Jarvis 100 Study Guide Test Questions - Chapters 1-7 With 100% Correct Answers|41 Pages, Exams of Nursing

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Jarvis 100 Study Guide Test Questions -

Chapters 1- 7

You are assessing short-term cognitive function. Which assessment shows the ability to lay down new memories?

a. Noting whether the patient completes a thought without wandering b. A test of general knowledge C. A description of past medical history d. Use of the Four Unrelated Words Test - ✔ ✔ d. Use of the Four Unrelated Words Test You are preparing the discharge plan for a patient with aphasia. What assessment should you include in the plan?

a. Ask the patient to calculate serial 7s. b. Ask the patient to name his or her grandchildren and their birthdays. c. Ask the patient to demonstrate word comprehension by naming articles in the room or on the body as you point to them.

d. Ask the patient to interpret a proverb. - ✔ ✔ c. Ask the patient to demonstrate word comprehension by naming articles in the room or on the body as you point to them. During an interview with a patient diagnosed with a seizure disorder, the patient states, "I plan to be an airline pilot." If the patient continues to have this as a career goal after teaching regarding seizure disorders has been provided, you might question the patient's:

a. Thought processes. b. Judgment. c. Attention span. d. Recent memory. - ✔ ✔ b. Judgment. On a patient's second day in an acute care hospital, the patient complains about the "bugs" on the bed. The bed is clean. This would be an example of altered:

a. Thought processes. b. Orientation. c. Perception. d. Higher intellectual function. - ✔ ✔ c. Perception. One way to assess cognitive function and to screen dementia is with:

The word choice and grammar are appropriate, but the sounds are distorted so speech is unintelligible. You are leading a discussion of the planned activities for the day at an adult living center and state, "We will be having snacks at 9:30 and lunch will be at noon." One of the participants responds in a very monotone manner, "Snacks at 9:30, lunch at noon, snacks at 9:30, lunch at noon." This patient is exhibiting signs of:

a. Echolalia. b. Confabulation. c. Flight of ideas. d. Neologisms. - ✔ ✔ a. Echolalia. You are performing a mental status examination. Which assessments would be most appropriate?

a. Examining the patient's EEG b. Observing the patient as he or she takes an IQ test c. Observing the patient and inferring health or dysfunction d. Examining the patient's response to a specific set of questions - ✔ ✔ c. Observing the patient and inferring health or dysfunction What is a priority assessment for aging adults?

a. Phobias b. General intelligence c. Irrational thinking patterns d. Sensory perceptive abilities - ✔ ✔ d. Sensory perceptive abilities Which is a forensic term that is related to "purpura" but is not related to blunt force trauma?

a. Wound b. Incision c. Ecchymosis d. Bruise - ✔ ✔ c. Ecchymosis Which should be routinely included in evaluating a case of elder abuse?

a. Corroborative interview from caregiver b. Baseline laboratory tests c. Testing for STIS d. TB testing - ✔ ✔ b. Baseline laboratory tests During an examination, you notice a patterned injury on a patient's back. Which is most likely?

Which would you include on the chart of the patient who has been the victim of abuse?

a. Photographic documentation of injuries b. A summary of the abused patient's statements c. Verbatim documentation of every statement made d. A general description of injuries in the progress notes - ✔ ✔ a. Photographic documentation of injuries 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. Focused assessment. - ✔ ✔ b. Intuition. Which would be considered a risk diagnosis?

a. Identifying existing levels of wellbess b. Evaluating previous problems and goals c. Identifying potential problems the individual may develop

d. Focusing on individual's transition to higher strengths and reflecting an levels of wellness - ✔ ✔ c. Identifying potential problems the individual may develop 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 - ✔ ✔ c. A patient's perception of his or her health status 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 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. The nurse would empower the patient to choose a healthier lifestyle. Which is an example of objective data?

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 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. 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.

4. 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 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 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 Which statement best illustrates the difference between religion and spirituality?

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 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 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?" 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 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 Which health belief practice is associated with patients who are of American Indian heritage?

a. Wearing bangle bracelets to ward off evil spirits b. Believing that forces of nature must be kept in natural balance

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. A statement regarding confidentiality, patient costs, and the expectations of each person _____________ is exhibiting an accurate person's feelings within a communication understanding of the other context.

a. Empathy b. Liking others c. Facilitation d. A nonverbal listening technique - ✔ ✔ a. Empathy 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 give the patient your full attention. c. Use this approach given the circumstances.

d. Arrange for a time free of interruptions after the initial physical examination is complete. - ✔ ✔ b. Have someone else answer the phone so you can give the patient your full attention. A patient 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. - ✔ ✔ c. A closed question.

5. 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 on the interviewer's inference from the data that have been presented. - ✔ ✔ d. Interpretation is based on the interviewer's inference from the data that have been presented. Which demonstrates a good understanding of the interview process?

a. Only with individuals from a Western culture b. As a routine way of establishing contact with the person and communicating empathy c. Only with patients of the same gender d. Only if the interviewer knows the person well - ✔ ✔ d. Only if the interviewer knows the person well The concept of health and healing has evolved in recent years. Which is the best description of health?

a. Health is the absence of disease. b. Health 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. - ✔ ✔ c. Health depends on an interaction of mind, body, and spirit within the environment. Which would be included in the 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, data gathered from a patient, and the results of any laboratory or diagnostic studies completed - ✔ ✔ d. All subjective and objective data, data gathered from a patient, and the results of any laboratory or diagnostic studies completed 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. - ✔ ✔ c. Data Cluster 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