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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. ✔Correct Answer-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 ✔Correct Answer-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. ✔Correct Answer-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
d. Start collection of data in conjunction with lifesaving measures ✔Correct Answer-b. A diet and
GI history
5. A patient has recently received health insurance and would like to know how often he should 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." ✔Correct Answer-c. "Your visits may vary,
depending on your level of wellness."
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 ✔Correct Answer-a. Planning
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 ✔Correct Answer-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
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 so the nurse knows how to offer health teaching. ✔Correct
Answer-c. The nurse recognizes relevant information among the data.
A patient says she is very nervous and nauseated, and she feels as if she will vomit. This data would
be what type of data?
a. Objective
b. Reflective
c. Subjective
d. Introspective ✔Correct Answer-c. Subjective
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. ✔Correct Answer-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
✔Correct Answer-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 ✔Correct Answer-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. ✔Correct Answer-d. The
nurse would empower the patient to choose a healthier lifestyle.
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 ✔Correct Answer-d. 2- x 5-cm scar present on
the right lower forearm
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. Including the patient and family members
d. Establishing a timeline for planned outcomes ✔Correct Answer-c. Including the patient and
family members
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 worshiped
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
✔Correct Answer-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.