questions and correct answers rated
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A nurse is assessing a patient and collecting only the most important information. What type of
assessment is the nurse doing?
- Functional
- Comprehensive
- Emergency
- Focused - correct answer ✔✔ Emergency
* In an emergency assessment, nurses collect the most important information and defer
obtaining details until patients are stable. They elicit the reason for seeking care along with
current health problems, medications, and allergies.
Functional - focuses on a patient's ability to perform activities of daily living and other patterns
in specific areas
Comprehensive - involves review of the patient's overall health
Focused - emphasizes a specific area but may go into great detail in that area of concern
The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding
pain?
- Cultural norms have very little to do with pain tolerance, because pain tolerance is always
biologically determined.
- A patient's expression of pain is largely dependent on the amount of tissue injury associated
with the pain.
- All patients will behave the same way when in pain.
, - Just as patients vary in their perceptions of pain, so will they vary in their expressions of pain. -
correct answer ✔✔ Just as patients vary in their perceptions of pain, so will they vary in their
expressions of pain.
* All patients do not behave the same way when in pain because expectations, manifestations,
and management of pain are all embedded in a cultural context. Pain is a universally recognized
phenomenon and a subjective experience greatly influenced by cultural heritage including
expectations manifestations and management of pain. Pain is not biologically determined, but
rather the perception of pain like that of health or illness is culturally determined. Variations in
the expression of pain are an important part of each patient's culture as families transmit
cultural norms to their children.
General survey of an adult patient reveals that the patient is wearing eccentric makeup and
clothes. For what would the nurse perform further assessments?
- Poor hygiene
- More information is needed
- Mania
- Inadequate finances
- Depression - correct answer ✔✔ More information is needed
* Eccentric makeup or dress may indicate mania or the patient may be just having fun.
Previously well-groomed patients who are now disheveled may have depression. Worn or
disheveled clothes may indicate inadequate finances, disinterest in appearance, or problems
with self-care. More information is needed.
A nurse is admitting a patient, having completed the health history, and is now doing a physical
assessment. The physical assessment will provide what type of data?
- Objective
- Patient centered
- Unconfirmed