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NURS 6700- Exam 1 Perry And Potter Latest Update With Complete Solutions
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NURS 6700- Exam 1 Perry And Potter Latest Update WithComplete Solutions 2024-2025
A nurse is gathering information about a patient's lifestyle and lifestyle pattern. Which of
the following data collection methods will the nurse utilize that will most likely provide
this information?
a. Review lab results carefully.
b. Conduct the physical examination
c. Obtain a complete nursing health history.
d. Lengthen the termination phase of the interview. - Answesr obtain a complete nursing
health history
The nurse is interviewing an older female patient of Asian descent. As the nurse asks
the patient questions she keeps her eyes cast downward toward the ground to answer
her. The nurse should do which of the following?
a. Keep this cultural influence in mind while conducting the assessment.
b. Ask thepatient to make eye contact to assess her affect.
c. Continue with the interview and chart that thepatient is depressed.
d. Alert thehealth care provider to request a psychological consult. -Answer a. Keep this
cultural influence in mind while conducting the assessment.
A nurse has already set the agenda during a patient-centered interview. Which of the
following is the next steps of the nurse?
a. Start with the introduction.
b. Inquiry about the chief concerns or problems.
c. Warn them that it is the end of the interview in a few minutes.
d. Say to the client ―I will be back to administer medications in 1 hour.‖ - Answer ask
about the chief concerns or problems
,The nurse wishes the patient to elaborate on the reports of daytime fatigue. The nurse
should ask which question?
a. ―Is there anything that you are stressed about right now that I should know?‖
b. ―What reasons do you think are contributing to your fatigue?‖
c. ―What are your normal work hours?‖
d. ―Are you sleeping 8 hours a night?‖ - Answer what reasons do you think are
contributing to your fatigue
A nurse is performing a nursing health history. What part will the nurse be covering?
a. Nurse's concerns
b. Patient expectations
c. Current treatment orders
d. Nurse's goals for thepatient - Answer patient expectations
While the patient's lower extremity, which is in a cast, is assessed, the patient relates an
inability to rest at night. The nurse disregards this information because the nurse does
not believe any correlation has been noted between having a leg cast and developing
restless sleep. Which action would have been best for the nurse to take?
a. Tell the patient to just focus on the leg and cast right now.
b. Document the patient's sleep patterns and data on the patient's chart.
c. InFORM the patient that a more complete assessment will be performed next shift.
d. Question the patient about normal sleep patterns and onset of difficulty resting.
The nurse begins a shift assessment by assessing a surgical dressing that is saturated
with serosanguineous drainage from a patient who had open abdominal surgery
yesterday, or 1 day ago. The nurse is using what type of assessment approach?
a. Gordon's Functional Health Patterns
b. Activity-exercise pattern assessment
c. General to specific assessment
d. Problem-specific assessment - Answer problem-specific assessment
, Which of the following statements by the nurse shows the greatest understanding about
thedifferences between data validation and data interpretation?
a. "Data interpretation occurs before data validation."
b. "Validation involves looking for patterns in professional standards."
c. "Validation involves comparing data with other sources for accuracy."
d. "Data interpretation involves discovering patterns in professional standards."
-Answer c. validation involves comparing data with other sources for accuracy
Which is the best example of the nurse data validating when making a nursing clinical
judgment about a patient?
a. The nurse decides to change a dressing based on the patient's report of the time of
the last dressing change and old and new drainage being present.
b. The nurse gives pain medication that is scheduled for 1700 at 1600 because the
patient states pain is increased and the family states something needs to be done.
c. A patient calls the nurse and states that cramps are occurring in the legs. The nurse
immediately calls the health care provider and requests an order for potassium.
d. The nurse elevates a leg cast after the patient describes a decrease in mobility of the
leg. -Answer the nurse informs the patient that the wound dressing will be removed after
the patient related the time of the last dressing change and old and new drainage are
noted
During an admission database, the nurse is interviewing a patient who tells the nurse,
―I am allergic to latex.‖ Which is the first action the nurse will take?
a. Immediately isolate the patient.
b. Ask the patient to describe the type of reaction.
c. End the interview during the termination phase of the interview.
d. Record the latex allergy on the medication administration record. - Answer ask the
patient to describe the type of reaction
A patient describes pain as being at a low level of 2 out of 10 but exhibits severe facial
grimacing when moving in bed. Based on these findings, which is the nurse's first
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