Fundamentals of Nursing Review Questions
Chapter 3: Communication
1. A hospitalized patient experiences a sharp, stabbing pain while visiting with his spouse. Both the patient and his wife
become very concerned, and the patient's call light is activated. What referent initiated communication between the
patient and the nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light
2. Which factor influences whether a message is effectively communicated? (Select all that apply.)
a. Timing of the conversation
b. Educational level of participants
c. Mode of communication used
d. Physical environment of discussion
e. Clothing that the nurse is wearing
3. When a patient is grimacing, what assessment statement or question would be most beneficial for identifying the
underlying cause of the nonverbal communication?
a. “Did you lose something?”
b. “You appear to be having pain.”
c. “I will turn off the lights and let you rest.”
d. “May I get you something to relieve your tension?”
4. What action by the nurse would most ensure accurate interpretation of patient communication?
a. Providing feedback regarding the conveyed message
b. Writing down the patient's conversational highlights
c. Assuming significant cultural differences exist
d. Verifying the patient's emotional state
5. If a patient's verbal and nonverbal communication is inconsistent, which form of communication is most likely to
convey the true feelings of the patient?
a. Written notes
b. Facial expressions
c. Implied inferences
d. Spoken words
6. What strategy would be most effective in communicating with a highly anxious adult immediately before surgery?
a. Providing specific, concise information
b. Detailing likely causes of their anxiety
c. Focusing on postoperative details
d. Using instructional multimedia DVDs
7. What action should the nurse take if an alert and oriented patient asks the nurse for personal contact information?
a. Ask the patient why the personal information is needed.
b. Report the interaction to the nursing supervisor immediately.
c. State that it would not be appropriate to share that information.
d. Change the subject, and hope that the patient does not ask again.
8. What would be the best therapeutic response to a patient who expresses indecision about recommended
chemotherapy treatments?
a. “Can you tell me why you are undecided?”
b. “It's always a good idea to have chemotherapy.”
c. “What are you thinking about the treatments at this point?”
d. “You should follow whatever your health care provider recommends.”
9. Which statement is most accurate regarding symbolic expression?
a. Skills confidence can be shared most effectively by nurses wearing distinctive clothing.
b. Clothing choices by a hospitalized patient rarely reflect his or her economic resources.
c. Make-up use by a patient is unnecessary for any reason during hospitalization.
d. Nondramatic make-up use and minimal accessorizing by nurses demonstrates professionalism.
This study source was downloaded by 100000842568006 from CourseHero.com on 05-30-2022 17:37:18 GMT -05:00
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, 10. Which defense mechanism is being exhibited when a 27-year-old patient insists on having a parent present during
routine care?
a. Denial
b. Regression
c. Repression
d. Displacement
Chapter 6: Assessment
1. Which action by a patient marks the beginning of the physical assessment process?
a. Redressing after a physical examination
b. Breathing normally during auscultation
c. Greeting the nurse in the examination room
d. Sharing work environment information
2. Which factors should be taken into consideration by the nurse before and during a patient interview? (Select all that
apply.)
a. Distance between the chairs in which the nurse and patient are sitting
b. Traditional treatments typically used by the patient to treat disease
c. Gender preference for primary care providers
d. Physical condition of the patient
e. Music preference of the patient
3. Which action by the nurse is most appropriate during the orientation phase of the patient interview?
a. Always position patients in a comfortable reclined position to ensure their comfort during questioning
b. Ask which name a patient prefers to be called during care to show respect and build trust
c. Quickly conduct a review of systems to determine the need for a complete or focused assessment
d. Begin with questions about intimacy and sexuality to address sensitive issues first
4. Which activity by the nurse best demonstrates part of the working phase of a patient interview?
a. Summarizing previously discussed key topics
b. Including selected family members in care planning
c. Transferring care responsibilities to the home health nurse
d. Verifying the name by which a patient prefers to be addressed
5. Which entry in a patient's electronic health record best indicates the need for a nurse to gather secondary rather than
primary subjective data?
a. Complaining of chest pain
b. Apical pulse 110
c. Comatose
d. Difficulty swallowing
6. Which line of questioning by the nurse best represents an appropriate approach to the review of systems aspect of the
assessment process?
a. “What do you do for a living? Can you describe your work environment?”
b. “Is there a family history of heart disease, cancer, high blood pressure, or stroke?”
c. “When was your last annual physical? What immunizations did you receive at that time?”
d. “Do you have any chest tightness, shortness of breath, or difficulty breathing while exercising?”
7. Which cue by a patient can be validated by laboratory and diagnostic test results?
a. Deeply sighing with fatigue
b. Bilateral crackles in the lungs
c. Oxygen saturation of 98% on room air
d. 2+ pitting edema of the ankles and feet
8. A patient discusses his job stress and family relationships with the nurse during his health history interview. In which
organizational framework is this type of data likely to be recorded most extensively?
a. Body systems model
b. Physical assessment model
c. Head-to-toe assessment model
d. Functional health patterns model
9. When initiating a physical examination, which action should the nurse take first?
a. Review of the patient's prior medical records
This study source was downloaded by 100000842568006 from CourseHero.com on 05-30-2022 17:37:18 GMT -05:00
https://www.coursehero.com/file/81362313/EXAM-1-REVIEW-QUESTIONSdocx/
Chapter 3: Communication
1. A hospitalized patient experiences a sharp, stabbing pain while visiting with his spouse. Both the patient and his wife
become very concerned, and the patient's call light is activated. What referent initiated communication between the
patient and the nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light
2. Which factor influences whether a message is effectively communicated? (Select all that apply.)
a. Timing of the conversation
b. Educational level of participants
c. Mode of communication used
d. Physical environment of discussion
e. Clothing that the nurse is wearing
3. When a patient is grimacing, what assessment statement or question would be most beneficial for identifying the
underlying cause of the nonverbal communication?
a. “Did you lose something?”
b. “You appear to be having pain.”
c. “I will turn off the lights and let you rest.”
d. “May I get you something to relieve your tension?”
