Test 2 NURS 5220 Advanced Health Assessment
Review Test Bank with 270 Questions and
Correct Answers / NURS 5220 Exam 2 Review
Test Bank- Correctly Answered
Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a
physical examination to establish a new primary care healthcare provider. Which
of the following describes a physical, not a cultural, differentiator?
A. Race
B. Rite
C. Ritual
D. Norm - ANSWER-A. Race
Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a
first visit with the complaint of new abdominal pain. You are concerned about
violating a cultural prohibition when you prepare to do his rectal examination. The
best tactic would be to
A. forego the examination for fear of violating cultural norms.
B. ask a colleague from the same geographic area if this examination is acceptable.
C. inform the patient of the reason for the examination and ask if it is acceptable to
him.
D. refer the patient to a provider more knowledgeable about cultural differences. -
ANSWER-C. inform the patient of the reason for the examination and ask if it is
acceptable to him
Mr. Jones is a 45-year-old patient who presents to the office. A person's definition
of illness is likely to be most influenced by
1
,A. race.
B. socioeconomic class.
C. enculturation.
D. age group. - ANSWER-C. enculturation
As the healthcare provider, you are informing a patient that he or she has a
terminal illness. This discussion is most likely to be discouraged in which cultural
group?
A. Navajo Native Americans
B. Dominant Americans
C. First-generation African descendants
D. First-generation European descendants - ANSWER-A. Navajo Native
Americans
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 - ANSWER-C. Chinese
An example of a cold condition is
A. a fever.
B. a rash.
C. tuberculosis.
D. an ulcer. - ANSWER-C. Tuberculosis
2
,Which question would be considered a ―leading question?
A. What do you think is causing your headaches?
B. You don't get headaches often, do you?
C. On a scale of 1 to 10, how would you rate the severity of your headaches?
D. At what time of the day are your headaches the most severe? - ANSWER-B.
Stating to the patient that he or she does not get headaches would limit the
information in the patient's answer.
When are open-ended questions generally most useful?
A. During sensitive area part of the interview
B. After several closed-ended questions have been asked
C. While designing the genogram
D. During the review of systems - ANSWER-A. During sensitive area part of the
interview
This allows you to gather more information and establishes you as an empathic
listener
First step of effective communication
Periods of silence during the interview can serve important purposes, such as
A. allowing the clinician to catch up on documentation.
B. promoting calm.
C. providing time for reflection.
D. increasing the length of the visit. - ANSWER-C. Providing time for reflection
3
, Mr. Franklin is speaking with you, the healthcare provider, about his respiratory
problem. Mr. Franklin says, ―I've had this cough for 3 days, and it's getting
worse.‖ You reply, ―Tell me more about your cough.‖ Mr. Franklin 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?
A. After 3 days, you're tired of coughing. Have you had a fever?
B. I'd like to hear more about your experiences. Where were you born?
C. I don't know what's wrong. You could have almost any disease.
D. I'll examine you and figure out later what the problem is. - ANSWER-A.
This is the only response that aims at focusing on the chief complaint to gather
more data and does not digress from the issue
After you ask a patient about her family history, she says, ―Tell me about your
family now.‖ Which response is generally most appropriate?
A. Ignore the patient's comment and continue with the interview.
B. Give a brief, undetailed answer.
C. Ask the patient why she needs to know.
D. Tell the patient that you do not discuss your family with patients. - ANSWER-
B. Give a brief, undetailed answer
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
A. continue to collect information regarding the chief complaint in an unhurried
manner.
B. finish the interview as rapidly as possible.
C. ask the patient to take a deep breath and calm down.
4
Review Test Bank with 270 Questions and
Correct Answers / NURS 5220 Exam 2 Review
Test Bank- Correctly Answered
Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a
physical examination to establish a new primary care healthcare provider. Which
of the following describes a physical, not a cultural, differentiator?
A. Race
B. Rite
C. Ritual
D. Norm - ANSWER-A. Race
Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a
first visit with the complaint of new abdominal pain. You are concerned about
violating a cultural prohibition when you prepare to do his rectal examination. The
best tactic would be to
A. forego the examination for fear of violating cultural norms.
B. ask a colleague from the same geographic area if this examination is acceptable.
C. inform the patient of the reason for the examination and ask if it is acceptable to
him.
D. refer the patient to a provider more knowledgeable about cultural differences. -
ANSWER-C. inform the patient of the reason for the examination and ask if it is
acceptable to him
Mr. Jones is a 45-year-old patient who presents to the office. A person's definition
of illness is likely to be most influenced by
1
,A. race.
B. socioeconomic class.
C. enculturation.
D. age group. - ANSWER-C. enculturation
As the healthcare provider, you are informing a patient that he or she has a
terminal illness. This discussion is most likely to be discouraged in which cultural
group?
A. Navajo Native Americans
B. Dominant Americans
C. First-generation African descendants
D. First-generation European descendants - ANSWER-A. Navajo Native
Americans
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 - ANSWER-C. Chinese
An example of a cold condition is
A. a fever.
B. a rash.
C. tuberculosis.
D. an ulcer. - ANSWER-C. Tuberculosis
2
,Which question would be considered a ―leading question?
A. What do you think is causing your headaches?
B. You don't get headaches often, do you?
C. On a scale of 1 to 10, how would you rate the severity of your headaches?
D. At what time of the day are your headaches the most severe? - ANSWER-B.
Stating to the patient that he or she does not get headaches would limit the
information in the patient's answer.
When are open-ended questions generally most useful?
A. During sensitive area part of the interview
B. After several closed-ended questions have been asked
C. While designing the genogram
D. During the review of systems - ANSWER-A. During sensitive area part of the
interview
This allows you to gather more information and establishes you as an empathic
listener
First step of effective communication
Periods of silence during the interview can serve important purposes, such as
A. allowing the clinician to catch up on documentation.
B. promoting calm.
C. providing time for reflection.
D. increasing the length of the visit. - ANSWER-C. Providing time for reflection
3
, Mr. Franklin is speaking with you, the healthcare provider, about his respiratory
problem. Mr. Franklin says, ―I've had this cough for 3 days, and it's getting
worse.‖ You reply, ―Tell me more about your cough.‖ Mr. Franklin 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?
A. After 3 days, you're tired of coughing. Have you had a fever?
B. I'd like to hear more about your experiences. Where were you born?
C. I don't know what's wrong. You could have almost any disease.
D. I'll examine you and figure out later what the problem is. - ANSWER-A.
This is the only response that aims at focusing on the chief complaint to gather
more data and does not digress from the issue
After you ask a patient about her family history, she says, ―Tell me about your
family now.‖ Which response is generally most appropriate?
A. Ignore the patient's comment and continue with the interview.
B. Give a brief, undetailed answer.
C. Ask the patient why she needs to know.
D. Tell the patient that you do not discuss your family with patients. - ANSWER-
B. Give a brief, undetailed answer
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
A. continue to collect information regarding the chief complaint in an unhurried
manner.
B. finish the interview as rapidly as possible.
C. ask the patient to take a deep breath and calm down.
4
