NUFT 202 Exam 2
Questions
1. which of the following examples are steps of the nursing
assessment?
1. collection of information from patients family members
2. recognition that further observations are needed to clarify
information
3. Comparison of data with another source to determine data accurac
4. complete documentation of observational information
5. Determining which medications to administer based on a patients
assess- ment data: 1, 2, 3
2. A nurse assesses a patient who comes to the pulmonary clinic. "I
see that it's been over 6 months since you've been here, but your
appointment was for every 2 months. Tell me about that. Also I see
from your last visit that the doctor recommended routine exercise
Can you tell me how successful you've been in following his plan?"
The nurse's assessment covers which of Gordon's func- tional health
patterns?
1. Value-belief pattern
2. Cognitive-perceptual pattern
3. Coping-stress-tolerance pattern
4. Health perception-health management pattern: 4- health perception-health
management pattern
3. When a nurse conducts an assessment, data about a patient
often comes from which of the following sources? (Select all that
apply.)
1. An observation of how a patient turns and moves in bed
2. The unit policy and procedure manual
3. The care recommendations of a physical therapist
4. The results of a diagnostic x-ray film
5. Your experiences in caring for other patients with
similar problems: 1,3,4
The unit policy/ procedure manual is not used to collect data about a patient. While experience caring for
other patients with similar problems may help guide a nurses assessment, data about a particular patient
, NUFT 202 Exam 2
Questions
does not come from those prior experiences.
4. The nurse observes a patient walking down the hall with a shuf-
fling gait. When the patient returns to bed, the nurse checks the
strength in both of the patient's legs. The nurse applies the infor-
mation gained to suspect
, NUFT 202 Exam 2
Questions
that the patient has a mobility problem. This conclusion is an
example of:
1. Cue.
2. Reflection.
3. Clinical inference.
4. Probing.: 3-
A cue is information you obtain through your senses (the nurse observes the patient walking with a
shuffling gait). A clinical inference is the nurse's judgment or interpretation of these cues (the conclusio
that the patient has a mobility problem).Reflection and probing are not relevant to this example.
5. A 72-year-old male patient comes to the health clinic for an annual
follow-up. The nurse enters the patient's room and notices him to be
diaphoretic, holding his chest and breathing with difficulty. The
nurse immediately checks the pa- tient's heart rate and blood
pressure and asks him, "Tell me where your pain is." Which of the
following assessment approaches does this scenario describe?
1. Review of systems approach
2. Use of a structured database format
3. Back channeling
4. A problem-oriented approach: 4- a problem oriented approach comes from caring for
patients in immediate pain
6. The nurse asks a patient, "Describe for me a typical night's sleep.
What do you do to fall asleep? Do you have difficulty falling or
staying asleep? This series of questions would likely occur during
which phase of a patient-centered interview?
1. Orientation
2. Working phase
3. Data validation
4. Termination: 2- working phase allows patients to describe their concerns and problems
7. A nurse is assigned to a 42-year-old mother of 4 who weighs
136.2 kg (300 lbs), has diabetes, and works part time in the
kitchen of a restaurant. The patient is facing surgery for
gallbladder
, NUFT 202 Exam 2
Questions
disease. Which of the following approaches demonstrates the nurse's
cultural competence in assessing the patient's health care problems?
1. "I can tell that your eating habits have led to your diabetes. Is
Questions
1. which of the following examples are steps of the nursing
assessment?
1. collection of information from patients family members
2. recognition that further observations are needed to clarify
information
3. Comparison of data with another source to determine data accurac
4. complete documentation of observational information
5. Determining which medications to administer based on a patients
assess- ment data: 1, 2, 3
2. A nurse assesses a patient who comes to the pulmonary clinic. "I
see that it's been over 6 months since you've been here, but your
appointment was for every 2 months. Tell me about that. Also I see
from your last visit that the doctor recommended routine exercise
Can you tell me how successful you've been in following his plan?"
The nurse's assessment covers which of Gordon's func- tional health
patterns?
1. Value-belief pattern
2. Cognitive-perceptual pattern
3. Coping-stress-tolerance pattern
4. Health perception-health management pattern: 4- health perception-health
management pattern
3. When a nurse conducts an assessment, data about a patient
often comes from which of the following sources? (Select all that
apply.)
1. An observation of how a patient turns and moves in bed
2. The unit policy and procedure manual
3. The care recommendations of a physical therapist
4. The results of a diagnostic x-ray film
5. Your experiences in caring for other patients with
similar problems: 1,3,4
The unit policy/ procedure manual is not used to collect data about a patient. While experience caring for
other patients with similar problems may help guide a nurses assessment, data about a particular patient
, NUFT 202 Exam 2
Questions
does not come from those prior experiences.
4. The nurse observes a patient walking down the hall with a shuf-
fling gait. When the patient returns to bed, the nurse checks the
strength in both of the patient's legs. The nurse applies the infor-
mation gained to suspect
, NUFT 202 Exam 2
Questions
that the patient has a mobility problem. This conclusion is an
example of:
1. Cue.
2. Reflection.
3. Clinical inference.
4. Probing.: 3-
A cue is information you obtain through your senses (the nurse observes the patient walking with a
shuffling gait). A clinical inference is the nurse's judgment or interpretation of these cues (the conclusio
that the patient has a mobility problem).Reflection and probing are not relevant to this example.
5. A 72-year-old male patient comes to the health clinic for an annual
follow-up. The nurse enters the patient's room and notices him to be
diaphoretic, holding his chest and breathing with difficulty. The
nurse immediately checks the pa- tient's heart rate and blood
pressure and asks him, "Tell me where your pain is." Which of the
following assessment approaches does this scenario describe?
1. Review of systems approach
2. Use of a structured database format
3. Back channeling
4. A problem-oriented approach: 4- a problem oriented approach comes from caring for
patients in immediate pain
6. The nurse asks a patient, "Describe for me a typical night's sleep.
What do you do to fall asleep? Do you have difficulty falling or
staying asleep? This series of questions would likely occur during
which phase of a patient-centered interview?
1. Orientation
2. Working phase
3. Data validation
4. Termination: 2- working phase allows patients to describe their concerns and problems
7. A nurse is assigned to a 42-year-old mother of 4 who weighs
136.2 kg (300 lbs), has diabetes, and works part time in the
kitchen of a restaurant. The patient is facing surgery for
gallbladder
, NUFT 202 Exam 2
Questions
disease. Which of the following approaches demonstrates the nurse's
cultural competence in assessing the patient's health care problems?
1. "I can tell that your eating habits have led to your diabetes. Is
