Exam 1: NR302/ NR 302| 2023/ 2024 Update Health Assessment I Exam Practice | Questions and Verified Answers| 100% Correct -Chamberlain
QUESTION
The
... [Show More] nurse recognizes that working with children with a different cultural perspective may be especially difficult because:
A) children have spiritual needs that are influenced by their stages of development.
B) children have spiritual needs that are direct reflections of what is occurring in their homes.
C) religious beliefs rarely affect the parents' perceptions of the illness.
D) parents are often the decision makers, and they have no knowledge of their children's spiritual needs.
Answer:
A) children have spiritual needs that are influenced by their stages of development.
Illness during childhood may be an especially difficult clinical situation. Children, as well as adults, have spiritual needs that vary according to the child's developmental level and the religious climate that exists in the family. The other statements are not correct.
QUESTION
When providing culturally competent care, nurses must incorporate cultural assessments into their health assessments. Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an elderly 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?"
Answer:
D) "What cultural or spiritual beliefs are important to you?"
The nurse needs to assess the cultural beliefs and practices of the patient. American Indians may seek assistance from a medicine man or shaman, but the nurse should not assume this. An open-ended question regarding cultural and spiritual beliefs is best used initially when performing a cultural assessment.
QUESTION
When planning a cultural assessment, the nurse should include which component?
A) Family history
B) Chief complaint
C) Medical history
D) Health-related beliefs
Answer:
D) Health-related beliefs
Health-related beliefs and practices are one component of a cultural assessment. The other items reflect other aspects of the patient's history.
QUESTION
When the nurse is evaluating the reliability of a patient's responses, which of these statements would be correct? The patient:
A. has a history of drug abuse and therefore is not reliable.
B. provided consistent information and therefore is reliable.
C. smiled throughout interview and therefore is assumed reliable.
D. would not answer questions concerning stress and therefore is not reliable.
Answer:
B. provided consistent information and therefore is reliable.
A reliable person always gives the same answers, even when questions are rephrased or are repeated later in the interview. The other statements are not correct.
QUESTION
In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate?
A. Patient denies usual childhood illnesses.
B. Patient states he was a "very healthy" child.
C. Patient states sister had measles, but he didn't.
D. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
Answer:
D. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat. Avoid recording "usual childhood illnesses" because an illness common in the person's childhood may be unusual today (e.g., measles).
QUESTION
The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response?
A. "Maybe she is just teething."
B. "I will check her ear for an ear infection."
C. "Are you sure she is really having pain?"
D. "Please describe what she is doing to indicate she is having pain."
Answer:
D. "Please describe what she is doing to indicate she is having pain."
With a very young child, ask the parent, "How do you know the child is in pain?" Pulling at ears alerts parent to ear pain. The statements about teething and questioning whether the child is really having pain do not explore the symptoms, which should be done before a physical examination.
QUESTION
A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure?
A. The child's birth weight
B. The age at which he crawled
C. Whether he has had the measles
D. Reactions to previous hospitalizations
Answer:
D. Reactions to previous hospitalizations [Show Less]