Hernandez 1
Nataly R. Hernandez
Professor Ramirez and Professor Yeo
RNSH-1413-S01
4 September 2023
Remediation Exam 1
Chapter 16 Review Questions
1. A home health nurse is visiting a 62-year-old Hispanic woman diagnosed with type 2
adult-onset diabetes mellitus following a 2-day stay at a local hospital. The physician
ordered home health with placement of the patient on a diabetic protocol for education
about diabetes mellitus and a new medication and diet counseling. The patient lives
with with her 73-year-old husband, who has progressive dementia. Their daughter
checks on her parents daily, buys groceries, and helps with home maintenance. The
nurse conducts an initial history to gather information about the patient’s condition.
Which of the following data cues combine to reveal a possible health problem? (Select
all that apply.)
1. First time hospitalized
2. Unable to describe diabetes
3. Takes anti-inflammatory for arthritis
4. Has limited health literacy
5. Husband is able to perform self-bathing
6. Patient unable to identify food sources on prescribed diet
7. Patient has reduced vision and wears glasses
8. Patient prescribed an oral hypoglycemic drug
Rationale #1 Chapter 16 Page 225: Answer: 2, 4, 6, 7. The inability to describe her health
problem of diabetes mellitus, limited health literacy, reduced vision, and inability to identify
, Hernandez 2
appropriate diet food sources suggest that the patient has a problem with knowledge and health
management. The nurse will need to explore further what the patient knows and understands, her
perceptions about having a new disease, and the daughter’s willingness and ability to be a helpful
resource.
2. Match the assessment activity on the left with the type of assessment
on the right. A. Problem Focused B. Comprehensive
_A_1. Assessment conducted at
beginning of a nurse’s shift
_A_2. Review of a patient’s chief
complaint
_B_3. Completion of admitting
history at time of patient
admission to a hospital
_B_4. Completion of the Long
Term Care Minimum Data
Set during an older adult’s
admission to a nursing home
Rationale #2 Chapter 16 Page 227-228
3. A nurse initiates a brief interview with a patient who has come to the medical clinic
because of self-reported hoarseness, sore throat, and chest congestion. The nurse observes
that the patient has a slumped posture and is using intercostal muscles to breathe. The
nurse auscultates the patient’s lungs and hears crackles in the left lower lobe. The patient’s
respiratory rate is 22 breaths/min compared with an average of 16 breaths/min during
, Hernandez 3
previous clinic visits. The patient tells the nurse, “It’s hard for me to get a breath.” Which
of the following data sets are examples of subjective data? (Select all that apply.)
1. Heart rate of 22 breaths/min and chest congestion
2. Lung sounds revealing crackles and use of intercostal muscles to
breathe
3. Patient statement, “It’s hard for me to get a breath”
4. Slumped posture and previous respiratory rate of 16 breaths/min
5. Patient report of sore throat and hoarseness
Rationale #3 Chapter 16 Page 229: Answer: 3, 5. Subjective data are your patients’ verbal
descriptions of their health problems—in this case hoarseness and sore throat and the statement,
“It’s hard for me to get a breath.” All other data are objective data.
4. The nurse asks a patient the following series of questions: “Describe for me how much
you exercise each day.” “How do you tolerate the exercise?” “Is the amount of exercise you
get each day the same, less, or more than what you did a year ago?” This series of questions
would likely occur during which phase of a patient-centered interview?
1. Orientation
2. Working phase
3. Data interpretation
4. Termination
Rationale #4 Chapter 16 Page 232: Answer: 2. The working phase of a relationship involves
gathering accurate, relevant, and complete information about a patient’s condition. It usually
begins with open-ended questions
Nataly R. Hernandez
Professor Ramirez and Professor Yeo
RNSH-1413-S01
4 September 2023
Remediation Exam 1
Chapter 16 Review Questions
1. A home health nurse is visiting a 62-year-old Hispanic woman diagnosed with type 2
adult-onset diabetes mellitus following a 2-day stay at a local hospital. The physician
ordered home health with placement of the patient on a diabetic protocol for education
about diabetes mellitus and a new medication and diet counseling. The patient lives
with with her 73-year-old husband, who has progressive dementia. Their daughter
checks on her parents daily, buys groceries, and helps with home maintenance. The
nurse conducts an initial history to gather information about the patient’s condition.
Which of the following data cues combine to reveal a possible health problem? (Select
all that apply.)
1. First time hospitalized
2. Unable to describe diabetes
3. Takes anti-inflammatory for arthritis
4. Has limited health literacy
5. Husband is able to perform self-bathing
6. Patient unable to identify food sources on prescribed diet
7. Patient has reduced vision and wears glasses
8. Patient prescribed an oral hypoglycemic drug
Rationale #1 Chapter 16 Page 225: Answer: 2, 4, 6, 7. The inability to describe her health
problem of diabetes mellitus, limited health literacy, reduced vision, and inability to identify
, Hernandez 2
appropriate diet food sources suggest that the patient has a problem with knowledge and health
management. The nurse will need to explore further what the patient knows and understands, her
perceptions about having a new disease, and the daughter’s willingness and ability to be a helpful
resource.
2. Match the assessment activity on the left with the type of assessment
on the right. A. Problem Focused B. Comprehensive
_A_1. Assessment conducted at
beginning of a nurse’s shift
_A_2. Review of a patient’s chief
complaint
_B_3. Completion of admitting
history at time of patient
admission to a hospital
_B_4. Completion of the Long
Term Care Minimum Data
Set during an older adult’s
admission to a nursing home
Rationale #2 Chapter 16 Page 227-228
3. A nurse initiates a brief interview with a patient who has come to the medical clinic
because of self-reported hoarseness, sore throat, and chest congestion. The nurse observes
that the patient has a slumped posture and is using intercostal muscles to breathe. The
nurse auscultates the patient’s lungs and hears crackles in the left lower lobe. The patient’s
respiratory rate is 22 breaths/min compared with an average of 16 breaths/min during
, Hernandez 3
previous clinic visits. The patient tells the nurse, “It’s hard for me to get a breath.” Which
of the following data sets are examples of subjective data? (Select all that apply.)
1. Heart rate of 22 breaths/min and chest congestion
2. Lung sounds revealing crackles and use of intercostal muscles to
breathe
3. Patient statement, “It’s hard for me to get a breath”
4. Slumped posture and previous respiratory rate of 16 breaths/min
5. Patient report of sore throat and hoarseness
Rationale #3 Chapter 16 Page 229: Answer: 3, 5. Subjective data are your patients’ verbal
descriptions of their health problems—in this case hoarseness and sore throat and the statement,
“It’s hard for me to get a breath.” All other data are objective data.
4. The nurse asks a patient the following series of questions: “Describe for me how much
you exercise each day.” “How do you tolerate the exercise?” “Is the amount of exercise you
get each day the same, less, or more than what you did a year ago?” This series of questions
would likely occur during which phase of a patient-centered interview?
1. Orientation
2. Working phase
3. Data interpretation
4. Termination
Rationale #4 Chapter 16 Page 232: Answer: 2. The working phase of a relationship involves
gathering accurate, relevant, and complete information about a patient’s condition. It usually
begins with open-ended questions
