillin."
Which of the following statements made by the interviewer would be an appropriate response? •"I know just how you feel." • "If I were you, I would have the surgery." •"Why did you wait so long to make an appointment?" • "Tell me what you mean by 'bad blood."
• "Tell me what you mean by 'bad blood."
A patient has recently received health insurance and would like to know how often he should visit the provider. How do you respond? • "It would be most efficient if you visit on an annual basis." • "There is no recommendation for the frequency of health care visits." • "Your visits may vary, depending on your level of wellness." • "Your visits will be based on your preference."
• "Your visits may vary, depending on your level of wellness."
Knowledge of the use of personal space is helpful for the health care provider. Personal distance is generally considered to be: • 0 to1 1/2 feet. • 1 1/2 to 4 feet. • 4 to 12 feet • 12 or more feet.
• 1 1/2 to 4 feet.
Which is an example of objective data? • Patient's history of allergies • Patient's use of medications at home • Last menstrual period 1 month ago • 2- × 5-cm scar present on the right lower forearm
• 2- × 5-cm scar present on the right lower forearm
Children usually come for health care with a parent. At about what age should the interviewer begin to question the child himself or herself regarding presenting symptoms? • 5 years • 7 years • 9 years • 11 years
• 7 years
A patient asks the nurse, "May I ask you a question?" This is an example of: •An open-ended question • A reflective question • A closed question • A double-barreled question
• A closed question
A patient is in the emergency department with nausea and vomiting. Which would you include in the database? • A complete health history and full physical examination • A diet and GI history • Previously identified problems • Start collection of data in conjunction with lifesaving measures
• A diet and GI history
Which would be included in a holistic model of assessment? • Nursing goals for the patient • Anticipated growth and development patterns • A patient's perception of his or her health status •The nurse's perception of disease related to the patient
• A patient's perception of his or her health status
When reading a medical record, you see the following notation: Patient states, "I have had a cold for about a week, and now I am having difficulty breathing." This is an example of: • A past health history. • A review of systems. • A functional assessment. • A reason for seeking care.
• A reason for seeking care.
When taking a health history for a child, what information, in addition to that for an adult, is usually obtained? • Coping and stress management • A review of immunizations received • Environmental hazards • Hospitalization history
• A review of immunizations received
During an initial interview, the examiner says, "Mrs. J., tell me what you do when your headaches occur?" This is an example of which type of information? •The patient's perception of the problem • Aggravating or relieving factors • The frequency of the problem • The severity of the problem
• Aggravating or relieving factors
Which would be included in the database for a new patient admission to a surgical unit? • All subjective and objective data gathered by a health practitioner from a patient • All objective data obtained from a patient through inspection, percussion, palpation, and auscultation • A summary of a patient's record, including laboratory studies • All subjective and objective, and data gathered from a patient and the results of any laboratory or diagnostic studies completed
• All subjective and objective, and data gathered from a patient and the results of any laboratory or diagnostic studies completed
Which best describes evidence-based nursing practice? • Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient's values and circumstances • Appraising and looking at the implications of one or two articles as they relate to the culture and ethnicity of the patient • Completing a literature search to find relevant articles that use nursing research to encourage nurses to use good practices • Finding value-based resources to justify nursing actions when working with patients of diverse cultural backgrounds
• Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient's values and circumstances
With older adults, how should the examiner proceed with the interview? • Proceed in a more organized and concise manner. • Consider the fatigue of the older person and break the interview into shorter segments. • Ask a family member to complete some of the records while moving ahead with the interview. • Raise your voice if the patient does not appear to hear you.
• Consider the fatigue of the older person and break the interview into shorter segments.
You are reviewing assessment data of a 45-year-old male patient and note pain of 8 on a scale of 10, labored breathing, and pale skin color on the electronic health record. This documentation is an example of: • Hypothetical reasoning • Diagnostic reasoning • Data cluster • Signs and symptoms
• Data cluster
Which two sections of the child's health history become separate sections because of their importance to the child's current health status? •Play activities and rest patterns • Prenatal and postnatal status • Developmental and nutritional history • Accidents, injuries, and immunizations
• Developmental and nutritional history
______________is exhibiting an accurate understanding of the other person's feelings within a communication context. • Empathy • Liking others • Facilitation • A nonverbal listening technique
• Empathy
A genogram is used for which reasons? • Past history • Past health history, specifically hospitalizations • Family history • The 8 characteristics of presenting symptoms
• Family history
You conduct an admission interview. Because you are expecting a phone call, you stand near the door. Which would be a more appropriate approach? • Arrange to have someone page you so you can sit on the side of the bed. • Have someone else answer the phone so you can sit facing the patient. • Use this approach given the circumstances. •Arrange for a time free of interruptions after the initial physical examination is complete.
• Have someone else answer the phone so you can sit facing the patient.
Which would be considered a risk diagnosis? • Identifying existing levels of wellness • Evaluating previous problems and goals • Identifying potential problems the individual may develop • Focusing on strengths and reflecting an individual's transition to higher levels of wellness
• Identifying potential problems the individual may develop
Functional assessment measures how a person manages day-to-day activities. The impact of adoption on the daily activities of a child is referred to as: • Developmental history. • Instrumental activities of daily living. • Reason for seeking care. • Interpersonal relationship assessment.
• Interpersonal relationship assessment.
Which statement best describes interpretation as a communication technique? • Interpretation is the same as clarification. • Interpretation is a summary of a statement made by a patient. • Interpretation is used to focus on a particular aspect of what the patient has just said. • Interpretation is based on the interviewer's inference from the data that have been presented.
• Interpretation is based on the interviewer's inference from the data that have been presented.
The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as: • Deductive reasoning • Intuition • The nursing process • Focus assessment
• Intuition
For what or with whom should touch be used during the interview? • Only with individuals from a Western culture • As a routine way of establishing contact with the person and communicating empathy • Only with patients of the same gender • Only if the interviewer knows the person well
• Only if the interviewer knows the person well
Which finding is considered to be subjective? • Temperature of 101.2°F • Pulse rate of 96 beats/min • Measured weight loss of 20 pounds since the previous measurement • Pain lasting 2 hours
• Pain lasting 2 hours
You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed? • Planning • Assessment • Implementation • Diagnosis
• Planning
During the evaluation phase of the nursing process, which action would be included? •Validating the nursing diagnosis • Establishing priorities related to patient care • Providing information to the patient and family members •Establishing a timeline for planned outcomes
• Providing information to the patient and family members
Mr. B. tells you, "Everyone here ignores me." You respond, "Ignores you?" This technique is best described as: • Clarification. • Selective listening. • Reflecting. • Validation.
• Reflecting.
You have reason to question the reliability of the information being provided by a patient. One way to verify the reliability within the context of the interview is to: • Rephrase the same questions later in the interview. • Review the patient's previous medical records. • Call the person identified as the emergency contact to verify the data provided. • Provide the patient with a printed history to complete and then compare the data provided.
• Rephrase the same questions later in the interview.
Because of adolescents' developmental level, not all interviewing techniques can be used with them. Which techniques should be avoided? • Facilitation and clarification • Confrontation and explanation • Empathy and interpretations • Silence and reflection
• Silence and reflection
A patient says she is very nervous and nauseated, and she feels like she will vomit. This data would be what type of data? •Objective • Reflective • Subjective • Introspective
• Subjective
What does active listening NOT include? • Taking detailed notes during the interview • Watching for clues in body language • Repeating statements back to the person to make sure you have understood • Asking open-ended questions to explore the person's perspective
• Taking detailed notes during the interview
What is the best description of "review of systems" as a part of the health history? • The evaluation of the past and present health state of each body system • A documentation of the problem as described by the patient • The recording of the objective findings of the practitioner • A statement that describes the overall health state of the patient
• The evaluation of the past and present health state of each body system
The statement "Reason for seeking care" has replaced the "chief complaint." This change is significant because: •The "chief complaint" is really a diagnostic statement. • The newer term allows another individual to supply the necessary information. • The newer term incorporates wellness needs. • The "reason for seeking care" can incorporate the history of the present illness.
