NUR 216 Exam 1 Practice Questions
The World Health Organization (WHO) established a global strategy called "Health
for All." The goal for this strategy is: - Answer- Resources for health care to be
evenly distributed and accessible to everyone
Health assessment is a foundational and priority nursing skill. This essential skill
requires registered nurses (RNs) to: - Answer- Identify normal and abnormal findings
You are assessing a patient with five gunshot wounds in a trauma unit. There is a
police presence outside his door because the patient is a known drug dealer in the
community. You know the curses must treat all patients as persons. This is called: -
Answer- Person-centered care (PCC)
The science-based framework updated every 10 years by the U.S. Department of
Health and Human Services that has set national goals and objectives for health
promotion and disease prevention is: - Answer- Healthy People
A 38-year-old male has a family history of colon cancer. His father died of colon
cancer at age 48. The doctor recommended that this patient have a colonoscopy this
year. This is an example of: - Answer- Secondary health prevention
A patient in the hospital puts on his call light and tells the person answering that he,
"thinks he is running a fever and has stomach discomfort." You are the registered
nurse in charge. What should you do? - Answer- Go to the patient's room and
assess for fever and the epigastric discomfort.
You are leading an interdisciplinary team conference to discuss how to provide
better care for a challenging patient who has behavioral problems. There are several
areas that need to be problem solved and new ideas formulated to create an
improved plan of care. What cognitive skills are you using? - Answer- Critical
thinking
Best practice assessment techniques and instruments have been validated by: -
Answer- Research and evidence-based practice
Health and illness are dteremined by many factors. Which of the following are
determinants of health identified by the Centers for Disease Control and Prevention
(CDC)? Select all that apply. - Answer- Genetics and biology, Individual behavior,
Social environment, Physical environment
The U.S health care system is evolving, and care is becoming more focused on
which of the following? Select all that apply. - Answer- Wellness, Disease prevention,
Health promotion
You are performing a health assessment on a 32-year-old female patient who
reports, "feeling fatigued all the time." She states, "I have not had a physical in over
8 years because I did not have medical insurance." The patient will be having a
,physical today. What will be part of the health assessment? Select all that apply. -
Answer- Collecting data on past health, Collecting data on present health, Assessing
factors influencing health, Performing a physical examination
You are working with a patient as a copartner in care. The patient has multiple
medical problems. Put the following steps in the nursing process in the correct order
(1-5) (ADPIE) - Answer- Assessment
Diagnosis
Planning
Implementation
Evaluation
You are working on a medical surgical unit and are caring for a 24-year-old patient
who is 3 hours post-op. The patient seems confused and restless since you
assessed her an hour ago. You have a gut feeling that something is very wrong. This
is an example of ____________ thinking. - Answer- Intuitive
The four techniques of physical assessment include inspection, palpation,
percussion, and ___________. - Answer- Auscultation
The nursing instructor is teaching a group of students the components of the health
history interview. Which principles of behavior should the student remember when
conducting a health assessment history? Select all that apply. - Answer- Remain
sensitive, Be nonjudgmental, Demonstrate professional behaviors
In order to conduct effective assessments and health histories, the nurse must use a
patient-centered approach using therapeutic communication. Which dimensions of
patient-centered care should the nurse include? Select all that apply. - Answer-
Empathy and compassion, Genuineness, Respect, Caring
A patient comes to the clinic for an annual examination. To prepare for the health
history interview, the nurse knows to include which of the following components?
Select all that apply. - Answer- Leaving the patient dressed until it is time to perform
the physical assessment, Conducting the interview in a private place away from
noise
The nurse is preparing to conduct a complete health history on a new patient who
just arrived at the walk-in clinic. The nurse is going to use the CLEAR mnemonic to
collect information. Which of the following are components of CLEAR? Select all that
apply. - Answer- Clear, Listen, Empathy, Attention, Respect
You are taking a health history on a patient who has not seen a healthcare provider
in many years. He states, "I do not want to be here, but my wife is forcing me to see
this doctor. All doctors want to do is out patients on drugs!" You know that
communication skills will be very important during this patient encounter. What is the
purpose of communication? Select all that apply. - Answer- Share information, Share
and exchange thoughts, perceptions, and feelings
, Communication is both verbal and nonverbal. The following are nonverbal visual
cues to be aware of during an interview. Select all that apply. - Answer- Slouching in
the chair, Frowning, No eye contact, Gestures
A patient and her husband arrive at the community health center for a follow-up
assessment. The patient has recently had a stroke and is aphasic. She understands
what you are saying but is unable to talk. Which of the following nursing interventions
should be followed? Select all that
apply. - Answer- Ask the husband the best way to communicate with his wife, Find a
large blackboard to write your questions on, Offer the patient a white board or paper
and pen, Communicate one question or sentence at a time
Communication is a reciprocal conversation. Identify barriers to communication.
Select all that apply. - Answer- Asking too many questions, Silence, Stereotyping
As the nurse prepares for a patient interview he or she recalls that effective
communication includes which of the following? Select all that apply. - Answer- Avoid
medical jargon, Keep questions simple and clear, Avoid excessive note taking
The mnemonic CLEAR is foundational for successful interviewing. The student nurse
recognizes that this stands for which of the following terms? - Answer- Center,
Listen, Empathy, Attention, and Respect.
The nurse is conducting a health history interview and suspects that the patient may
have a hearing deficit. Which consideration is most appropriate for the nurse to
make? - Answer- Reduce any background noise in the room.
The patient has disclosed a visual impairment to the nurse. Which is the priority
action for the nurse to remember before starting the physical assessment? - Answer-
Ask the patient how much he or she can see.
A patient's culture can influence the interview process. The nursing student
recognizes that which of the following is true about how culture can influence the
interview process? - Answer- A patient may have different definitions and
perceptions of health and illness.
When conducting the interview, the nurse needs to determine the reliability of the
data collected. Which primary source would be considered the most reliable for the
health history
information? - Answer- The patient who is alert and oriented to person, place, and
time.
The nurse is preparing to conduct a health history on a patient and organizes the
interview in a head-to-toe sequence. Which type of health history is the nurse going
to conduct? - Answer- Comprehensive
The nurse is preparing to conduct a health history on a patient seen in the health
clinic 2 days ago. Which type of health history is the nurse going to conduct? -
Answer- Follow-up
