Nurs 3016 CHAPTERS 1-12 Test With
Complete Solution
The nurse is caring for a patient who has severe leg pain, is bedridden and
has now developed a stage I pressure ulcer. Which intervention is a priority
for this patient?
-Administering analgesics
-Providing extra fluids
-Ambulating at regular intervals
-Teaching a range-of-motion exercises - ANSWER Administering analgesics
While preparing a complete database for a 35-year old female patient w
diabetes, the nurse determines that the patient is following appropriate
health-promotion techniques. Which findings support the nurse's
conclusion?
-Has dental visits twice a year
-walks 2 miles 3 times a week
Uses sunscreen when going outside
-has a pedicure and foot checks once a year
-does a breast self-examination twice a year - ANSWER -Has dental visits
twice a year
-walks 2 miles 3 times a week
,Uses sunscreen when going outside
What must the nurse assess first when providing culturally competent health
care to an Asian American patient?
1.The tradition of the Asian American culture and the health care practices r/t
health and wellness
2.The nurse's heritage-based cultural values, beliefs, attitudes, and practices
3.Any differences between the nurse's culture and the Asian American culture
4.The attitudes of Asian American cultures to the health care system in the
United States - ANSWER The correct answer is 2. The nurse first needs to be
able to determine what biases or differences exist prior to rendering care to
any other culture
What are the social determinants of health? - ANSWER -Neighborhood &
built environment- Is it safe to go outside?
-Health and health care: Is there only 1 doctor? Access to doctors?
-Social & community context: whether or not there is support in the
community
-Eduction
-Economic Stability: Job
Disease causation through 3 major ways. What are these ways? - ANSWER
-Biomedical or scientific theory of illness
,-Naturalistic or holistic perspective
-Magico Religious
What is the health history sequence? - ANSWER 1. Biographic data
2. Reason for seeking care
3. Present health or history of present illness
4. Past history
5. Medication reconciliation
6. Family history
7. Review of systems
8. Functional assessment or activities of daily living (ADLs)
What do you ask when getting biographic data from a patient? - ANSWER
-Name, address, and phone number
-Age, birth date, and birthplace
-Gender (identification) and relationship status
-Race and ethnic origin
-Occupation: usual and present
-Primary language
, What are the 8 things you ask for when talking about the present health of
the patient? - ANSWER 1. Location: Be specific;
2. Character or Quality: specific descriptive terms such as burning, sharp, dull,
aching, gnawing, throbbing, shooting, viselike when describing pain.
3. Quantity or Severity: Attempt to quantify the sign or symptom, such as
"profuse menstrual flow soaking five pads per hour."
4. Timing (Onset, Duration, Frequency): When did the symptom first appear?
Give the specific date and time or state specifically how long ago the
symptom started prior to arrival (PTA).
5. Setting: Where was the person or what was the person doing when the
symptom started? What brings it on?
6. Aggravating or Relieving Factors: What makes the pain worse?What
relieves it (e.g., rest, medication, or ice pack)? What is the effect of any
treatment? Ask, "What have you tried?" or "What seems to help?"
7. Associated Factors. Is this primary symptom associated with any others
(e.g., urinary frequency and burning associated with fever and chills)?
8. Patient's Perception. Find out the meaning of the symptom by asking how
it affects daily activities
What is the PQRSTU mnemonic of pain? - ANSWER P= Provocative or
palliative
Q= Quality or quantity
R= Region or radiation
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