Questions and Guide Answers
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1. The nurse is caring for a patient of another culture. Which step should the
nurse initiate first in the cultural assessment to provide culturally competent
care to this patient?
Perform a self-assessment.
Identify the patient's beliefs and values.
Identify the patient's health practices.
Ask the patient about their family structure.
Answer: Perform a self-assessment.
2. The nurse is planning short term goals for a patient. Which goal should be
,included?
A. Quit smoking.
B. Lose 50 pounds.
C. Lower cholesterol by 30 points.
D. Sleep 8 hours per night.
Answer: D. Sleep 8 hours per night.
3. The nurse plans to obtain subjective data from the patient. Which action
should the nurse take to obtain this information?
A. Take the patient's blood pressure.
B. Order a lab draw to check blood glucose.
C. Ask the patient to stand and walk.
,D. Ask the patient to rate pain.
Answer: D. Ask the patient to rate pain.
4. Which statement by the nursing student indicates that further teaching is
needed on the nursing process?
A. "The nursing process is a method of addressing clinical problems."
B. "The nursing process is one area of nursing that has been without criti-
cism."
C. "The nursing process is a creative approach to thinking and decision mak-
ing."
D. "The nursing process is the cornerstone of nursing standards."
Answer: B. "The nursing process is one area of nursing that has been without criticism."
5. The nurse professor is giving a lecture on Dorothy Orem. Which statement
by one of the nursing students indicates that teaching has been effective?
A. "An underlying assumption of Orem's model is that patients want to be in
control of their lives."
B. "Orem's work focuses on goal attainment, for and by the patient."
, C. "Orem focused on the patient as a biopsychosocial adaptive system."
D. "Orem believed that unless attention was paid to the patient's concerns,
mutual goal setting was unlikely."
Answer: A. "An underlying assumption of Orem's model is that patients want to be in control of their
lives."
6. The RN is working on a busy surgical floor, with a team including an LPN and
an UAP. Which duty can the RN delegate to the UAP?
A. Assessment of the post-operative patient
B. Wound care for a patient with a left above knee amputation
C. Administration of oral pain medications
D. Vital signs every hour
Answer: D. Vital signs every hour