C
The concept of health and healing has evolved in recent year. Which is the best description of health?
A. Health is the absence of disease
B. Health
... [Show More] is a dynamic process toward optimal functioning
C. health depends on an interaction of mind, body, and spirit within the environment
D. Health is the prevention of disease
D
Which would be included in a database for a new patient admission to a surgical unit?
A. All subjective and objective data gathered by a health practitioner from a patient
B. All objective data obtained from a patient through inspection, percussion, palpation, and auscultation
C. A summary of a patient's record, including laboratory studies
D. All subjective and objective data gathered from a patient and the results of any laboratory or diagnostic studies completed
C
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 :
A. Hypothetical reasoning
B. Diagnostic reasoning
C. Data cluster
D. Signs and symptoms
B
A patient is in the emergency department with nausea and vomiting. Which would you include in the database?
A. A complete health history and full physical examination
B. A diet and GI history
C. Previously identified problems
D. Start collection of data in conjunction with lifesaving measures
C
A patient has recently received health insurance and would like to know how often to visit the provider. How do you respond?
A. "It would be most efficient if you visit on an annual basis"
B. "There is no recommendation for the frequency of health care visits"
C. "Your visits may vary, depending on your level of wellness"
D. "Your visits will be based on your preference"
A
You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed?
A. Planning
B. Assessment
C. Implementation
D. Diagnosis
A
Which best describes evidence-based nursing practice?
A. Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient's values and circumstances
B. appraising and looking at the implications of one or two articles as they relate to the culture and ethnicity of the patient
C. Completing a literature search to find relevant articles that use nursing research to encourage nurses to use good practices
D. Finding value-based resources to justify nursing actions when working with patients of diverse cultural backgrounds
C
What can be determined when the nurse clusters data as part of the critical-thinking process?
A. This step identifies problems that may be urgent and require immediate action
B. This step involves making assumptions in the data
C. The nurse recognizes relevant information among the data
D. Risk factors can be determined to the nurse knows how to offer health teaching
C
A patients says she is very nervous and nauseated, and she feels like she will vomit. This data would be what type of data?
A. Objective
B. Reflective
C. Subjective
D. Introspective
B
The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as:
A. Deductive reasoning
B. Intuition
C. The nursing process
D. Focus assessment
C
Which would be considered a risk diagnosis?
A. Identifying existing levels of wellness
B. Evaluating previous problems and goals
C. Identifying potential problems the individual may develop
D. Focusing on strengths and reflecting an individual's transition to higher levels of wellness
C
Which would be included in a holistic model of assessment?
A. nursing goals for the patient
B. Anticipated growth and development patterns
C. A patient's perception of his or her health status
D. The nurse's perception of disease related to the patient
D
The nurse uses health promotion activities with a new patient. What would this focus include?
A. The nurse would try to change the patient's perceptions of the disease
B. The nurse would search for identification of biomedical model interventions
C. The nurse would help to identify negative health acts of the patient
D. The nurse would empower the patient to choose a healthier lifestyle
D
Which is an example of objective data?
A. Patient's history of allergies
B. Patient's use of medications at home
C. Last menstrual period 1 month ago
D. 2- x 5-cm scar present on the right lower forearm
C
During the evaluation phase of the nursing process, which action would be included?
A. Validating the nursing diagnosis
B. Establishing priorities related to patient care
C. Providing information to the patient and family members
D. Establishing a timeline for planned outcomes
A
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 worshipped
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
C
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
D
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
C
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 her or she can write down the answers to the questions you are going to ask
D. Seeing if there are any family members present who may assist with the interview process
C
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
A
Of what does the patient believe the amulet of protective?
A. The evil eye
B. Being kidnapped
C. Exposure to bacterial infections
D. An unexpected fall
B
Which statement best illustrates the difference between religions and spirituality?
A. Religion reflects an individual's reaction to life events whereas spirituality is based on whether the individual attend religious services
B. Religion is characterized by identification of a high 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
D
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
B
Which statement is true in regard to pain?
A. Nurses attitudes toward their patients' pain are unrelated to their care
B. The cultural background of a patient is important in a nurse's assessment of that patient's pain
C. A nurse's are 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 own response to patient pain
A
Which factor is identifies as a priority influence on a patient's health status?
A. Poverty
B. Lifestyle factors
C. Legislative action
D. Occupational status
D
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. "Dou 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?"
C
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
D
Which category is appropriate in a cultural assessment?
A. Family history
B. Chief complaint
C. Past medical history
D. Health-related beliefs
B
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
C
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
A
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. A statement regarding confidentiality, patient costs, and the expectations of each person
B. The purpose of the interview and the role of there interviewer
C. Time and place of the interview and a confidentiality statement
D. An explicit purpose of the interview and a description of the physical examination, including diagnostic studies
A
_____________ is exhibiting an accurate understanding of the other person's feelings within a communication context.
A. Empathy
B. Liking others
C. Facilitation
D. Nonverbal listening technique
B
You conduct an admission interview. Because you are expecting a phone call, you stand near the door. Which would be a more appropriate approach?
A. Arrange to have someone page you so you can sit on the side of the bed
B. Have someone else answer the phone so you can sit facing the patient
C. Use this approach given the circumstances
D. Arrange for a time free of interruption after the initial physical examination is complete
C
A patients asks the nurse, "May I ask you a question?" This is an example of:
A. An open-ended question
B. A reflective question
C. A closed question
D. A double-barreled question
D
Which statement best describes interpretation as a communication technique?
A. Interpretation is the same as clarification
B. Interpretation is a summary of a statement made by a patient
C. Interpretation is used to focus on a particular aspect of what the patient has just said
D. Interpretation is based o the interview's inference from the data that have been presented
B
Which demonstrates a good understanding of the interview process?
A. The nurse stops the patient each time something is said that is not understood
B. The nurse spends more time listening to the patient than talking
C. The nurse is consistently thinking of his or her next response so the patient will know he or she is understood
D. The nurse uses "why" questions to seek clarification of unusual symptoms or behavior
A
During an interview, a patient denies having any anxiety. The patient frequently changes position in the chair, hold his arms folded tight against his chest, and has little eye contact with the interviewer The interviewer should:
A Use confrontation to bring the discrepancy between verbal and nonverbal behavior to the patient's attention
B. Proceed with the interview. Patients usually are truthful with a health care practitioner
C. Make a mental note to discuss the behavior after the physical examination is completed
D. Proceed with the interview and examination as outlined on the agency form. The patient's behavior is appropriate for the circumstances [Show Less]