What must the nurse assess first when providing culturally competent health care to an Asian American patient? a. The tradition of the Asian American culture and the health care practices r/t health and wellness b. The nurse's heritage-based cultural values, beliefs, attitudes, and practices c. Any...
NURS 347 Questions Exam 1 Questions
and Answers
What must the nurse assess first when providing culturally competent health care to an
Asian American patient?
a. The tradition of the Asian American culture and the health care practices r/t health
and wellness
b. The nurse's heritage-based cultural values, beliefs, attitudes, and practices
c. Any differences between the nurse's culture and the Asian American culture
d. The attitudes of Asian American cultures to the health care system in the United
States ✅b. The nurse's heritage-based cultural values, beliefs, attitudes, and practices
(Rationale: The nurse first needs to be able to determine what biases or differences
exist prior to rendering care to any other culture)
The nurse has a "hunch" that the patient's elevated blood pressure is due to pain level;
however, the patient received blood pressure and pain medication 45 minutes ago.
What should the nurse consider in regards to this hunch?
a. Research supports that the pain and blood pressure medications will take 30 minutes
to become effective. The nurse should wait until the next prescribed time and reevaluate
pain level.
b. The nurse should consider consulting with the pain management team to evaluate
the effectiveness of the pain medication regimen.
c. The nurse should disregard the hunch because hunches are not effective at
incorporating evidence-based practices.
d. The nurse should administer pain medication based on the hunch. ✅b. The nurse
should consider consulting with the pain management team to evaluate the
effectiveness of the pain medication regimen
(Rationale: The nurse should trust the hunch; however, having another member of the
team substantiate the hunch would be a collaborative approach and would provide
additional reinforcement for the hunch)
Using the priority principle framework, how would the nurse categorize the patients who
arrived at the emergency department for treatment?
A 48-year-old male presenting with chest pain ✅categorized as a level-1 priority—so
as to rule out a cardiac event
Using the priority principle framework, how would the nurse categorize the patients who
arrived at the emergency department for treatment?
, A 19-year-old female who has frequent headaches with stable vital signs ✅categorized
as a level 2, as the nature of her complaint, frequent headaches, should be assessed
but it is not a priority concern at this time; however, the prudent nurse must still
determine the etiology or risk factors for "frequent headaches."
Using the priority principle framework, how would the nurse categorize the patients who
arrived at the emergency department for treatment?
A 5-year-old male who has a toy truck sticking out of his left ear and is playing with a toy
✅categorized as a level-2 priority because the child is not exhibiting any significant
distress at this time and is playing with a toy; the foreign body (toy truck) must be
removed before it causes any damage, so the child should be seen promptly.
Using the priority principle framework, how would the nurse categorize the patients who
arrived at the emergency department for treatment?
A 68-year-old male who had a ground-level fall (GLF) ✅categorized as a level-2
priority with the potential to emerge also as a level-1 priority. Level 2 in that the patient
should be evaluated for mental status changes and level 1 if there are
circulation/vascular problems associated with the injury.
Which of the following would be the best way to refer to an adult patient when initiating
the interview?
a. Hello Mr. Jones, what brought you to the emergency department today?
b. Hello James, what brought you to the emergency department today?
c. Hi, I'm nurse John, what brought you into the hospital today Jim?
d. Yo wut up g? ✅a. Hello Mr. Jones, what brought you to the emergency department
today?
Which of the following questions would likely warrant the narrative response?
a. Why did you come in today?
b. Where does it hurt?
c. Have you been checking your blood pressure?
d. When was the last time you were seen by a doctor? ✅a. why did you come in today
Which of the following is a good example of a well-written chief complaint?
a. Patient complaining of chest pain for about 3 days that is worse with activity and
relieved with rest.
b. Pain is a 10/10.
c. Patient complaining of chest pain. R/O MI.
d. Patient states "I don't know what this pain is. This is the worst I have ever felt." ✅a.
Patient complaining of chest pain for about 3 days that is worse with activity and
relieved with rest.
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