4. What action by the nurse would most ensure accurate interpretation of patient communication?
a. Providing feedback regarding the conveyed message
b. Writing down the patient's conversational highlights
c. Assuming significant cultural differences exist
d. Verifying the patient's emotional state
5. If a patient's verbal and nonverbal communication is inconsistent, which form of communication is most likely to
convey the true feelings of the patient?
a. Written notes
b. Facial expressions
c. Implied inferences
d. Spoken words
6. What strategy would be most effective in communicating with a highly anxious adult immediately before surgery?
a. Providing specific, concise information
b. Detailing likely causes of their anxiety
c. Focusing on postoperative details
d. Using instructional multimedia DVDs
7. What action should the nurse take if an alert and oriented patient asks the nurse for personal contact information?
a. Ask the patient why the personal information is needed.
b. Report the interaction to the nursing supervisor immediately.
c. State that it would not be appropriate to share that information.
d. Change the subject, and hope that the patient does not ask again.
8. What would be the best therapeutic response to a patient who expresses indecision about recommended
chemotherapy treatments?
a. “Can you tell me why you are undecided?”
b. “It's always a good idea to have chemotherapy.”
c. “What are you thinking about the treatments at this point?”
d. “You should follow whatever your health care provider recommends.”
9. Which statement is most accurate regarding symbolic expression?
a. Skills confidence can be shared most effectively by nurses wearing distinctive clothing.
b. Clothing choices by a hospitalized patient rarely reflect his or her economic resources.
c. Make-up use by a patient is unnecessary for any reason during hospitalization.
d. Nondramatic make-up use and minimal accessorizing by nurses demonstrates professionalism.
This study source was downloaded by 100000842568006 from CourseHero.com on 05-30-2022 17:37:18 GMT -05:00
https://www.coursehero.com/file/81362313/EXAM-1-REVIEW-QUESTIONSdocx/
, 10. Which defense mechanism is being exhibited when a 27-year-old patient insists on having a parent present during
routine care?
a. Denial
b. Regression
c. Repression
d. Displacement
Chapter 6: Assessment
1. Which action by a patient marks the beginning of the physical assessment process?
a. Redressing after a physical examination
b. Breathing normally during auscultation
c. Greeting the nurse in the examination room
d. Sharing work environment information
2. Which factors should be taken into consideration by the nurse before and during a patient interview? (Select all that
apply.)
a. Distance between the chairs in which the nurse and patient are sitting
b. Traditional treatments typically used by the patient to treat disease
c. Gender preference for primary care providers
d. Physical condition of the patient
e. Music preference of the patient
3. Which action by the nurse is most appropriate during the orientation phase of the patient interview?
a. Always position patients in a comfortable reclined position to ensure their comfort during questioning
b. Ask which name a patient prefers to be called during care to show respect and build trust
c. Quickly conduct a review of systems to determine the need for a complete or focused assessment
d. Begin with questions about intimacy and sexuality to address sensitive issues first
4. Which activity by the nurse best demonstrates part of the working phase of a patient interview?
a. Summarizing previously discussed key topics
b. Including selected family members in care planning
c. Transferring care responsibilities to the home health nurse
d. Verifying the name by which a patient prefers to be addressed
5. Which entry in a patient's electronic health record best indicates the need for a nurse to gather secondary rather than
primary subjective data?
a. Complaining of chest pain
b. Apical pulse 110
c. Comatose
d. Difficulty swallowing
6. Which line of questioning by the nurse best represents an appropriate approach to the review of systems aspect of the
assessment process?
a. “What do you do for a living? Can you describe your work environment?”
b. “Is there a family history of heart disease, cancer, high blood pressure, or stroke?”
c. “When was your last annual physical? What immunizations did you receive at that time?”
d. “Do you have any chest tightness, shortness of breath, or difficulty breathing while exercising?”
7. Which cue by a patient can be validated by laboratory and diagnostic test results?
a. Deeply sighing with fatigue
b. Bilateral crackles in the lungs
c. Oxygen saturation of 98% on room air
d. 2+ pitting edema of the ankles and feet
8. A patient discusses his job stress and family relationships with the nurse during his health history interview. In which
organizational framework is this type of data likely to be recorded most extensively?
a. Body systems model
b. Physical assessment model
c. Head-to-toe assessment model
d. Functional health patterns model
9. When initiating a physical examination, which action should the nurse take first?
a. Review of the patient's prior medical records
This study source was downloaded by 100000842568006 from CourseHero.com on 05-30-2022 17:37:18 GMT -05:00
https://www.coursehero.com/file/81362313/EXAM-1-REVIEW-QUESTIONSdocx/
