After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupenic and his pulse is 58 beats per minute. These types of data
would be
a. subjective
b. introspective
c. reflective
d. objective - CORRECT ANSWER-objective
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. using blunt language to deal with distasteful topics
b. using biased or leading questions
c. using confrontation
d. talking too much - CORRECT ANSWER-using biased or leading questions
A patient states that the pain medication is "not working" and rates his postoperative
pain at a 10 on a 1-to-10 scale. Which of these assessment findings indicates an acute
pain response to poorly controlled pain?
a. confusion
b. increased blood pressure and pulse
c. depression
d. hyperventilation - CORRECT ANSWER-increased blood pressure and pulse
A patient's weekly blood pressure readings for 2 months have ranged between 124/84
and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that
this blood pressure falls within which blood pressure category?
a. normal blood pressure
b. prehypertension
c. stage 1 hypertension
d. stage 2 hypertension - CORRECT ANSWER-prehypertension
A patient tells the nurse that he is very nauseous, is nauseated, and "feels hot". These
types of data would be
a. objective
b. reflective
c. introspective
d. subjective - CORRECT ANSWER-subjective
A patient tells the nurse that she has had abdominal pain for the past week. What would
be the nurse's best response?
, a. "Have you ever had any surgeries on your abdomen?"
b. "What have you had to eat in the last 24 hours?"
c. "We'll talk more about that later in the interview"
d. "Can you point to where it hurts?" - CORRECT ANSWER-Can you point to where it
hurts
During an assessment of the nurse notices that a patient is handling a small charm that
is tied to a leather strip around his neck. Which action by the nurse is appropriate
a. No action is necessary
b. Tell the patient that a family member should take valuables home
c. Ask the patient about the item and its significance
d. Ask the patient to like that item with other valuables in the hospitals safe - CORRECT
ANSWER-Ask the patient about the item and its significance
During an interview the nurse states "you mentioned having shortness of breath tell me
more about that" which verbal skill is used with this statement
a. an open ended question
b. direct question
c. facilitation
d. reflection - CORRECT ANSWER-An open ended question
The nurse asks I would like to ask you some questions about your health and your
usual daily activities so that we can better plan your stay here this question is found at
the _______________ phase of the interview process
a. closing
b. opening or introduction
c. body
d. summary - CORRECT ANSWER-Opening or introduction
The nurse is assessing a patients pain. the nurse knows but the most reliable indicator
of pain it would be the
a. results of a computerized axial tomographic scan
b. patients vital signs
c. physical examination
d. subjective report - CORRECT ANSWER-Subjective report
The nurse is comparing the concepts of religion and spirituality. which of the following is
an appropriate component of one's spirituality
a. being closely tied to one's ethnic background
b. Attendance at a specific church or place of worship
c. Believe in and the worship of God or gods
d. personal effort made to find purpose and meaning in life - CORRECT ANSWER-
Personal effort made to find purpose and meaning in life
The nurse is performing a general survey. which action is a component of the general
survey