• The newer term incorporates wellness needs.
What can be determined when the nurse clusters data as part of the critical-thinking process? • This step identifies problems that may be urgent and require immediate action. • This step involves making assumptions in the data. • The nurse recognizes relevant information among the data. •Risk factors can be determined so the nurse knows how to offer health teaching.
• The nurse recognizes relevant information among the data.
Which demonstrates a good understanding of the interview process? • The nurse stops the patient each time something is said that is not understood. • The nurse spends more time listening to the patient than talking. • The nurse is consistently thinking of his or her next response so the patient will know he or she is understood. • The nurse uses "why" questions to seek clarification of unusual symptoms or behavior.
• The nurse spends more time listening to the patient than talking.
Which statement best describes the purpose of a health history? • To provide an opportunity for interaction between the patient and examiner • To provide a form for obtaining the patient's biographic information • To document the normal and abnormal findings of a physical assessment • To provide a database of subjective information about the patient's past and present health
• To provide a database of subjective information about the patient's past and present health
When interviewing a patient who does not speak English, the examiner should: • Take advantage of family members who are readily available and willing to assist. • Use a qualified medical interpreter who is culturally literate. • Seek as much information as possible and then continue with the physical examination. • Wait until a qualified medical interpreter is available before starting the interview.
• Use a qualified medical interpreter who is culturally literate.
During an interview, a patient denies having any anxiety. The patient frequently changes position in the chair, holds his arms folded tight against his chest, and has little eye contact with the interviewer. The interviewer should: • Use confrontation to bring the discrepancy between verbal and nonverbal behavior to the patient's attention. • Proceed with the interview. Patients usually are truthful with a health care practitioner. • Make a mental note to discuss the behavior after the physical examination is completed. • Proceed with the interview and examination as outlined on the agency assessment form. The patient's behavior is appropriate for the circumstances.
• Use confrontation to bring the discrepancy between verbal and nonverbal behavior to the patient's attention.
When preparing the physical setting for an interview, the interviewer should: •set the room temperature between 64° F and 66° F. •Both the interviewer and the patient reduce noise by turning the volume on the television or radio down. • conduct the interview at eye level and at a distance of 4 to 5 feet. •stand next to the patient to convey a professional demeanor.
• conduct the interview at eye level and at a distance of 4 to 5 feet.
Which is an appropriate recording of a patient's reason for seeking health care? • Angina pectoris, duration 2 hours • Substernal pain radiating to left axilla, 1 hour duration •"Grabbing" chest pain for 2 hours • Pleurisy, 2 days' duration
•"Grabbing" chest pain for 2 hours
The most appropriate introduction to use to start an interview with an older adult patient is: •"Mr. Jones, I want to ask you some questions about your health so that we can plan your care." •"David, I am here to ask you questions about your illness; we want to determine what is wrong." •"Mr. Jones, is it okay if I ask you several questions this morning about your health?" •"Because so many people have already asked you questions, I will just get the information from the chart."
•"Mr. Jones, I want to ask you some questions about your health so that we can plan your care."
An example of an open-ended question or statement is: •"Tell me about your pain. " •"On a scale of 1 to 10, how would you rate your pain?" •"I can see that you are quite uncomfortable." •"You are upset about the level of pain, right?"
•"Tell me about your pain. "
Parents or caretakers accompany children to the health care setting. Starting at __ years of age, the interviewer asks the child directly about his or her presenting symptoms. •5 •7 •9 •11
•7
The nurse is caring for several patients. Which patient is at highest risk for Intimate Partner Violence (IPV)? •A female American Indian living above the poverty line •A non-Hispanic white female living in poverty •An Asian female who speaks no English •A female multi-racial illegal immigrant
•A female multi-racial illegal immigrant IPV is a phenomenon that occurs universally in all populations. However, lifetime prevalence of IPV is significantly higher among ethnic and racial minorities than among non-Hispanic white women and men. Multiracial, American Indian/Alaskan native, and non-Hispanic black women and men are at higher risk for IPV than non-Hispanic white women and men. Some additional common themes that create barriers to treatment are societal stressor such as poverty, legal issues such as immigration status, and lack of access to culturally appropriate care. A multiracial illegal immigrant has two risk factors for IPV (multiracial and illegal immigrant). The other options only have one risk factor for IPV. An Asian female who speaks no English has one risk factor for IPV (speaks no English/lack of access to culturally appropriate care). A non-Hispanic white female living in poverty has one risk factor for IPV (poverty). A female American Indian living above the poverty line has one risk factor for IPV (American Indian).
