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Nursing 251 Exam 2 with accurate detailed answers

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Nursing 251 Exam 2 with accurate detailed answers

Institution
NURS 251
Course
NURS 251

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2



Nursing 251 Exam 2 with accurate detailed answers || || || || || || ||




Which of the following techniques is most likely to result in the improved understanding
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for the patient of the interviewer's questions? - ✔✔The use of the simplest language
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possible



A statement such as "OK, now I want to discuss your sleep and rest patterns" is an example
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of which component of the interviewing process? The use of a . . . - ✔✔Transitional phase
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When setting the stage and then managing the interview, which of the following is it
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imperative to do? - ✔✔Introduce yourself and your role, usually before the client undresses
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How might an examiner be able to help a patient who seems uncomfortable with close
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contact during an examination? - ✔✔Acknowledge the discomfort
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Which one of the following actions would best promote accurate translations and
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confidentiality for the patient when the caregiver does not speak the patient's language? -
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✔✔Ask a hospital employee unfamiliar with the client to translate
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Which one of the following factors is most important to consider while the nurse is
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interacting with patients? - ✔✔The nurse's feelings, such as anger or disgust
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Which type of question would be the most effective in obtaining a patient's perceptions of
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his or her problem? - ✔✔Open-ended questions
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During which part of the interview would the nurse ask a patient questions about a current
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illness? - ✔✔Working phase || || ||

,2


The nurse is beginning a health history interview with an adult patient who expresses anger
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at the nurse. What is the best approach by the nurse for dealing with an angry patient? -
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✔✔Allow the patient to ventilate his/her feelings
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For the nurse to be therapeutic with patients when discussing sensitive issues such as
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terminal illness or sexuality, the nurse should have which of the following? - ✔✔Knowledge
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of his/her own thoughts and feelings about these issues
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Empathetic responses - ✔✔Establishing rapport with the patient by identifying feelings of
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the patient
||




Confrontation - ✔✔Identifying and stating observations that seem to be at odds with|| || || || || || || || || || || || ||




statements, behavior, etc. || ||




Reflection - ✔✔Repeating the patient's own words to encourage expression of facts and
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feelings.



Interpretation - ✔✔An inference about feelings or concerns that is used to clarify data
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already collected. ||




Facilitation - ✔✔Cueing a patient to continue by saying "mm-mm, using silence, etc.
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Which of the following are behaviors of active listening? Select all that may apply. -
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✔✔Maintaining an open posture || || ||




Establishing and maintaining eye contact || || || ||




Responding positively when giving feedback || || || ||




The skin plays a vital role in temperature maintenance, fluid and electrolyte balance, and
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synthesis of which vitamin? - ✔✔D || || || || ||

,2




A female client visits the clinic and complains to the nurse that her skin feels "dry". The
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nurse should instruct the client that skin elasticity is related to adequate . . . - ✔✔Fluid
|| || || || || || || || || || || || || || || || ||




intake



Usually evaluated by the mnemonic ABCDE - ✔✔Malignant melanoma
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Most common skin cancer in caucasions - ✔✔Basal cell carcinoma
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Most serious type and most rapidly increasing cancer in the U.S. - ✔✔Malignant melanoma
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Most common skin cancer in darker skinned individuals - ✔✔Squamous cell carcinoma
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Associated with overall sun exposure and common on body sites with heavy sun exposure -
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✔✔Squamous cell carcinoma || ||




Common on body sites with moderate sun exposure - ✔✔Basal cell carcinoma
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Fluid-filled, circumscribed, elevated, greater than 0.5 cm - ✔✔Bulla
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Circumscribed, non-elevated, non-palpable, less than 1 cm - ✔✔Macula
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Palpable elevated solid mass, 0.5 to 1 - 2 cm Tumor: > 1-2 cm - ✔✔Nodule
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Palpable elevated solid mass, a wart - ✔✔Papule
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Palpable elevated solid mass, greater than 1-2 cm - ✔✔Tumor
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, 2




Circumscribed, non-elevated, non-palpable, greater than 1 cm - ✔✔Patch || || || || || || || ||




With which condition is a venous star associated? - ✔✔Increased pressure in veins
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A nurse is examining a new patient admitted to the hospital unit from home. The patient is
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bed-ridden and transfers to a chair only with the assist of family members. The nurse notes
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an area of redness that does not blanch with palpation on the patient's buttocks; however,
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the area's skin is intact. What stage of pressure ulcer development does the nurse
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document? - ✔✔Stage 1 || || ||




A bluish hue to the skin and nails that develops as a result of decreased blood flow to an
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area as seen in cold conditions for example is called which term? - ✔✔Peripheral cyaanosis
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The increase in base angle of the finger nails and loss of the diamond when placing the
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fingers of opposite hands together is called by which term? - ✔✔Clubbing
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Pinching the skin between the fingers at the collarbone and noting the tenting is assessing
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for which parameter? - ✔✔Turgor
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A nurse is performing a nutritional assessment on a client. Which of the following clinical
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findings are suggestive of malnutrition? Select all that may apply. - ✔✔Poor would healing
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Dry brittle skin || ||




Weak hand grips || ||




Impaired coordination ||




What are the parts of an interview? - ✔✔Introductory phase
|| || || || || || || || ||




Working phase ||

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Institution
NURS 251
Course
NURS 251

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Uploaded on
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