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Test Bank For Bates' Guide To Physical Examination and History Taking

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Test Bank For Bates' Guide To Physical Examination and History Taking 13th Edition by Lynn S. Bickley

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Test Bank For Bates' Guide To Physical Examination
and History Taking 13th Edition by Lynn S. Bickley
_____________________________________________________________________________________

Patient in an outpatient clinic has cold and influenza-like symptoms

Which situation is most appropriate during which the nurse performs a focused or problem-centered
history?

Collect a follow-up data base and then check her blood pressure

A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly
since she changed medications 2 months ago. The nurse should:

Simultaneously ask history questions while performing the examination and initiating life-saving
measures

A patient is brought by ambulance to the emergency department with multiple traumas received in an
automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse
proceed with data collection?

Provide culturally sensitive and appropriate care

A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse
knows that including cultural information in his health assessment is important to:

Helping the consumer choose a healthier lifestyle

In the health promotion model, the focus of the health professional includes:

Evaluate the individuals condition, and compare actual outcomes with expected outcomes

The nurse has implemented several planned interventions to address the nursing diagnosis of acute
pain. Which would be the next appropriate action?

Understands a patient situation as a whole rather than a list of tasks and recognizes the long-term
goals for the patient.

Which statement best describes a proficient nurse? A proficient nurse is one who:

Inspiratory wheezes noted in left lower lobes
Nonproductive cough
Patient reports dyspnea upon exertion
Rate of respirations 16 breaths per minute

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.

1-A patient newly diagnosed with type 2 diabetes mellitus does not know how to check his own blood
glucose levels with a glucometer.

,2-A teenager who was stung by a bee during a soccer match is having trouble breathing.
3-An older adult with a urinary tract infection is also showing signs of confusion and agitation.

Put the following patient situations in order according to the level of priority.

Learned through language acquisition and socialization

The nurse is reviewing the development of culture. Which statement is correct regarding the
development of one's culture? Culture is:

Culture adapts to specific environmental factors and available natural resources

During a class on the aspects of culture, the nurse shares that culture has four basic characteristics.
Which statement correctly reflects one of these characteristics?

Culture

During a seminar on cultural aspects of nursing, the nurse recognizes that the definition stating the
specific and distinct knowledge, beliefs, skills, and customs acquired by members of a society reflects
which term?

Identifying fairly large groups of people with shared characteristics that are not common to all
members of a culture

When discussing the use of the term subculture, the nurse recognizes that it is best described as:

Hispanic

When reviewing the demographics of ethnic groups in the United States, the nurse recalls that the
largest and fastest growing population is:

Ask the patient about the item and its significance

During an assessment, the nurse notices that a patient is handling a small charm that is tied to a leather
strip around his neck. Which action by the nurse is appropriate?

Understands and attends to the total context of the patients situation

The nurse manager is explaining culturally competent care during a staff meeting. Which statement
accurately describes the concept of culturally competent care? The caregiver:

Woman who follows the traditions that her mother followed regarding meals

The nurse recognizes that an example of a person who is heritage consistent would be a:

Ethnicity pertains to a social group within the social system that claims shared values and traditions

After a class on culture and ethnicity, the new graduate nurse reflects a correct understanding of the
concept of ethnicity with which statement?

Personal effort made to find purpose and meaning in life

The nurse is comparing the concepts of religion and spirituality. Which of the following is an appropriate
component of ones spirituality?

,Assimilation

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?

Do you mostly participate in the religious traditions of your family?

The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment?

Consider these symptoms part of normal living, not symptoms of ill health.

In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For
some individuals of Mexican-American origin, however, these symptoms are a normal part of living. The
nurse recognizes that this difference is true, probably because Mexican-Americans:

Biomedical

The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms
such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which
theory of illness?

Foods that are hot or yang

An Asian-American woman is experiencing diarrhea, which is believed to be cold or yin. The nurse
expects that the woman is likely to try to treat it with:

All aspects of the person are in perfect balance.

Many Asians believe in the yin/yang theory, which is rooted in the ancient Chinese philosophy of Tao.
Which statement most accurately reflects health in an Asian with this belief?

Naturalistic

Illness is considered part of life's rhythmic course and is an outward sign of disharmony within. This
statement most accurately reflects the views about illness from which theory?

Supernatural forces

An individual who takes the magico religious perspective of illness and disease is likely to believe that his
or her illness was caused by:

May also be seeking the assistance of a shaman or medicine man

If an American Indian woman has come to the clinic to seek help with regulating her diabetes, then the
nurse can expect that she:

Further assess the patients cultural beliefs and offer the patient assistance in contacting a curandero
or priest if she desires.

An older Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit.
A culturally sensitive nurse would:

, It is unclear what is happening with this patient; consequently, the nurse should perform an
assessment in both the physical and the psychosocial realms.

A 63-year-old Chinese-American man enters the hospital with complaints of chest pain, shortness of
breath, and palpitations. Which statement most accurately reflects the nurses best course of action?

Nurses need to recognize that many cultures practice silent suffering as a response to pain.

Symptoms, such as pain, are often influenced by a persons cultural heritage. Which of the following is a
true statement regarding pain?

Just as patients vary in their perceptions of pain, so will they vary in their expressions of pain.

The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?

Arises out of each persons unique life experience and his or her personal effort to find purpose in life.

During a class on religion and spirituality, the nurse is asked to define spirituality. Which answer is
correct? Spirituality:

Children have spiritual needs that are influenced by their stages of development.

The nurse recognizes that working with children with a different cultural perspective may be especially
difficult because:

Culture shock

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:

Influenced by the accessibility of over-the-counter medicines

After a symptom is recognized, the first effort at treatment is often self-care. Which of the following
statements about self-care is true? Self-care is:

The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore
the balance of the humors of the body.

The nurse is reviewing the hot/cold theory of health and illness. Which statement best describes the
basic tenets of this theory?

Older man with gastrointestinal discomfort

In the hot/cold theory, illnesses are believed to be caused by hot or cold entering the body. Which of
these patient conditions is most consistent with a cold condition?

What cultural or spiritual beliefs are important to you?

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