The practitioner, entering the examining room to meet a patient for the first time, states: "Hello, I'm M.M., and I'm here to gather some information from you and to perform your examination. This will take about 30 minutes. D.D. is a student working with me. If it's all right with you, she will remain during the examination." Which of the following must be added to cover all aspects of the interview contract? •A statement regarding confidentiality, patient costs, and the expectations of each person • The purpose of the interview and the role of the interviewer • Time and place of the interview and a confidentiality statement •An explicit purpose of the interview and a description of the physical examination, including diagnostic studies
•A statement regarding confidentiality, patient costs, and the expectations of each person
Which of the following is an example of objective data? •Alert and oriented. •Dizziness •An earache •A sore throat
•Alert and oriented.
What type of database is most appropriate when rapid collection of data is required and often compiled concurrently with lifesaving measures? •Episodic •Follow-up •Emergency •Complete
•Emergency
The concept of health and healing has evolved in recent years. Which is the best description of health? • Health is the absence of disease. • Health is a dynamic process toward optimal functioning. •Health depends on an interaction of mind, body, and spirit within the environment. •Health is the prevention of disease.
•Health depends on an interaction of mind, body, and spirit within the environment.
What is the yin/yang theory of health? •Health exists when all aspects of the person are in perfect balance. • Health exists when physical, psychological, spiritual, and social needs are met. •Health exists in the absence of illness. • Health exists when there is optimal functioning.
•Health exists when all aspects of the person are in perfect balance.
Which theory has been expanded in an attempt to study the degree to which a person's lifestyle reflects his or her traditional heritage? •Behavior theory •Heritage consistency •Congruence mechanism •Socialization experience
•Heritage consistency
A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Which problem is a first-level priority? •Ineffective self-health management •Risk for infection •Impaired gas exchange •Readiness for enhanced spiritual well-being
•Impaired gas exchange
Nonverbal communication is the primary form of communication for which group of individuals? •Infants •Preschoolers •Adolescents •Older adults
•Infants
Which term refers to a wound produced by the tearing or splitting of body tissue, usually from blunt impact over a bony surface? •Laceration •Contusion •Abrasion •Hematoma
•Laceration The term laceration refers to a wound produced by the tearing or splitting of body tissue. An abrasion is caused by the rubbing of the skin or mucous membrane. A contusion is injury to tissues without breakage of skin, and a hematoma is a localized collection of extravasated blood. The description in the question describes a laceration.
What information is included in greater detail when taking a health history on an infant? •Nutritional data •History of present illness •Family history •Environmental hazards
•Nutritional data
Which of the following symptoms is greatly influenced by a person's cultural heritage? •Hearing loss •Pain •Breast lump •Food intolerance
•Pain
The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than 2 hours old? •Brownish-yellow •Greenish-brown •Purple-blue •Red
•Red A new bruise is usually red and will often develop a purple or purple-blue appearance 12 to 36 hours after blunt-force trauma. The color of bruises (and ecchymoses) generally progresses from purple-blue to bluish-green to greenish-brown to brownish-yellow before fading away.
Which of the following is included in documenting a history source? •Appearance, dress, and hygiene •Cognition and literacy level •Documented relationship of support systems •Reliability of informant
•Reliability of informant
As a mandatory reporter of older adult abuse, which must be present before a nurse should notify the authorities? •Suspicion of older adult abuse and/or neglect •Proof of abuse and/or neglect •Statements from witnesses •Statements from victim
•Suspicion of older adult abuse and/or neglect Many health care workers are under the erroneous assumption that proof is required before notification of suspected abuse can occur. Only the suspicion of older adult abuse or neglect is necessary.
