NURS 6512 EXAM QUESTIONS AND ANSWERS 100%CORRECT/VERIFIED LATEST UPDATE RATED A+, Exams of Nursing

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A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is appropriate for the interviewer to say or ask? a. "We will be able to communicate better if you look at me." b. "It's hard for me to gather useful information because your answers are so short." c. "Are you uncomfortable talking with me?" d. "Does your religion make it hard for you to answer my questions?" ANS: C It is all right to ask if the patient is uncomfortable with any aspect of your person and to talk about it; the other choices are less respectful. DIF: Cognitive Level: Applying (Application) REF: p. 26 As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to: a.tell him that you understand his need to be alone. b.ask whether he has any questions.

c.ask whether he would prefer to speak to the clinician. d.tell him that it is all right to be angry.

ANS: B

The English worry about being overheard and tend to speak in modulated voices so, when they lean in toward you, they are probably poised to ask a question. DIF: Cognitive Level: Analyzing (Analysis) REF: p. 26 An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans, Asians, and Arabs is Western medicine's attempts to: a.use a holistic approach that views a particular medical problem as part of a bigger picture. b.determine a specific cause for every problem in a precise way. c.establish harmony between a person and the entire cosmos. d.restore balance in an individual's life. ANS: B A more scientific approach to health care problem solving, in which a cause can be determined for every problem in a precise way, is a Western approach. Hispanics, Native Americans, Asians, and Arabs embrace a more holistic approach. Using a holistic approach, establishing harmony between a person and the entire cosmos, and restoring balance in an individual's life would not be troublesome to many Hispanics, Native Americans,

Asians, and Arabs.

DIF: Cognitive Level: Understanding (Comprehension) REF: p. 26 In a naturalistic or holistic approach to health, an example of a hot symptom would be: a.diarrhea. b.an earache. c.a headache. d.a nasal cold. ANS: A A hot symptom in cultures with a holistic approach is diarrhea. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 26 An example of a cold condition would be: a.a fever. b.a rash. c.tuberculosis. d.an ulcer. ANS: C A cold condition in cultures with a holistic approach is tuberculosis. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 26 An example of a cold food is: a.cod. b.eggs. c.oil. d.onions. ANS: A Cod is a cold food. Eggs, oil, and onions are hot foods.

DIF: Cognitive Level: Remembering (Knowledge) REF: p. 26 Upgrade to remove ads Only $1/month Penicillin is considered a: a.cold herb. b.cold medicine. c.hot medicine. d.lukewarm oil. ANS: C Penicillin is an example of a hot medicine. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 26 Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group? a.Native Americans b.Hispanics c.Chinese d.Italians ANS: C The Chinese are most likely to use MSG and soy sauce in their diet. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 28 Which maternal factor is most predictive of whether an infant will receive inoculations? a.Mother has family support b.Mother is divorced

c.Mother received prenatal care d.Mother uses drugs

ANS: C

Mothers who take advantage of appropriate prenatal care generally take advantage of other infant care practices. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 28 Which adolescents are most likely to engage in risky behaviors? a.Those who spend large amounts of time watching television and listening to heavy metal music b.Those who represent minority races and/or cultural groups c.Females who represent minority groups d.Those who are of lower socioeconomic status because of limited parental education ANS: A Adolescents who spend a lot of time watching television and listening to heavy metal music are more likely than any other group to engage in risky behaviors regardless of race, gender, or parents' education. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 28 Adolescents most likely to smoke, abuse substances, perform poorly in school, and be depressed are those who are: a.from dual-income families.

b.from families that emphasize strong religious beliefs. c.from deprived socioeconomic groups. d.unsupervised after school. ANS: D Adolescents who are unsupervised after school are more likely to smoke, abuse substances, perform poorly in school, and be depressed than adolescents in any other situation. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 28 Knowledge of the culture(s) represented by the patient should be used to: a.form a sense of the patient. b.help make the interview questions more pertinent. c.form stereotypical categories. d.draw conclusions regarding individual patient needs. ANS: B The purpose of understanding the patient's culture(s) is to help the provider construct pertinent questions and avoid stereotyping. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 27 The attitudes of the health care professional: a.are largely irrelevant to the success of relationships with the

patient. b.do not influence patient behavior.

c.are difficult for the patient to sense. d.are culturally derived. ANS: D The attitudes of the health care provider are foundationally derived from his or her own culture; understanding this is relevant to the success of patient relationships. Attitudes of the health care professional are easily detected by others, and they influence patient behavior; they are not irrelevant to the success of relationships with the patient; they do influence patient behavior; and they are not difficult for the patient to sense. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 29 Which of the following variables can intrude on successful communication? (Select all that apply.) a.Social class b.Gender c.Stereotype d.Phenotype e.Age ANS: A, B, E Social class, age, and gender are variables that characterize everyone; they can intrude on successful communication if there is no effort for mutual knowledge and understanding. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 24 SHORT ANSWER

In terms of cultural communication differences, Americans are more likely to than are other groups of patients. ANS: come quickly to the point In the United States, individuals are very direct in conversation and come to the point quickly p. 29

