Which of the following are examples of data validation? (Select all that apply.)
A) The nurse assesses the patient's heart rate and compares the value with the last
value entered in the medical record.
B) The nurse asks the patient if he is having pain and then asks the patient to rate the
seve...
Exam 1 RNSG 1111 (Unit 1-3 Chapters
1,22,23,15-20,25,26,2,3,6,9,11-14,36-38)
Which of the following are examples of data validation? (Select all that apply.)
A) The nurse assesses the patient's heart rate and compares the value with the last
value entered in the medical record.
B) The nurse asks the patient if he is having pain and then asks the patient to rate the
severity.
C) The nurse observes a patient reading a teaching booklet and asks the patient if he
has questions about its content.
D) The nurse obtains a blood pressure value that is abnormal and asks the charge
nurse to repeat the measurement.
E) The nurse asks the patient to describe a symptom by saying, "Go on." - ✔️✔️A) The
nurse assesses the patient's heart rate and compares the value with the last value
entered in the medical record.
D) The nurse obtains a blood pressure value that is abnormal and asks the charge
nurse to repeat the measurement.
The nurse asks a patient, "Describe for me your typical diet over a 24-hour day. What
foods do you prefer? Have you noticed a change in your weight recently?" This series of
questions would likely occur during which phase of a patient-centered interview?
A) Setting the stage
B) Gathering information about the patient's chief concerns
C) Collecting the assessment
D) Termination - ✔️✔️Collecting the assessment
What type of interview techniques does the nurse use when asking these questions,
"Do you have pain or cramping?" "Does the pain get worse when you walk?" (Select all
that apply.)
A) Active listening
B) Open-ended questioning
C) Closed-ended questioning
D) Problem-oriented questioning - ✔️✔️Closed-ended questioning
Problem-oriented questioning
What technique(s) best encourage(s) a patient to tell his or her full story? (Select all that
apply.)
A) Active listening
,B) Back channeling
C) Validating
D) Use of open-ended questions
E) Use of closed-ended questions - ✔️✔️Active listening
Back channeling
Use of open-ended questions
A nurse gathers the following assessment data. Which of the following cues form(s) a
pattern suggesting a problem? (Select all that apply.)
A) The skin around the wound is tender to touch.
B) Fluid intake for 8 hours is 800 mL.
C) Patient has a heart rate of 78 and regular.
D) Patient has drainage from surgical wound.
E) Body temperature is 101° F (38.3° C).
F) Patient asks, "I'm worried that I won't return to work when I planned." - ✔️✔️A) The
skin around the wound is tender to touch.
D) Patient has drainage from surgical wound.
E) Body temperature is 101° F (38.3° C).
A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over
6 months since you've been in, 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 have been following his plan?" The nurse's
assessment covers which of Gordon's functional health patterns?
A) Value-belief pattern
B) Cognitive-perceptual pattern
C) Coping-stress-tolerance pattern
D) Health perception-health management pattern - ✔️✔️Health perception-health
management pattern
The nurse makes the following statement during a change of shift report to another
nurse. "I assessed Mr. Diaz, my 61-year-old patient from Chile. He fell at home and hurt
his back 3 days ago. He has some difficulty turning in bed, and he says that he has pain
that radiates down his leg. He rates his pain at a 6, but I don't think it's that severe. You
know that back patients often have chronic pain. He seems fine when talking with his
family. Have you cared for him before?" What does the nurse's conclusion suggest?
A) The nurse is making an accurate clinical inference.
B) The nurse has gathered cues to identify a potential problem area.
C) The nurse has allowed stereotyping to influence her assessment.
D) The nurse wants to validate her information with the other nurse. - ✔️✔️C) The
nurse has allowed stereotyping to influence her assessment.
, A nurse checks a patient's intravenous (IV) line in his right arm and sees inflammation
where the catheter enters the skin. She uses her finger to apply light pressure (i.e.,
palpation) just above the IV site. The patient tells her the area is tender. The nurse
checks to see if the IV line is running at the correct rate. This is an example of what type
of assessment?
A) Agenda setting
B) Problem-focused
C) Objective
D) Use of a structured database format - ✔️✔️B) Problem-focused
A patient who visits the allergy clinic tells the nurse practitioner that he is not getting
relief from shortness of breath when he uses his inhaler. The nurse decides to ask the
patient to explain how he uses the inhaler, when he should take a dose of medication,
and what he does when he gets no relief. On the basis of Gordon's functional health
patterns, which pattern does the nurse assess?
A) Health perception-health management pattern
B) Value-belief pattern
C) Cognitive-perceptual pattern
D) Coping-stress tolerance pattern - ✔️✔️A) Health perception-health management
pattern
A nurse is conducting a patient-centered interview. Place the statements from the
interview in the correct order.
1. "You say you've lost weight. Tell me how much weight you have lost in the last
month."
2. "My name is Todd. I'll be the nurse taking care of you today. I'm going to ask you a
series of questions to gather your health history."
3. "I have no further questions. Thank you for your patience."
4. "Tell me what brought you to the hospital."
5. "So, to summarize, you've lost about 6 pounds in the last month, and your appetite
has been poor—correct?" - ✔️✔️2) "My name is Todd. I'll be the nurse taking care of
you today. I'm going to ask you a series of questions to gather your health history."
4) "Tell me what brought you to the hospital."
1) "You say you've lost weight. Tell me how much weight you have lost in the last
month."
5) "So, to summarize, you've lost about 6 pounds in the last month, and your appetite
has been poor—correct?"
3) "I have no further questions. Thank you for your patience."
A patient tells the nurse during a visit to the clinic that he has been sick to his stomach
for 3 days and he vomited twice yesterday. Which of the following responses by the
nurse is an example of probing?
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