While evaluating the health history, the nurse determines that the patient subscribes to the hot/cold theory of health. Which of the following would most likely describe this patient's view of wellness? •Good is hot. •Evil is hot. •The humors must be balanced. • The phlegm will be replaced with dryness.
•The humors must be balanced.
The nurse uses health promotion activities with a new patient. What would this focus include? • The nurse would try to change the patient's perceptions of disease. • The nurse would search for identification of biomedical model interventions. • The nurse would help to identify negative health acts of the patient. •The nurse would empower the patient to choose a healthier lifestyle.
•The nurse would empower the patient to choose a healthier lifestyle.
Which of the following statements regarding language barriers and health care is true? •There is a law that addresses language barriers and health care. •Limited English proficiency is associated with a higher quality of care. •English proficiency is associated with a lower quality of care. •Patients with language barriers have a decreased risk of nonadherence to medication regimens.
•There is a law that addresses language barriers and health care.
During a home visit, the nurse notices that an older adult woman is caring for her bedridden husband. The woman states that this is her duty, she does the best she can, and her children come to help when they are in town. Her husband is unable to care for himself, and she appears thin, weak, and exhausted. The nurse notices that several of his prescription medication bottles are empty. What term best describes this situation? •Physical abuse •Financial neglect •Psychological abuse •Unintentional physical neglect
•Unintentional physical neglect Unintentional physical neglect may occur, despite good intentions, and is the failure of a family member or caregiver to provide basic goods or services. Physical abuse is defined as violent acts that result or could result in injury, pain, impairment, or disease. Financial neglect is defined as the failure to use the assets of the older person to provide services needed by him or her. Psychological abuse is defined as behaviors that result in mental anguish. The scenario in the question is an example of unintentional physical neglect. Unintentional physical neglect may occur, despite good intentions, and is the failure of a family member or caregiver to provide basic goods or services.
The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury. Which is the best way for the nurse to document the findings in the patient's chart? •Rely on photographs of the injuries. •Record what the nurse observes during the conversation. •Document what the child's caregiver tells the nurse. •Use the words the child has said to describe how the injury occurred.
•Use the words the child has said to describe how the injury occurred. When documenting the history and physical findings of suspected child abuse and neglect, use the words the child has said to describe how his or her injury occurred. Remember, the abuser may be accompanying the child. Although photographs of injury can be invaluable, they are not the best method of documentation and should not be relied upon. Although the child's caregiver may be able to provide information, that is also not the best way to document and the nurse needs to keep in mind that the caregiver could be the abuser. While the nurse will document what he or she observes, the best way to document the history and physical findings of a child suspected of being abused is to use the words the child has said to describe how his or her injury occurred.
Spirituality is defined as: •participating in religious services on a regular basis. •a personal effort to find meaning and purpose in life. • the process of being raised within a culture. • a social group that claims to possess variable traits.
•a personal effort to find meaning and purpose in life.
Which statement best describes religion? •a. An organized system of beliefs concerning the cause, nature, and purpose of the universe •b. Belief in a divine or superhuman spirit to be obeyed and worshiped •c. Affiliation with one of the 1200 recognized religions in the United States •d. The following of established rituals, especially in conjunction with health- seeking behaviors
•a. An organized system of beliefs concerning the cause, nature, and purpose of the universe
Which factor is identified as a priority influence on a patient's health status? •a. Poverty •b. Lifestyle factors •c. Legislative action •d. Occupational status
•a. Poverty
Of what does the patient believe the amulet is protective? •a. The evil eye •b. Being kidnapped •c. Exposure to bacterial infections •d. An unexpected fall
•a. The evil eye
A patient seeks care for "debilitating headaches that cause excessive absences at work." On further exploration, the nurse asks, "What makes the headaches worse?" With this question, the nurse is seeking information about: •the patient's perception of pain. •the nature or character of the headache. •aggravating factors. •relieving factors.
•aggravating factors.
