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NUFT 202 Exam 2 Questions with 100% Correct Answers
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©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PMNUFT 202 Exam 2 Questions with 100% Correct Answers
which of the following examples are steps of the nursing assessment?
1. collection of information from patients family members
2. recognition that further observations are needed to clarify information
3. Comparison of data with another source to determine data accuracy
4. complete documentation of observational information
5. Determining which medications to administer based on a patients assessment data -
✔️✔️1, 2, 3
A nurse assesses a patient who comes to the pulmonary clinic. "I
see that it's been over 6 months since you've been here, 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've been in
following his plan?" The nurse's assessment covers which of Gordon's func- tional
health patterns?
1. Value-belief pattern
2. Cognitive-perceptual pattern
3. Coping-stress-tolerance pattern
4. Health perception-health management pattern - ✔️✔️4- health perception-health
management pattern
When a nurse conducts an assessment, data about a patient often comes from which of
the following sources? (Select all that apply.)
1. An observation of how a patient turns and moves in bed
2. The unit policy and procedure manual
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3. The care recommendations of a physical therapist
4. The results of a diagnostic x-ray film
5. Your experiences in caring for other patients with similar
problems - ✔️✔️1,3,4
The unit policy/ procedure manual is not used to collect data about a patient. While
experience caring for other patients with similar problems may help guide a nurses
assessment, data about a particular patient does not come from those prior
experiences.
The nurse observes a patient walking down the hall with a shuf-
fling gait. When the patient returns to bed, the nurse checks the strength in both of the
patient's legs. The nurse applies the infor- mation gained to suspect that the patient has
a mobility problem. This conclusion is an example of:
1. Cue.
2. Reflection.
3. Clinical inference.
4. Probing. - ✔️✔️3-
A cue is information you obtain through your senses (the nurse observes the patient
walking with a shuffling gait). A clinical inference is the nurse's judgment or
interpretation of these cues (the conclusion that the patient has a mobility
problem).Reflection and probing are not relevant to this example.
A 72-year-old male patient comes to the health clinic for an annual follow-up. The nurse
enters the patient's room and notices him to be diaphoretic, holding his chest and
breathing with difficulty. The nurse immediately checks the patient's heart rate and blood
pressure and asks him, "Tell me where your pain is." Which of the following assessment
approaches does this scenario describe?
1. Review of systems approach
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2. Use of a structured database format
3. Back channeling
4. A problem-oriented approach - ✔️✔️4- a problem oriented approach comes from caring
for patients in immediate pain
The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall
asleep? Do you have difficulty falling or staying asleep? This series of questions would
likely occur during which phase of a patient-centered interview?
1. Orientation
2. Working phase
3. Data validation
4. Termination - ✔️✔️2- working phase allows patients to describe their concerns and
problems
A nurse is assigned to a 42-year-old mother of 4 who weighs 136.2 kg (300 lbs), has
diabetes, and works part time in the kitchen of a restaurant. The patient is facing
surgery for gallbladder
disease. Which of the following approaches demonstrates the nurse's cultural
competence in assessing the patient's health care problems?
1. "I can tell that your eating habits have led to your diabetes. Is
that right?"
2. "It's been difficult for people to find jobs. Is that why you work
part time?"
3. "You have four children; do you have any concerns about going
home and caring for them?"
4. "I wish patients understood how overeating affects their
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health." - ✔️✔️3
This is the only assessment approach that is not biased or does not show judgment
about the patient's weight or occupational status. With the other options, the nurse is
reacting to the patient on the basis of personal stereotypes and biases.
Which type of interview question does the nurse first use when assessing the reason for
a patient seeking health care?
1. Probing
2. Open-ended
3. Problem-oriented
4. Confirmation - ✔️✔️2- open ended allows for the patient to tell a story and explain their
purpose for seeking care
A nurse gathers the following assessment data. Which of the fol- lowing cues together
form(s) a pattern suggesting a problem? (Select all that apply.)
1. The skin around the wound is tender to touch.
2. Fluid intake for 8 hours is 800 mL.
3. Patient has a heart rate of 78 beats/min and regular.
4. Patient has drainage from surgical wound.
5. Body temperature is 38.3° C (101° F).
6. Patient states, "I'm worried that I won't be able to return to
work when I planned." - ✔️✔️1,4,5- these cues suggest that their is problems with the
patient that needs assessing
A nurse is checking a patient's intravenous line and, while doing so, notices how the
patient bathes himself and then sits on the side of the bed independently to put on a
new gown. This observation is an example of assessing:
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