Maryville NURS 612 Exam 1 Practice Questions

Which of the following will best facilitate the interview when obtaining a history for a deaf patient who can read lips? - ANSWERSspeaking slowly During a history, the patient indicates he has an uncle and a brother with sickle cell disease. Which of the following is an appropriate method to document this information? - ANSWERSInclude it in the family history. Which approach is recommended at the onset of an interview? - ANSWERSUse an open-ended approach; let the patient explain the problem or reason for the visit. Which of the following questions may lead to an inaccurate patient response? - ANSWERS"That was a horrible experience, wasn't it?" Repeating a patient's answer is an attempt to - ANSWERSconfirm an accurate understanding. During an interview, your patient admits to feeling worthless and having a sleep disturbance for the past 3 weeks. These are clues that warrant the exploration of - ANSWERSrisk for suicide Jerry, a 26-year-old homosexual man, is having a health history taken. Which question regarding sexual activity would most likely hamper trust between Jerry and the interviewer? - ANSWERSAre you married or do you have a girlfriend When questioning a patient regarding a sensitive issue, such as drug use, it is best to - ANSWERSbe direct, firm, and to the point Direct questions are designed to - ANSWERSobtain or clarify specific details about an answer Interviewers should identify and assess their own feelings, such as hostility and prejudice, in order to - ANSWERSreduce communication barriers During an interview, a patient describes abdominal pain that often awakens him at night. Which of the following responses by the interviewer would facilitate the interviewing process? - ANSWERS"Tell me what you mean by often." Developing cultural sensitivity is vital in order for the examiner to be successful in - ANSWERSrecognizing and accepting health beliefs that differ from his or her own beliefs. The balance of hot and cold and its relationship to wellness is a concept that - ANSWERSis believed by members of many cultures, including Arabs, Asians, Filipinos, and Hispanics. Developing a knowledge base about cultural groups allows the practitioner to - ANSWERSunderstand the behaviors, practices, and problems observed Which of the following is an example of a cultural characteristic? - ANSWERSshared belief A young mother brings her infant to the emergency department with a high temperature and dehydration. Which of the following questions asked by an examiner demonstrates cultural awareness? - ANSWERSWhat do you think is causing the illness? A common mistake made by health care professionals is to? - ANSWERSstereotype individuals based on color or ethnic group All of the following are cultural considerations that affect health care except - ANSWERSeye color, temperature, and visual acuity Which of the following is an example of a physical, as opposed to a cultural, characteristic? - ANSWERSSkin color Despite repeated instruction over a period of 3 years, the mother of three young children has still not had her children immunized. Which of the following questions would help the health care provider understand this situation? - ANSWERSWhat are your beliefs about immunizations Which mode of communication may be offensive to a patient whose cultural perspective differs from that of the practitioner - ANSWERSmaintaining firm and direct eye contact Which of the following infection control guidelines are currently recommended by the Centers for Disease Control and Prevention (CDC)? - ANSWERSstandard precautions A patient presents with multiple raised lesions on her skin. Which instrument should be used to examine these lesions - ANSWERSruler In an outpatient setting such as a clinic, how should infection control practice differ from that in the acute care setting? - ANSWERSInfection control practice is applicable in all healthcare settings. In which of the following situations is transillumination an appropriate examination technique - ANSWERSDetection of fluid within the sinuses Which of the following instruments is used in conjunction with a simple nasal speculum to visualize the lower and middle turbines of the nose? - ANSWERSpenlight On first meeting, the examiner notices that the patient has an obvious odor. Which examination technique is the examiner using in this scenario? - ANSWERSInspection Focused visual attention obtains data from - ANSWERSinspection Which technique is applied throughout the entire examination and interview process - ANSWERSinspection As a component of palpation, which surface is most sensitive to vibration - ANSWERSulnar surface of the hand How deep should the examiner's hands press while performing deep palpation? - ANSWERS4 cm The term intensity, when used in relation to percussion tones, refers to - ANSWERSthe loudness of the tone. The examiner has detected a superficial mass in the skin. What part of the hand is best to use to palpate this mass? - ANSWERSfingertips Ideally, auscultation should be carried out last, except when examining the - ANSWERSabdomen Which of the following techniques is incorrect and affects the accuracy of auscultation? - ANSWERSAuscultating through clothing Which of the following is true regarding the correct use of a stethoscope? - ANSWERSThe bell is pressed lightly against the skin to detect low-frequency sounds In which of the following situations is use of a Doppler indicated - ANSWERSAuscultation of a nonpalpable pulse in a patient with peripheral vascular disease While performing an internal eye examination, the examiner observes a fundal lesion. What feature on the ophthalmoscope permits the examiner to estimate the size and location of the lesion? - ANSWERSgrid light An ophthalmoscope has positive and negative magnification in order to - ANSWERScompensate for myopia or hyperopia in the examiner's or the patient's eyes. According to the Centers for Disease Control and Prevention, the health care provider should apply infection control measures when caring for which group of patients? - ANSWERSAll patients regardless of their infectious status Unless a life-threatening situation exists, the best guide to determining the priority for the patient's condition should be based on - ANSWERSintuition When determining a need for additional examination, testing, or procedures, the examiner knows that these