WKU, Nursing 333, Fundamentals, Chapter 16 from Potter & Perry Questions With Complete Sol, Exams of Nursing

Download WKU, Nursing 333, Fundamentals, Chapter 16 from Potter & Perry Questions With Complete Sol and more Exams Nursing in PDF only on Docsity! WKU, Nursing 333, Fundamentals, Chapter 16 from Potter & Perry Questions With Complete Solutions A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over 6 months since you've been in, but your appointment was for every 2 months. Tell me about that. Also I see from your last visit that the doctor recommended routine exercise. Can you tell me how successful you have been following his plan?" The nurse's assessment covers which of Gordon's functional health patterns? A) Value-belief pattern B) Cognitive-perceptual pattern C) Coping-stress-tolerance pattern D) Health perception-health management pattern Correct Answers Health perception-health management pattern The nurse asks a patient, "Describe for me your typical diet over a 24-hour day. What foods do you prefer? Have you noticed a change in your weight recently?" This series of questions would likely occur during which phase of a patient-centered interview? A) Setting the stage B) Gathering information about the patient's chief concerns C) Collecting the assessment D) Termination Correct Answers Collecting the assessment What type of interview techniques does the nurse use when asking these questions, "Do you have pain or cramping?" "Does the pain get worse when you walk?" (Select all that apply.) A) Active listening B) Open-ended questioning C) Closed-ended questioning D) Problem-oriented questioning Correct Answers Closed- ended questioning Problem-oriented questioning What technique(s) best encourage(s) a patient to tell his or her full story? (Select all that apply.) A) Active listening B) Back channeling C) Validating D) Use of open-ended questions E) Use of closed-ended questions Correct Answers Active listening Back channeling Use of open-ended questions A nurse gathers the following assessment data. Which of the following cues form(s) a pattern suggesting a problem? (Select all that apply.) A) The skin around the wound is tender to touch. B) Fluid intake for 8 hours is 800 mL. C) Patient has a heart rate of 78 and regular. D) Patient has drainage from surgical wound. E) Body temperature is 101° F (38.3° C). F) Patient asks, "I'm worried that I won't return to work when I planned." Correct Answers The skin around the wound is tender to touch. Patient has drainage from surgical wound. Body temperature is 101° F (38.3° C). The nurse makes the following statement during a change of shift report to another nurse. "I assessed Mr. Diaz, my 61-year- Which of the following are examples of data validation? (Select all that apply.) A) The nurse assesses the patient's heart rate and compares the value with the last value entered in the medical record. B) The nurse asks the patient if he is having pain and then asks the patient to rate the severity. C) The nurse observes a patient reading a teaching booklet and asks the patient if he has questions about its content. D) The nurse obtains a blood pressure value that is abnormal and asks the charge nurse to repeat the measurement. E) The nurse asks the patient to describe a symptom by saying, "Go on." Correct Answers The nurse assesses the patient's heart rate and compares the value with the last value entered in the medical record. The nurse obtains a blood pressure value that is abnormal and asks the charge nurse to repeat the measurement. A patient tells the nurse during a visit to the clinic that he has been sick to his stomach for 3 days and he vomited twice yesterday. Which of the following responses by the nurse is an example of probing? A) So you've had an upset stomach and began vomiting— correct? B) Have you taken anything for your stomach? C) Is anything else bothering you? D) Have you taken any medication for your vomiting? Correct Answers Is anything else bothering you? The nurse is assessing the character of a patient's migraine headache and asks, "Do you feel nauseated when you have a headache?" The patient's response is "yes." In this case the finding of nausea is which of the following? A) An objective finding B) A clinical inference C) A validation D) A concomitant symptom Correct Answers A concomitant symptom During the review of systems in a nursing history, a nurse learns that the patient has been coughing mucus. Which of the following nursing assessments would be best for the nurse to use to confirm a lung problem? (Select all that apply.) A) Family report B) Chest x-ray film C) Physical examination with auscultation of the lungs D) Medical record summary of x-ray film findings Correct Answers Physical examination with auscultation of the lungs Medical record summary of x-ray film findings A nurse working on a medicine nursing unit is assigned to a 78- year-old patient who just entered the hospital with symptoms of H1N1 flu. The nurse finds the patient to be short of breath with an increased respiratory rate of 30 breaths/min. He lost his wife just a month ago. The nurse's knowledge about this patient results in which of the following assessment approaches at this time? (Select all that apply.) A) A problem-focused approach B) A structured comprehensive approach C) Using multiple visits to gather a complete database D) Focusing on the functional health pattern of role-relationship Correct Answers A problem-focused approach Using multiple visits to gather a complete database A 58-year-old patient with nerve deafness has come to his doctor's office for a routine examination. The patient wears two hearing aids. The advanced practice nurse who is conducting the assessment uses which of the following approaches while conducting the interview with this patient? (Select all that apply.) A) Maintain a neutral facial expression B) Lean forward when interacting with the patient C) Acknowledge the patient's answers through head nodding D) Limit direct eye contact Correct Answers Lean forward when interacting with the patient Acknowledge the patient's answers through head nodding Assessment Correct Answers First step of the nursing process. Activities required in the first step are data collection, validation, sorting, and documentation. The purpose is to gather information for health problem identification. closed ended questions Correct Answers Form of question that limits a respondent's answer to one or two words. Cue Correct Answers Information that a nurse acquires through hearing, visual observations, touch, and smell. Concomitant symptoms Correct Answers experience other symptoms along with the primary symptom database Correct Answers Store or bank of information, especially in a form that can be processed by computer.