You are reviewing assessment data of a 45 year old male patient and note pain of
8/10, labored breathing, and pale skin color on the electronic health record. This
documentation is an example of:
a) Hypothetical Reasoning
b) Diagnostic Reasoning
✅✅-c) Data Cluster
c) Data Cluster
D) Signs and Symptoms -
The concept of health and healing has evolved in recent years. Which is the best
description of health?
a) Health is the absence of disease
b) Health is a dynamic process toward optimal functioning
✅✅
c) Health depends on an interaction of mind, body, and spirit within the environment
d) Health is the prevention of disease - -c) Health depends on an interaction of
mind, body, and spirit within the environment
Which would be included in the database for a new patient admission to a surgical
unit?
a) All subjective and objective data gathered by a health practitioner from a patient
b) All objective data obtained from a patient through inspection, percussion,
palpation, and auscultation
c) A summary of a patient's record, including laboratory studies
✅✅
d) All subjective and objective, and data gathered from a patient and the results of
any laboratory or diagnostic studies completed - -d) All subjective and
objective, and data gathered from a patient and the results of any laboratory or
diagnostic studies completed
A patient is in the emergency department with nausea and vomiting. Which would
you include in the database?
a) A complete health history and full physical examination
b) A diet and GI history
✅✅-b) A diet
c) Previously identified problems
d) Start collection of data in conjunction with lifesaving measures -
and GI history
A patient has recently received health insurance and would like to know how often
he should visit the provider. How do you respond?
a) "It would be most efficient if you visit on an annual basis"
b) "There is no recommendation for the frequency of health care visits"
c) "Your visits may vary, depending on your level of wellness"
,d) "Your visits will be based on your preference" - ✅✅-c) "Your visits may vary,
depending on your level of wellness"
You are reviewing concepts related to steps in the nursing process for determining
prioritization and developing patient outcomes. To what are these actions attributed?
a) Planning
b) Assessment
✅✅
c) Implementation
d) Diagnosis - -a) Planning
Which best describes evidence based nursing practice?
a) Combining clinical expertise with the use of nursing research to provide the best
care for patients while considering the patient's values and circumstances
b) Appraising and looking at the implications of one or two articles as they relate to
the culture and ethnicity of the patient
c) Completing a literature search to find relevant articles that use nursing research to
encourage nurses to use good practice
✅✅
d) Finding value-based resources to justify nursing actions when working with
patients of diverse cultural backgrounds - -a) Combining clinical expertise with
the use of nursing research to provide the best care for patients while considering
the patient's values and circumstances
What can be determined when the nurse clusters data as part of the critical-thinking
process?
a) This step identifies problems that may be urgent and require immediate action
b) This step involves making assumptions in the data
c) The nurse recognizes relevant information among the data
✅✅
d) Risk factors can be determined so the nurse knows how to offer health teaching -
-c) The nurse recognizes relevant information among the data
A patient says she is very nervous and nauseated, and she feels like she will vomit.
This data would be what type of data?
a) Objective
b) Reflective
✅✅-c) Subjective
c) Subjective
d) Introspective -
The expert nurse differs from the novice nurse by acting without consciously thinking
about the actions. This is referred to as:
,a) Deductive reasoning
b) Intuition
✅✅-b) Intuition
c) The nursing process
d) Focus assessment -
Which would be considered a risk diagnosis?
a) Identifying existing levels of wellness
b) Evaluating previous problems and goals
c) Identifying potential problems the individual may develop
✅✅
d) Focusing on strengths and reflecting an individual's transition to higher levels of
wellness - -c) Identifying potential problems the individual may develop
Which would be included in a holistic model of assessment?
a) Nursing goals for the patient
b) Anticipated growth and development patterns
✅✅-c) A patient's
c) A patient's perception of his or her own health
d) The nurse's perception of disease related to the patient -
perception of his or her own health
The nurse uses health promotion activities with a new patient. What would this focus
include?
a) The nurse would try to change the patient's perceptions of disease
b) The nurse would search for identification of biomedical model interventions
✅✅
c) The nurse would help to identify negative health acts of the patient
d) The nurse would empower the patient to choose a healthier lifestyle - -d)
The nurse would empower the patient to choose a healthier lifestyle
Which is an example of objective data?
a) Patient's history of allergies
b) Patient's use of medications at home
✅✅-d) 2- x 5-cm scar
c) Last menstrual period 1 month ago
d) 2- x 5-cm scar present on the right lower forearm -
present on the right lower forearm
During the evaluation phase of the nursing process, which action would be included?
a) Validating the nursing diagnosis
b) Establishing priorities related to patient care
c) Providing information to the patient and family members
, d) Establishing a timeline for planned outcomes - ✅✅-c) Providing information to
the patient and family members
Which statement best describes religion?
A. An organized system of beliefs concerning the cause, nature, and purpose of the
universe
B. Belief in a divine or superhuman spirit to be obeyed and worshiped
C. Affiliation with one of the 1200 recognized religions in the United States
✅✅
D. The following of established rituals, especially in conjunction with health-seeking
behaviors - -A. An organized system of beliefs concerning the cause, nature,
and purpose of the universe
The major factor contributing to the need for cultural care nursing is:
A. An increasing birth rate
B. Limited access to health care services
✅✅
C. Demographic change
D. A decreasing rate of immigration - -C. Demographic change
The term culturally competent implies that the nurse:
A. Is prepared in nursing
B. Possesses knowledge of the traditions of diverse peoples
✅✅-D. Understands
C. Applies underlying knowledge to providing nursing care
D. Understands the cultural context of the patient's situation -
the cultural context of the patient's situation
You are the triage nurse in the emergency department and perform the initial intake
assessment on a patient who does not speak English. Based on your understanding
of linguistic competence, which action would present as a barrier to effective
communication?
A. Maintaining a professional respectful demeanor
B. Allowing for additional time to complete the process
C. Providing the patient with a paper and pencil so he or she can write down the
answers to the questions that you are going to ask
✅✅
D. Seeing if there are any family members present who may assist with the interview
process - -C. Providing the patient with a paper and pencil so he or she can
write down the answers to the questions that you are going to ask
Which culture would describe illness as hot and cold imbalance?
A. Asian-American heritage
B. African-American heritage
✅✅
C. Hispanic-American heritage
D. American Indian heritage - -C. Hispanic-American heritage
Of what does the patient believe the amulet is protective?
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