HONDROS NUR 200 QUIZ 2 SOLVED
QUESTIONS GRADED A+ COMPLETE
PREPARATION
◉ An initial patient-centered interview involves.
Answer: (1) setting the stage, (2) gathering information about the
patient's problems and setting an agenda, (3) collecting the
assessment or a nursing health history, and (4) terminating the
interview.
◉ 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 functional health
patterns?.
Answer: Health perception-health management pattern
◉ The nurse observes a patient walking down the hall with a
shuffling gait. When the patient returns to bed, the nurse checks the
strength in both of the patient's legs. The nurse applies the
information gained to suspect that the patient has a mobility
problem. This conclusion is an example of:.
Answer: Clinical inference.
,◉ 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?.
Answer: A problem-oriented approach
◉ 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?.
Answer: Working phase
◉ 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?.
Answer: "You have four children; do you have any concerns about
going home and caring for them?"
◉ 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:.
Answer: Patient's level of function.
◉ A patient who visits the surgery clinic 4 weeks after a traumatic
amputation of his right leg tells the nurse practitioner that he is
worried about his ability to continue to support his family. He tells
the nurse he feels that he has let his family down after having an
auto accident that led to the loss of his left leg. The nurse listens and
then asks the patient, "How do you see yourself now?" On the basis
of Gordon's functional health patterns, which pattern does the nurse
assess.
Answer: Self-perception-self-concept pattern
◉ During a visit to the clinic, a patient tells the nurse that he has
been having headaches on and off for a week. The headaches
sometimes make him feel nauseated. Which of the following
responses by the nurse is an example of probing?.
Answer: Tell me what makes your headaches begin.
◉ Steps of NOTICING.
Answer: Identifying Assumptions
Predicting (and Managing) Potential Complications
Assessing Systematically and Comprehensively
Gathering Complete and Accurate Data
, Identifying signs and symptoms
◉ SPICES tool.
Answer: sleep problems, problems with eating and feeding,
incontinence, confusion, evidence of falls, and skin breakdown.
◉ Noticing-Identifying signs and symptoms.
Answer: Ability to identify signs and symptoms indicating a
situation is different, changed or not of normal state.
◉ Noticing-Gathering complete and accurate data.
Answer: When assessing a situation it is important to gather
complete and accurate data. The data is used as the basis for
identifying problems, issues and concerns, solving problems and
making decisions.
◉ Noticing-Assessing systematically and comprehensively.
Answer: Nurses use a systematic method such as body systems, a
head to toe approach or focused assessment.
◉ Noticing-Predicting and managing potential complications.
Answer: Nurses must look at the big picture to predict potential
complications that may exist for individual patients
QUESTIONS GRADED A+ COMPLETE
PREPARATION
◉ An initial patient-centered interview involves.
Answer: (1) setting the stage, (2) gathering information about the
patient's problems and setting an agenda, (3) collecting the
assessment or a nursing health history, and (4) terminating the
interview.
◉ 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 functional health
patterns?.
Answer: Health perception-health management pattern
◉ The nurse observes a patient walking down the hall with a
shuffling gait. When the patient returns to bed, the nurse checks the
strength in both of the patient's legs. The nurse applies the
information gained to suspect that the patient has a mobility
problem. This conclusion is an example of:.
Answer: Clinical inference.
,◉ 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?.
Answer: A problem-oriented approach
◉ 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?.
Answer: Working phase
◉ 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?.
Answer: "You have four children; do you have any concerns about
going home and caring for them?"
◉ 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:.
Answer: Patient's level of function.
◉ A patient who visits the surgery clinic 4 weeks after a traumatic
amputation of his right leg tells the nurse practitioner that he is
worried about his ability to continue to support his family. He tells
the nurse he feels that he has let his family down after having an
auto accident that led to the loss of his left leg. The nurse listens and
then asks the patient, "How do you see yourself now?" On the basis
of Gordon's functional health patterns, which pattern does the nurse
assess.
Answer: Self-perception-self-concept pattern
◉ During a visit to the clinic, a patient tells the nurse that he has
been having headaches on and off for a week. The headaches
sometimes make him feel nauseated. Which of the following
responses by the nurse is an example of probing?.
Answer: Tell me what makes your headaches begin.
◉ Steps of NOTICING.
Answer: Identifying Assumptions
Predicting (and Managing) Potential Complications
Assessing Systematically and Comprehensively
Gathering Complete and Accurate Data
, Identifying signs and symptoms
◉ SPICES tool.
Answer: sleep problems, problems with eating and feeding,
incontinence, confusion, evidence of falls, and skin breakdown.
◉ Noticing-Identifying signs and symptoms.
Answer: Ability to identify signs and symptoms indicating a
situation is different, changed or not of normal state.
◉ Noticing-Gathering complete and accurate data.
Answer: When assessing a situation it is important to gather
complete and accurate data. The data is used as the basis for
identifying problems, issues and concerns, solving problems and
making decisions.
◉ Noticing-Assessing systematically and comprehensively.
Answer: Nurses use a systematic method such as body systems, a
head to toe approach or focused assessment.
◉ Noticing-Predicting and managing potential complications.
Answer: Nurses must look at the big picture to predict potential
complications that may exist for individual patients
