NUFT 202 Exam 2 Questions With Correct
Answers
which |of |the |following |examples |are |steps |of |the |nursing |assessment? |
1. |collection |of |information |from |patients |family |members |
2. |recognition |that |further |observations |are |needed |to |clarify |information |
3. |Comparison |of |data |with |another |source |to |determine |data |accuracy |
4. |complete |documentation |of |observational |information |
5. |Determining |which |medications |to |administer |based |on |a |patients |assessment |data |- |
CORRECT |ANSWER✔✔-1, |2, |3
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 |func- |tional |health |patterns?
1. |Value-belief |pattern
2. |Cognitive-perceptual |pattern
3. |Coping-stress-tolerance |pattern
4. |Health |perception-health |management |pattern |- |CORRECT |ANSWER✔✔-4- |health |
perception-health |management |pattern
When |a |nurse |conducts |an |assessment, |data |about |a |patient |often |comes |from |which |of |the |
following |sources? |(Select |all |that |apply.)
1. |An |observation |of |how |a |patient |turns |and |moves |in |bed
2. |The |unit |policy |and |procedure |manual
,3. |The |care |recommendations |of |a |physical |therapist
4. |The |results |of |a |diagnostic |x-ray |film
5. |Your |experiences |in |caring |for |other |patients |with |similar
problems |- |CORRECT |ANSWER✔✔-1,3,4
The |unit |policy/ |procedure |manual |is |not |used |to |collect |data |about |a |patient. |While |
experience |caring |for |other |patients |with |similar |problems |may |help |guide |a |nurses |
assessment, |data |about |a |particular |patient |does |not |come |from |those |prior |experiences.
The |nurse |observes |a |patient |walking |down |the |hall |with |a |shuf-
fling |gait. |When |the |patient |returns |to |bed, |the |nurse |checks |the |strength |in |both |of |the |
patient's |legs. |The |nurse |applies |the |infor- |mation |gained |to |suspect |that |the |patient |has |a |
mobility |problem. |This |conclusion |is |an |example |of:
1. |Cue.
2. |Reflection.
3. |Clinical |inference. |
4. |Probing. |- |CORRECT |ANSWER✔✔-3- |
A |cue |is |information |you |obtain |through |your |senses |(the |nurse |observes |the |patient |walking |
with |a |shuffling |gait). |A |clinical |inference |is |the |nurse's |judgment |or |interpretation |of |these |
cues |(the |conclusion |that |the |patient |has |a |mobility |problem).Reflection |and |probing |are |not |
relevant |to |this |example.
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?
1. |Review |of |systems |approach
2. |Use |of |a |structured |database |format |
3. |Back |channeling
, 4. |A |problem-oriented |approach |- |CORRECT |ANSWER✔✔-4- |a |problem |oriented |approach |
comes |from |caring |for |patients |in |immediate |pain
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?
1. |Orientation
2. |Working |phase |
3. |Data |validation |
4. |Termination |- |CORRECT |ANSWER✔✔-2- |working |phase |allows |patients |to |describe |their |
concerns |and |problems
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?
1. |"I |can |tell |that |your |eating |habits |have |led |to |your |diabetes. |Is
that |right?"
2. |"It's |been |difficult |for |people |to |find |jobs. |Is |that |why |you |work
part |time?"
3. |"You |have |four |children; |do |you |have |any |concerns |about |going
home |and |caring |for |them?"
4. |"I |wish |patients |understood |how |overeating |affects |their
health." |- |CORRECT |ANSWER✔✔-3 |
This |is |the |only |assessment |approach |that |is |not |biased |or |does |not |show |judgment |about |the
|patient's |weight |or |occupational |status. |With |the |other |options, |the |nurse |is |reacting |to |the |
patient |on |the |basis |of |personal |stereotypes |and |biases.
Answers
which |of |the |following |examples |are |steps |of |the |nursing |assessment? |
1. |collection |of |information |from |patients |family |members |
2. |recognition |that |further |observations |are |needed |to |clarify |information |
3. |Comparison |of |data |with |another |source |to |determine |data |accuracy |
4. |complete |documentation |of |observational |information |
5. |Determining |which |medications |to |administer |based |on |a |patients |assessment |data |- |
CORRECT |ANSWER✔✔-1, |2, |3
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 |func- |tional |health |patterns?
1. |Value-belief |pattern
2. |Cognitive-perceptual |pattern
3. |Coping-stress-tolerance |pattern
4. |Health |perception-health |management |pattern |- |CORRECT |ANSWER✔✔-4- |health |
perception-health |management |pattern
When |a |nurse |conducts |an |assessment, |data |about |a |patient |often |comes |from |which |of |the |
following |sources? |(Select |all |that |apply.)
1. |An |observation |of |how |a |patient |turns |and |moves |in |bed
2. |The |unit |policy |and |procedure |manual
,3. |The |care |recommendations |of |a |physical |therapist
4. |The |results |of |a |diagnostic |x-ray |film
5. |Your |experiences |in |caring |for |other |patients |with |similar
problems |- |CORRECT |ANSWER✔✔-1,3,4
The |unit |policy/ |procedure |manual |is |not |used |to |collect |data |about |a |patient. |While |
experience |caring |for |other |patients |with |similar |problems |may |help |guide |a |nurses |
assessment, |data |about |a |particular |patient |does |not |come |from |those |prior |experiences.
The |nurse |observes |a |patient |walking |down |the |hall |with |a |shuf-
fling |gait. |When |the |patient |returns |to |bed, |the |nurse |checks |the |strength |in |both |of |the |
patient's |legs. |The |nurse |applies |the |infor- |mation |gained |to |suspect |that |the |patient |has |a |
mobility |problem. |This |conclusion |is |an |example |of:
1. |Cue.
2. |Reflection.
3. |Clinical |inference. |
4. |Probing. |- |CORRECT |ANSWER✔✔-3- |
A |cue |is |information |you |obtain |through |your |senses |(the |nurse |observes |the |patient |walking |
with |a |shuffling |gait). |A |clinical |inference |is |the |nurse's |judgment |or |interpretation |of |these |
cues |(the |conclusion |that |the |patient |has |a |mobility |problem).Reflection |and |probing |are |not |
relevant |to |this |example.
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?
1. |Review |of |systems |approach
2. |Use |of |a |structured |database |format |
3. |Back |channeling
, 4. |A |problem-oriented |approach |- |CORRECT |ANSWER✔✔-4- |a |problem |oriented |approach |
comes |from |caring |for |patients |in |immediate |pain
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?
1. |Orientation
2. |Working |phase |
3. |Data |validation |
4. |Termination |- |CORRECT |ANSWER✔✔-2- |working |phase |allows |patients |to |describe |their |
concerns |and |problems
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?
1. |"I |can |tell |that |your |eating |habits |have |led |to |your |diabetes. |Is
that |right?"
2. |"It's |been |difficult |for |people |to |find |jobs. |Is |that |why |you |work
part |time?"
3. |"You |have |four |children; |do |you |have |any |concerns |about |going
home |and |caring |for |them?"
4. |"I |wish |patients |understood |how |overeating |affects |their
health." |- |CORRECT |ANSWER✔✔-3 |
This |is |the |only |assessment |approach |that |is |not |biased |or |does |not |show |judgment |about |the
|patient's |weight |or |occupational |status. |With |the |other |options, |the |nurse |is |reacting |to |the |
patient |on |the |basis |of |personal |stereotypes |and |biases.
