NSG 2317 Final – Comprehensive Health Assessment Nursing Exam Review
A 30-year-old woman has recently moved to the United States with her husband. They are
living with the woman’s sister until they can get a home of their own. When company arrives to
visit with the woman’s sister, the woman feels suddenly shy and retreats to the back bedroom
to hide until the company leaves. She explains that her reaction to guests is simply because she
does not know how to speak perfect English. This woman could be experiencing:
a.
Culture shock.
b.
Cultural taboos.
c.
Cultural unfamiliarity.
d.
Culture disorientation. - ANS ✔✔A
. A woman who has lived in the United States for a year after moving from Europe has learned
to speak English and is almost finished with her college studies. She now dresses like her peers
and says that her family in Europe would hardly recognize her. This nurse recognizes that this
situation illustrates which concept?
a.
Assimilation
b.
Heritage consistency
,c.
Biculturalism
d.
Acculturation - ANS ✔✔A
. During a class on cultural practices, the nurse hears the term cultural taboo. Which statement
illustrates the concept of a cultural taboo?
a.
Believing that illness is a punishment of sin
b.
Trying prayer before seeking medical help
c.
Refusing to accept blood products as part of treatment
d.
Stating that a childs birth defect is the result of the parents sins - ANS ✔✔C
. During a follow-up visit, the nurse discovers that a patient has not been taking his insulin on a
regular basis. The nurse asks, Why havent you taken your insulin? Which statement is an
appropriate evaluation of this question?
a.
This question may place the patient on the defensive.
b.
This question is an innocent search for information.
,c.
Discussing his behavior with his wife would have been better.
d.
A direct question is the best way to discover the reasons for his behavior. - ANS ✔✔A
. During a visit to the clinic, a patient states, The doctor just told me he thought I ought to stop
smoking. He doesnt understand how hard Ive tried. I just dont know the best way to do it. What
should I do? The nurses most appropriate response in this case would be:
a.
Id quit if I were you. The doctor really knows what he is talking about.
b.
Would you like some information about the different ways a person can quit smoking?
c.
Stopping your dependence on cigarettes can be very difficult. I understand how you feel.
d.
Why are you confused? Didnt the doctor give you the information about the smoking cessation
program we offer? - ANS ✔✔B
. The nurse is reviewing data collected after an assessment. Of the data listed below, which
would be considered related cues that would be clustered together during data analysis? Select
all that apply.
a.
Inspiratory wheezes noted in left lower lobes
b.
, Hypoactive bowel sounds
c.
Nonproductive cough
d.
Edema, +2, noted on left hand
e.
Patient reports dyspnea upon exertion
f.
Rate of respirations 16 breaths per minute - ANS ✔✔A C E F
. The nurse makes this comment to a patient, I know it may be hard, but you should do what the
doctor ordered because she is the expert in this field. Which statement is correct about the
nurses comment?
a.
This comment is inappropriate because it shows the nurses bias.
b.
This comment is appropriate because members of the health care team are experts in their area
of patient care.
c.
This type of comment promotes dependency and inferiority on the part of the patient and is
best avoided in an interview situation.
d.
Using authority statements when dealing with patients, especially when they are undecided
about an issue, is necessary at times. - ANS ✔✔C
A 30-year-old woman has recently moved to the United States with her husband. They are
living with the woman’s sister until they can get a home of their own. When company arrives to
visit with the woman’s sister, the woman feels suddenly shy and retreats to the back bedroom
to hide until the company leaves. She explains that her reaction to guests is simply because she
does not know how to speak perfect English. This woman could be experiencing:
a.
Culture shock.
b.
Cultural taboos.
c.
Cultural unfamiliarity.
d.
Culture disorientation. - ANS ✔✔A
. A woman who has lived in the United States for a year after moving from Europe has learned
to speak English and is almost finished with her college studies. She now dresses like her peers
and says that her family in Europe would hardly recognize her. This nurse recognizes that this
situation illustrates which concept?
a.
Assimilation
b.
Heritage consistency
,c.
Biculturalism
d.
Acculturation - ANS ✔✔A
. During a class on cultural practices, the nurse hears the term cultural taboo. Which statement
illustrates the concept of a cultural taboo?
a.
Believing that illness is a punishment of sin
b.
Trying prayer before seeking medical help
c.
Refusing to accept blood products as part of treatment
d.
Stating that a childs birth defect is the result of the parents sins - ANS ✔✔C
. During a follow-up visit, the nurse discovers that a patient has not been taking his insulin on a
regular basis. The nurse asks, Why havent you taken your insulin? Which statement is an
appropriate evaluation of this question?
a.
This question may place the patient on the defensive.
b.
This question is an innocent search for information.
,c.
Discussing his behavior with his wife would have been better.
d.
A direct question is the best way to discover the reasons for his behavior. - ANS ✔✔A
. During a visit to the clinic, a patient states, The doctor just told me he thought I ought to stop
smoking. He doesnt understand how hard Ive tried. I just dont know the best way to do it. What
should I do? The nurses most appropriate response in this case would be:
a.
Id quit if I were you. The doctor really knows what he is talking about.
b.
Would you like some information about the different ways a person can quit smoking?
c.
Stopping your dependence on cigarettes can be very difficult. I understand how you feel.
d.
Why are you confused? Didnt the doctor give you the information about the smoking cessation
program we offer? - ANS ✔✔B
. The nurse is reviewing data collected after an assessment. Of the data listed below, which
would be considered related cues that would be clustered together during data analysis? Select
all that apply.
a.
Inspiratory wheezes noted in left lower lobes
b.
, Hypoactive bowel sounds
c.
Nonproductive cough
d.
Edema, +2, noted on left hand
e.
Patient reports dyspnea upon exertion
f.
Rate of respirations 16 breaths per minute - ANS ✔✔A C E F
. The nurse makes this comment to a patient, I know it may be hard, but you should do what the
doctor ordered because she is the expert in this field. Which statement is correct about the
nurses comment?
a.
This comment is inappropriate because it shows the nurses bias.
b.
This comment is appropriate because members of the health care team are experts in their area
of patient care.
c.
This type of comment promotes dependency and inferiority on the part of the patient and is
best avoided in an interview situation.
d.
Using authority statements when dealing with patients, especially when they are undecided
about an issue, is necessary at times. - ANS ✔✔C