The "review of systems" in the health history is: •an evaluation of past and present health state of each body system. •a documentation of the problem as perceived by the patient. •a record of objective findings. •a short statement of general health status.
•an evaluation of past and present health state of each body system.
The use of euphemisms to avoid reality or to hide feelings is known as: •distancing language. •sympathetic language. •avoidance language. •ethnocentric language.
•avoidance language.
Which health belief practice is associated with patients who are of American Indian heritage? •a. Wearing bangle bracelets to ward off evil spirits •b. Eating compatible foods in one's diet •c. Using swamp root as a traditional home remedy •d. Believing in a shaman as a traditional healer
•b. Eating compatible foods in one's diet
Which statement best illustrates the difference between religion and spirituality? •a. Religion reflects an individual's reaction to life events whereas spirituality is based on whether the individual attends religious services. •b. Religion is characterized by identification of a higher being shaping one's destiny while spirituality reflects an individual's perception of one's life having worth or meaning. •c. Religion is the expression of spiritual awakening whereas spirituality is based on belief in divine right. •d. Religion is the active interpretation of one's spirituality.
•b. Religion is characterized by identification of a higher being shaping one's destiny while spirituality reflects an individual's perception of one's life having worth or meaning.
Which statement is true in regard to pain? •a. Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain. •b. The cultural background of a patient is important in a nurse's assessment of that patient's pain. •c. A nurse's area of clinical practice is most likely to determine his or her assessment of a patient's pain. •d. A nurse's years of clinical experience and current position are a strong indicator of his or her response to patient pain.
•b. The cultural background of a patient is important in a nurse's assessment of that patient's pain.
Which statement best reflects the Magicoreligious causation of illness? •a. Each being is but a part of a larger structure in the world of nature as it relates to health and illness. •b. Causality relationship exists leading to expression of illness. •c. Belief in the struggle between good and evil is reflected in the regulation of health and illness. •d. Illness occurs as a result of disturbances between hot and cold reactions.
•c. Belief in the struggle between good and evil is reflected in the regulation of health and illness.
The major factor contributing to the need for cultural care nursing is: •a. An increasing birth rate •b. Limited access to health care services •c. Demographic change •d. A decreasing rate of immigration
•c. Demographic change
Which culture would describe illness as hot and cold imbalance? •a. Asian-American heritage •b. African-American heritage •c. Hispanic-American heritage •d. American Indian heritage
•c. Hispanic-American heritage
You are the triage nurse in the emergency department and perform the initial intake assessment on a patient who does not speak English. Based on your understanding of linguistic competence, which action would present as a barrier to effective communication? •a. Maintaining a professional respectful demeanor •b. Allowing for additional time to complete the process •c. Providing the patient with a paper and pencil so he or she can write down the answers to the questions that you are going to ask •d. Seeing if there are any family members present who may assist with the interview process
•c. Providing the patient with a paper and pencil so he or she can write down the answers to the questions that you are going to ask
Which statement best describes ethnocentrism? •a. The government's description of various cultures •b. A central belief that accepts all cultures as one's own •c. The tendency to view your own way of life as the most desirable •d. The tendency to impose your beliefs, values, and patterns of behaviors on an individual from another culture
•c. The tendency to view your own way of life as the most desirable
Each culture has its own healers who usually: •speak at least two languages. •own and operate specialty community clinics. •cost less than traditional or biomedical providers. •recommend folk practices that are dangerous.
•cost less than traditional or biomedical providers.
An example of objective data is •a complaint of left knee pain. •crepitation in the left knee joint. •left knee has been swollen and hot for the past 3 days. •a report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and pain on passive range of motion.
•crepitation in the left knee joint.
Which category is appropriate in a cultural assessment? •a. Family history •b. Chief complaint •c. Past medical history •d. Health-related beliefs
•d. Health-related beliefs
The first step to cultural competency by a nurse is to: •a. Identify the meaning of health to the patient. •b. Understand how a health care delivery system works. •c. Develop a frame of reference to traditional health care practices. •d. Understand your own heritage and its basis in cultural values.
•d. Understand your own heritage and its basis in cultural values.