1. The skin repairs epidermal wounds by A. exaggerating cell replacement. B. excreting lactic acid. C. producing vitamins. D. providing a mechanical barrier. E. increasing the vascularity of the epidermis. A The adipose tissue in the hypodermis serves to provide

sensory input. generate heat and insulate. create tensile strength. restrict water loss. secrete collagen. B Sweat glands, hair, and nails are all formed from basement membranes under cellular strata. closely packed squamous cells. invaginations of epidermis into dermis. papillae that penetrate the epidermis. evaginations of the hypodermis. C The secretory activity of the sebaceous glands is stimulated by body heat. ambient temperature. sex hormones. dietary protein. emotional stimuli. C Which structure is the site of new nail growth? Cuticle Paronychium Eponychium Nail bed Matrix E Newborns are more vulnerable to hypothermia because of

the presence of coarse terminal hair. desquamation of the stratum corneum. their covering of vernix caseosa. a poorly developed subcutaneous fat layer. excessive secretion of eccrine sweat glands. D A 19-year-old woman has painful ulcers on the labial mucosa and buccal mucosa of 4 days duration. She has had similar ulcers on previous occasions, and each time the lesions healed in approximately 7 days. The best diagnosis is aphthous ulcers A 67-year-old woman has a chronic sore mouth of 2 years duration. The lesions consist of multiple persistent ulcers adjacent to white rough thickened areas which do not rub off and are arranged in a striated pattern. The lesions are bilateral and involve the buccal mucosa, lateral borders of the tongue, and gingiva. Of the following, the best diagnosis is lichen planus A patient has multiple, asymptomatic, irregular, flat patches on the dorsum of the tongue. Each patch has a red center and an irregular white periphery. The patient reports that the lesions come and go. The best diagnosis is geographic tongue (erythema migrans) A 16-year-old woman has a compressible, nontender , 5x5 mm soft tissue enlargement of the lower labial mucosa. The lesion has a blue mucosal surface which does not blanch upon

palpation. The patient states

that she has been aware of the lesion for 2 months and that it has increased and decreased in size during this time. Of the following, the best diagnosis is mucocele A 13-year-old female patient has mild fever, lymphadenopathy and vesicles and ulcers of the soft palate and tonsillar pillars bilaterally, of 5 days duration. No other oral lesions are present. The best diagnosis is herpangina A patient has a white, nontender, 5 x 6 mm, soft tissue enlargement on the right soft palate of at least 2 years duration. The surface is rough and resembles a wart. The lesion is pedunculated. The best diagnosis is papilloma A 44-year-old man has rough, white, nonpainful lesions which do not rub off located bilaterally on the buccal mucosa, floor of the mouth, and hard and soft palates. He states that he has been aware of the lesions since childhood. Of the following, the best diagnosis is white sponge nevus A 25-year-old woman has a 5x6 mm, nontender, compressible soft tissue enlargement located on the interdental papilla between teeth #10 and #11. The lesion is erythematous and bleeds easily. She states that she has been aware of the lesion

for approximately 3 days. The patient is in her second trimester of pregnancy. Of the following, the best diagnosis is

rubs off? Burn Which of the following lesions is asymptomatic and smooth to palpation? Scarring Which pigmented surface lesion is consistently flat and not thickened? Oral melanotic macule pyogenic granuloma Which white surface lesion

Which one of these clinical features would be most helpful in distinguishing hematoma from nevus? Duration of the lesion A patient has a thickened, compressible , blue pigmentation of the buccal mucosa that blanches upon pressure. Which of the following should be included in the clinical differential diagnosis? Varix Which of the following diseases initially forms oral vesicles? Mucous membrane (cicatricial) pemphigoid Which of the following lesions have/has an abrupt or sudden onset? Recurrent herpes Which disease has the worst prognosis? Pemphigus vulgaris A 35-year-old man has painful ulcers on the lips and buccal mucosal and asymptomatic macules and vesicles on the face, hands, and trunk. He has a mild fever but no lymphadenopathy. The lesions had an acute onset 3 days ago. The best diagnosis is erythema multiforme Which disease typically begins with the abrupt onset of pain or

altered sensation followed by vesicles and ulcers unilaterally in the distribution of a peripheral nerve? Herpes zoster

Which of the following lesions is usually congenital? Hemangioma Which of the following lesions is/are encapsulated? Schwannoma Which of the following lesions is/are compressible to palpation? Low-grade mucoepidermoid carcinoma Which action would best promote accurate translations as well as confidentiality when the caregiver does not speak the patient's language? Ask a person unfamiliar with the patient to translate. Behaviors that diffuse anxiety during the interview include providing forthright answers to questions. Periods of silence during the interview can serve important purposes, such providing time for reflection. Mr. F. is speaking with you, the health care provider, about his respiratory problem. Mr. F. says, "I've had this cough for 3 days, and it's getting worse." You reply, "Tell me more about your cough." Mr. F. states, "I wish I could tell you more. That's why I'm here. You tell me

what's wrong!" Which caregiver response would be most appropriate for enhancing communication? "After 3 days, you're tired of coughing. Have you had a fever?"

A patient becomes restless during the history and says, "I don't have time for all of this conversation. I've got to get back to work." Your most appropriate response would be to acknowledge his anger and proceed with the history and examination.

When questioning a patient regarding alcohol intake, she tells you that she is "only a social drinker." Which initial response is appropriate? "What amount and what kind of alcohol do you drink in a week?" Ms. T. is crying and states that her mother couldn't possibly have a tumor. "No one else in the family has ever had cancer!" exclaims the daughter. The most appropriate response to Ms. T. would be "Why do you think that your mother's tumor is cancerous?" A 50-year-old man comes to the primary care clinic. He tells you he is worried because he has had severe chest pains for the past 2 weeks. Which initial history interview question is most appropriate? "Can you describe the pain?" A 36-year-old woman complains that she has had crushing chest pain for the past 2 days. She seems nervous as she speaks to you. An appropriate response is to continue to collect information regarding the chief concern in an unhurried manner. Ms. A. states, "My life is just too painful. It isn't worth it." She appears depressed. Which one of the following statements is the most appropriate caregiver response?

"What in life is causing you such pain?" During an interview, tears appear in the patient's eyes, and his voice becomes shaky.