The nurse is performing a physical assessment on a newly admitted patient. An
example of objective information obtained during the physical assessment
... [Show More] includes
the:
A) patient's history of allergies.
B) patient's use of medications at home.
C) last menstrual period 1 month ago.
D) 2 ´ 5 cm scar present on the right lower forearm. - Feedback:
Objective data are the patient's record, laboratory studies, and information that the
health professional observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The other responses reflect subjective data.
Points Earned: 2.0/2.0
Correct Answer(s): D
A visiting nurse is making an initial home visit for a patient who has many chronic
medical problems. Which type of data base is most appropriate to collect in this
setting?
A) A follow-up data base to evaluate changes at appropriate intervals
B) An episodic data base because of the continuing, complex medical problems of
this patient
C) A complete health data base because of the nurse's primary responsibility for
monitoring the patient's health
D) An emergency data base because of the need to rapidly collect information and
make accurate diagnoses - Feedback:
The complete data base is collected in a primary care setting, such as a pediatric or
family practice clinic, independent or group private practice, college health service,
women's health care agency, visiting nurse agency, or community health agency. Inthese settings the nurse is the first health professional to see the patient and has
primary responsibility for monitoring the person's health care.
Points Earned: 2.0/2.0
Correct Answer(s): C
During a staff meeting, nurses discuss the problems with accessing research studies
in order to incorporate evidence-based clinical decision making into their practice.
Which suggestion by the nurse manager would best help this problem?
A) Form a committee to conduct research studies.
B) Post published research studies on the unit's bulletin boards.
C) Encourage the nurses to visit the library to review studies.
D) Teach the nurses how to conduct electronic searches for research studies. -
Feedback:
Facilitating support for evidence-based practice would include teaching the nurses
how to conduct electronic searches because time to go to the library may not exist
for many nurses. Actually conducting research studies may be helpful in the longrun, but is not an immediate solution to reviewing existing research.
Points Earned: 0.0/2.0
Correct Answer(s): D
What is the step of the nursing process that includes data collection by health
history, physical examination, and interview?
A) Planning
B) Diagnosis
C) Evaluation
D) Assessment - Feedback:
Data collection, including performing the health history, physical examination, and
interview, is the assessment step of the nursing process. See Figure 1-2.Points Earned: 2.0/2.0
Correct Answer(s): D
The nurse is reviewing information about evidence-based practice (EBP). Which
statement best reflects evidence-based practice?
A) EBP relies on tradition for support of best practices.
B) EBP is simply the use of best practice techniques for treatment of patients.
C) EBP emphasizes the use of best evidence with the clinician's experience.
D) The patient's own preferences are not important with EBP. - Feedback:
Evidence-based practice (EBP) is a systematic approach to practice that
emphasizes the use of best evidence in combination with the clinician's experience,
as well as patient preferences and values, to make decisions about care and
treatment. It is more than simply the use of best practice techniques to treat
patients, and it is important to question tradition when no compelling research
evidence exists to support it.
Points Earned: 2.0/2.0
Correct Answer(s): C
When discussing the use of the term "subculture," the nurse recognizes that it is
best described as:
A) fitting as many people into the majority culture as possible.
B) defining small groups of people who do not want to be identified with the
larger culture.
C) singling out groups of people who suffer differential and unequal treatment as a
result of cultural variations.
D) identifying fairly large groups of people with shared characteristics that are not
common to all members of a culture. - Feedback:
Within cultures, groups of people share different beliefs, values, and attitudes.
Differences occur because of ethnicity, religion, education, occupation, age, andgender. When such groups function within a large culture, they are referred to as
subcultural groups.
Points Earned: 2.0/2.0
Correct Answer(s): D
When reviewing the demographics of ethnic groups in the United States, the nurse
recalls that the largest and fasting growing population is:
A) Hispanic.
B) Black.
C) Asian.
D) American Indian. - Feedback:
Hispanics are the largest and fastest growing population in the United States,
followed by Asians, blacks, American Indians and Alaska natives, and other
groups.
Points Earned: 2.0/2.0
Correct Answer(s): A
During an assessment, the nurse notices that a patient is handling a small charm
that is tied to a leather strip around his neck. Which action by the nurse is
appropriate?
A) Ask the patient about the item and its significance.
B) Ask the patient to lock the item with other valuables in the hospital's safe.
C) Tell the patient that a family member should take valuables home.
D) No action is necessary. - Feedback:
The nurse should inquire about the amulet's meaning. Amulets, such as charms, are
often seen as an important means of protection from "evil spirits" by some cultures.
Points Earned: 2.0/2.0
Correct Answer(s): AThe nurse manager is explaining culturally competent care during a staff meeting.
Which statement accurately describes the concept of culturally competent care?
"The caregiver:
A) is able to speak the patient's native language."
B) possesses some basic knowledge of the patient's cultural background."
C) applies the proper background knowledge of a patient's cultural background to
provide the best possible health care."
D) understands and attends to the total context of the patient's situation." -
Feedback:
Culturally competent implies that the caregiver understands and attends to the total
context of the individual's situation. This includes awareness of immigration status,
stress factors, other social factors, and cultural similarities and differences. It does
not require the caregiver to speak the patient's native language.
Points Earned: 0.0/2.0
Correct Answer(s): D [Show Less]