NR 302 Exam 1 Review
1st Level Priority - ANS-Life threatening
ABCV (airway, breathing, circulation, vital signs)
Emergent, life-threatening, and require critical immediate attention. Establishing an airway,
supportive breathing and circulation/cardiac, Vital signs.
2nd Level Priority - ANS-Forestall further deterioration
Next to urgent priority, needs intervention prior to further deterioration
Next in urgency. Those requiring prompt intervention to forestall further deterioration. Abnormal
lab values, untreated medical problems, risk of infection.
3rd Level Priority - ANS-Important but can wait
Problems that are important to patient's health but can be addressed after more urgent
problems
Non life threatening problems such as trouble sleeping, lack of knowledge, activity, rest, family
coping
A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which
information should the nurse collect before this procedure?
A. The child's birth weight
B. The age at which he crawled
C. Whether he has had the measles
D. Reactions to previous hospitalizations - ANS-D. Reactions to previous hospitalizations
Assess how the child reacted to hospitalization and any complications. If the child reacted
poorly, he or she may be afraid now and will need special preparation for the examination that is
to follow. The other items are not significant for the procedure.
A female patient does not speak English well, and the nurse needs to choose an interpreter.
Which of the following would be the most appropriate choice?
A) A trained interpreter
B) A male family member
C) A female family member
D) A volunteer college student from the foreign language studies department - ANS-A) A trained
interpreter
,Page: 46 whenever possible, the nurse should use a trained interpreter, preferably one who
knows medical terminology. In general, an older, more mature interpreter is preferred to a
younger, less experienced one, and the same gender is preferred when possible.
A nurse is taking complete health histories on all of the patients attending a wellness workshop.
On the history form, one of the written questions asks, "You don't smoke, drink, or take drugs,
do you?" This question is an example of:
A) talking too much.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with distasteful topics. - ANS-C) using biased or leading
questions.
Page: 36 This is an example of using leading or biased questions. Asking, "You don't smoke, do
you?" implies that one answer is "better" than another. If the person wants to please someone,
he or she is either forced to answer in a way corresponding to their implied values or is made to
feel guilty when admitting the other answer.
Abstract Reasoning - ANS-Pondering a deeper meaning beyond the concrete
Aculturation - ANS-Adopting new cultural traits while maintaining some of the former ones
To adapt to a second culture without necessarily giving up one's first culture
Ad Hoc Interpreter - ANS-Using a patients family member or friend to interpret for a LEP patient
Among many Asians there is a belief in the yin/yang theory, rooted in the ancient Chinese
philosophy of Tao. The nurse recognizes which statement that most accurately reflects "health"
in an Asian with this belief?
A) A person is able to work and produce.
B) A person is happy, stable, and feels good.
C) All aspects of the person are in perfect balance.
D) A person is able to care for others and function socially. - ANS-C) All aspects of the person
are in perfect balance.
Page: 21 Many Asians believe in the yin/yang theory, in which health is believed to exist when
all aspects of the person are in perfect balance. The other statements do not describe this
theory.
An elderly Mexican-American woman with traditional beliefs has been admitted to an inpatient
care unit. A culturally-sensitive nurse would:
A) contact the hospital administrator about the best course of action.
, B) automatically get a curandero for her because it is not culturally appropriate for her to request
one.
C) further assess the patient's cultural beliefs and offer the patient assistance in contacting a
curandero or priest if she desires.
D) ask the family what they would like to do because Mexican-Americans traditionally give
control of decisions to their families - ANS-C) further assess the patient's cultural beliefs and
offer the patient assistance in contacting a curandero or priest if she desires.
Pages: 22-23 In addition to seeking help from the biomedical/scientific health care provider,
patients may also seek help from folk or religious healers. Some people, such as those of
Mexican-American or American Indian origins, may believe that the cure is incomplete unless
the body, mind, and spirit are also healed (although the division of the person into parts is a
Western concept).
An individual who takes the magicoreligious perspective of illness and disease is likely to
believe that his or her illness was caused by:
A) germs and viruses.
B) supernatural forces.
C) eating imbalanced foods.
D) an imbalance within his or her spiritual nature. - ANS-B) supernatural forces.
Page: 21 The basic premise of the magicoreligious perspective is that the world is seen as an
arena in which supernatural forces dominate. The fate of the world and those in it depends on
the actions of supernatural forces for good or evil. The other answers do not reflect the
magicoreligious perspective.
Animism - ANS-Belief that an inanimate object can come alive and have human characteristics
Apahasia - ANS-language comprehension disorder
Appearance - ANS-Relaxed posture, voluntary body movements, dress, grooming, hygiene
Assimilation - ANS-Adopting the traits of another culture. Often happens over time when one
immigrates into a new country.
Process by which people of one culture merge into and become part of another culture
Process of less dominant cultures losing their culture to a more dominant culture
Attention - ANS-Concentration, ability to focus on one specific thing
Avoidance Language - ANS-The use of euphemisms to avoid reality or to hide feelings
Saying someone "passed on" instead of "died"
Behavior - ANS-Level of consciousness, facial expression, word choice, mood and affect