The term culturally competent implies that the nurse: •a. Is prepared in nursing. •b. Possesses knowledge of the traditions of diverse peoples. •c. Applies underlying knowledge to providing nursing care. •d. Understands the cultural context of the patient's situation.
•d. Understands the cultural context of the patient's situation.
Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an older American Indian patient? •a. "Are you of the Christian faith?" •b. "Do you want to see a medicine man?" •c. "How often do you seek help from medical providers?" •d. What cultural or spiritual beliefs are important to you?"
•d. What cultural or spiritual beliefs are important to you?"
Assessment of self-esteem and self-concept is part of the functional assessment. Areas covered under self-esteem and self-concept include: •education, financial status, and value-belief system. •exercise and activity, leisure activities, and level of independence. •family role, interpersonal relations, social support, and time spent alone. stressors, coping mechanisms, and change in past year.
•education, financial status, and value-belief system.
Viewing the world from another person's inner frame of reference is called: •reflection. •empathy. •clarification. •sympathy.
•empathy.
The CAGE test is a screening questionnaire that helps to identify: •unhealthy lifestyle behaviors. •personal response to stress. •excessive or uncontrollable drinking. •depression.
•excessive or uncontrollable drinking.
While discussing the treatment plan, the nurse infers that the patient is uncomfortable asking the physician for a different treatment because of fear of the physician's reaction. In this situation, the nurse's verbal interpretation: •affects the nurse-physician relationship. •impedes further discussion. •helps the patient understand personal feelings in relation to his or her verbal message. •helps the nurse understand his or her own feelings in relation to the patient's verbal message.
•helps the patient understand personal feelings in relation to his or her verbal message.
When considering cultural competence, the nurse must develop knowledge of discrete areas to understand the health care needs of others. These discrete areas include understanding of: (select all that apply) •his or her own heritage •cultural and ethical values •the heritage of the nursing profession. •the heritage of the patient. •the heritage of the health care system.
•his or her own heritage •the heritage of the nursing profession. •the heritage of the patient. •the heritage of the health care system.
An example of subjective data is •decreased range of motion. •Crepitation of the left knee •left knee has been swollen and hot for the past 3 days. •arthritis.
•left knee has been swollen and hot for the past 3 days.
PQRSTU is a mnemonic that helps the clinician to remember to address characteristics specific to: •severity of dementia. •substance use and abuse. •pain presentation. •the ability to perform activities of daily living (ADLs).
•pain presentation.
The nurse questions the reliability of the history provided by the patient. One method to verify information within the context of the interview is to: •review previous medical records. •rephrase the same questions later in the interview. •ask the patient if there is someone who could verify information. •call a family member to confirm information.
•rephrase the same questions later in the interview.
On the basis of median age: •the non-Hispanic white population tends to be younger. • the Hispanic population tends to be older. •the Asian population tends to be younger. • minorities tend to be older than non-Hispanic white populations.
•the Asian population tends to be younger.
According to the holistic model, a narrow definition of holistic health includes: •an optimal functioning of mind, body, and spirit within the environment. •the absence of disease. •the response of the whole person to actual or potential problems. •the internal and external environment.
•the absence of disease.
A medical diagnosis is used to evaluate: •a person's state of health. •the response of the whole person to actual or potential health problems. •a person's culture. •the cause of disease.
•the cause of disease.
When recording information for the review of systems, the interviewer must document: •physical findings, such as skin appearance, to support historic data. •"negative" under the system heading. •the presence or absence of all symptoms under the system heading. •objective data that support the history of present illness.
•the presence or absence of all symptoms under the system heading.
When addressing a toddler during the interview, the health care provider should: •ask the child, before the caretaker, about symptoms. •use nonverbal communication. •use short, simple, concrete sentences. •use detailed explanations.
•use short, simple, concrete sentences.
A complete database is: •used to collect data rapidly and is often compiled concurrently with lifesaving measures. •used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system. •used to evaluate the cause or etiology of disease. •used to perform a thorough or comprehensive health history and physical examination.
•used to perform a thorough or comprehensive health history and physical examination.
