COMPLETE QUESTIONS AND VERIFIED QUESTIONS
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A man has been admitted to the observation unit for observation after being treated
for a large cut on his forehead. As the nurse works through the interview, one of
the standard questions has to do with alcohol, tobacco, and drug use. When the
nurse asks him about tobacco use, he states, "I quit smoking after my wife died 7
years ago." However, the nurse notices an open package of cigarettes in his shirt
pocket. Using confrontation, the nurse could say:
A. "I know that you are lying."
B. "Come on, tell me how much you smoke."
C. "I didn't realize your wife had died. It must be difficult for you at this time.
Please tell me more about that."
D. "You have said that you don't smoke, but I see you have an open package of
cigarettes in your pocket." - ANS... -You have said that you don't smoke, but I see
you have an open package of cigarettes in your pocket."
A nurse is taking complete health histories on all the patients attending a wellness
workshop. On this history form, one of the questions asks, "You don't smoke,
drink, or take drugs, do you?" This question is an example of:
A. talking to much.
B. using confrontation.
C. using biased or leading questions.
D. using blunt languate to deal with distateful topics. - ANS... -using biased or
leading questions.
During an interview, a parent of a hospitalized child is sitting in an open position.
As the interviewer begins to discuss his son's treatment, however, he suddenly
crosses his arms against his chest and crosses his legs. This would suggest that the
parent is:
A. just changing positions.
B. more comfortable in this position.
C. tired and needs a break from the interview.
, D. uncomfortable talking about his son's treatments. - ANS... -uncomfortable
talking about his son's treatments.
The nurse is interviewing a patient who has a hearing impairment. What techniques
would be most beneficial in communicating with this patient?
A. Determine the communication method he prefers.
B. Avoid using facial and hand gestures because most hearing impaired people
find this degrading.
C. Request a sign language interpreter before meeting with him to help facilitate
the communication.
D. Speak loudly and with exaggerated facial movement when talking with him
because this helps with lip readings. - ANS... -Determine the communication
method he prefers.
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 haven't you taken your insulin?"
Which statement is an appropriate evaluation of this question?
A. It may put the patient on the defensive.
B. It is an innocent search for information.
C. It would have been better to discuss this with his wife.
D. It is the best way to discover the reasons for his behavior. - ANS... -It may put
the patient on the defensive.
The nurse is conducting an interview in an outpatient clinic and is using a
computer to record data. Which is the best use of the computer in this situation?
Select all that apply.
A. Collect the patient's data as the patient states it.
B. Enter all the data as the patient states it.
C. Ask the patient to wait as the nurse enters data.
D. Type the data into the computer after the narrative has all been explored.
E. Allow the patient to see the monitor during typing. - ANS... -A. Collect the
patient's data as the patient states it.
D. Type the data into the computer after the narrative has all been explored.
E. Allow the patient to see the monitor during typing.
The nurse is reviewing information about evidence-based practice (EBP). Which
statement best reflects EBP?
A. EBP relies on tradition for support of best practices.
B. EBP is simply the use of best practice technique for treatment of patients.
C. EBP emphasizes the use of best evidence with the clinician's experience.
, D. The patient's own preferences are not important with EBP. - ANS... -EBP
emphasizes the use of best evidence with the clinician's experience.
Barriers to incorporating EBP include:
A. nurse's lack of research skills in evaluating quality or research studies.
B. lack of significant research studies.
C. insufficient clinical skills of nurses.
D. inadequate physical assessment skills. - ANS... -nurse's lack of research skills
in evaluating quality or research studies.
When reviewing concepts of health, the nurse recalls that components of holistic
health include which of these?
A. Disease originates from the external environment.
B. The individual human is a closed system.
C. Nurses are responsible for a patient's health state.
D. Holistic health views the mind, body, and spirit as interdependent. - ANS... -
Holistic health views the mind, body, and spirit as interdependent.
The nurse recognizes that the concept of prevention in describing health is
essential because:
A. disease can be prevented by treating the external environment.
B. the majority of deaths among Americans under age 65 years are not
preventable.
C. prevention places emphasis on the link between health and personal behavior.
D. the means to prevention is through treatment provided by primary health care. -
ANS... -prevention places emphasis on the link between health and personal
behavior.
A visiting nurse is making an initial home visit for a patient who has many chronic
medical problems. Which type of data base is most appropriate to collect in this
setting?
A. A follow-up database to evaluate changes at appropriate intervals.
B. An episodic database because of the continuing, complex medical problems of
this patient.
C. A complete health database because of the nurse's primary responsibility for
monitoring the patient's health.
D. An emergency database because of the need to rapidly collect information and
make accurate diagnoses. - ANS... -A complete health database because of the
nurse's primary responsibility for monitoring the patient's health.
, Which situation is most appropriate for the nurse to perform a focused or problem-
centered history?
A. A patient's admission to a long-term care facility.
B. A patient has sudden, severe shortness of breath.
C. A patient's admission to the hospital for surgery the following day.
D. A patient in an outpatient clinic has cold and flu-like symptoms. - ANS... -A
patient in an outpatient clinic has cold and flu-like symptoms.
The nurse is preparing to conduct a health history. Which of these statements best
describes the purpose of a health history?
A. To provide an opportunity for interaction between patient and nurse.
B. To provide a form for obtaining the patient's biographic information.
C. To document the normal and abnormal findings of a physical assesment.
D. To provide a database of subjective information about the patient's past and
current health. - ANS... -To provide a database of subjective information about the
patient's past and current health.
A patient tells the nurse that he is allergic to penicillin. What would be the nurse's
best response for this information?
A. "Are you allergic to any other drugs?"
B. "How often have you received penicillin?"
C. "I'll write your allergy on your chart so you won't receive any penicillin."
D. "Please describe what happens to you when you take penicillin." - ANS... -
Please describe what happens to you when you take penicillin."
During an assessment of a patient's family history, the nurse constructs a
genogram. Which statement best describes a genogram?
A. A list of diseases present in a person's near relatives.
B. A graphic family tree that uses symbols to depict the gender, relationship, and
age of immediate family members.
C. A drawing that depicts the patient's family members up to five generations
back.
D. A description of the health of a person's children and grandchildren. - ANS... -
A graphic family tree that uses symbols to depict the gender, relationship, and age
of immediate family members.
A 90-year-old patient tells the nurse that he can't remember the names of the
medications he is taking or for what reason he is taking them. An appropriate
response from the nurse would be: