Exam (elaborations)

NR302 Exam 1 Study Guide Questions And All Complete Solutions.

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Course
NR302 / NR 302

Institution
NR302 / NR 302

The nurse is conducting an interview in an outpatient clinic and is using a computer to record data. Which is the best use of the computer in this situation? Select all that apply. A) Collect the patient's data in a direct, face-to-face manner. B) Enter all the data as the patient states it. C...

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Uploaded on October 22, 2024
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Type Exam (elaborations)
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patients data

Institution NR302 / NR 302
Course NR302 / NR 302

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NR302 Exam 1 Study Guide Questions
And All Complete Solutions.
The nurse is conducting an interview in an outpatient clinic and is using a computer to record data.
Which is the best use of the computer in this situation? Select all that apply.

A) Collect the patient's data in a direct, face-to-face manner.

B) Enter all the data as the patient states it.

C) Ask the patient to wait as the nurse enters data.

D) Type the data into the computer after the narrative is fully explored.

E) Allow the patient to see the monitor during typing. - Answer A) Collect the patient's data in a direct,
face-to-face manner.

D) Type the data into the computer after the narrative is fully explored.

E) Allow the patient to see the monitor during typing.

Page: 32 The use of a computer can become a barrier. The nurse should begin the interview as usual by
greeting the patient, establishing rapport, and collecting the patient's narrative story in a direct face-to-
face manner. Only after the narrative is fully explored should the nurse type data into the computer.
When typing, the nurse should position the monitor so that the patient can see it.

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. - Answer 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.

The nurse is performing a health interview on a patient who has a language barrier, and no interpreter is
available. Which is the best example of an appropriate question for the nurse to ask in this situation?

A) "Do you take medicine?"

B) "Do you sterilize the bottles?"

C) "Do you have nausea and vomiting?"

D) "You have been taking your medicine, haven't you?" - Answer A) "Do you take medicine?"

Page: 46 In a situation where there is a language barrier and no interpreter available, use simple words
avoiding medical jargon. Avoid using contractions and pronouns. Use nouns repeatedly and discuss one
topic at a time.

The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be
an appropriate response?

A. "Maybe she is just teething."

B. "I will check her ear for an ear infection."

C. "Are you sure she is really having pain?"

D. "Please describe what she is doing to indicate she is having pain." - Answer D. "Please describe what
she is doing to indicate she is having pain."

Page: 60. With a very young child, ask the parent, "How do you know the child is in pain?" Pulling at ears
alerts parent to ear pain. The statements about teething and questioning whether the child is really
having pain do not explore the symptoms, which should be done before a physical examination.

The Nurse is interviewing a patient with acute pain. Which of the following actions by the nurse should
be preformed first?

A) Attempt to reduce the pain and complete the interview later

,B) Interview the family to get the information needed

C) Document why the interview could not be completed at this time

D) Proceed very quickly with the interview - Answer A) Attempt to reduce the pain and complete the
interview later

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. - Answer 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.

The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke.
Which of these questions would be most important to ask?

A. "Do you wear glasses?"

B. "Are you able to dress yourself?"

C. "Do you have any thyroid problems?"

D. "How many times a day do you have a bowel movement?" - Answer B. "Are you able to dress
yourself?"

Page: 67. Functional assessment measures how a person manages day-to-day activities. For the older
person, the meaning of health becomes those activities that they can or cannot do. The other responses
do not relate to functional assessment.

During a mental status examination, the nurse wants to assess a patient's affect. The nurse should ask
the patient which question?

, A) "How do you feel today?"

B) "Would you please repeat the following words?"

C) "Have these medications had any effect on your pain?"

D) "Has this pain affected your ability to get dressed by yourself?" - Answer A) "How do you feel
today?"

Page: 74. Judge mood and affect by body language and facial expression and by asking directly, "How do
you feel today?" or "How do you usually feel?" The mood should be appropriate to the person's place
and condition and should change appropriately with topics.

In recording the childhood illnesses of a patient who denies having had any, which note by the nurse
would be most accurate?

A. Patient denies usual childhood illnesses.

B. Patient states he was a "very healthy" child.

C. Patient states sister had measles, but he didn't.

D. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat. - Answer D. Patient
denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.

Page: 51. Childhood illnesses include measles, mumps, rubella, chickenpox, pertussis, and strep throat.
Avoid recording "usual childhood illnesses" because an illness common in the person's childhood may be
unusual today (e.g., measles).

The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the
assessment, the nurse expects that this patient:

A) will have no decrease in any of his abilities, including response time.

B) will have difficulty on tests of remote memory because this typically decreases with age.

C) may take a little longer to respond, but his general knowledge and abilities should not have declined.

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