ASSESSMENT EXAM 2 | DETAILED
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,c. "Are there any special needs that you and your family An older man who is near death has been admitted to the hospital, and his family
request during this time?" members are at his bedside. Which question or statement should the nurse use
during the admission assessment to address the spiritual needs of the patient and
his family appropriately?
a. "What is your religion? I'll make the appropriate spiritual arrangements"
b. "Tell me what death means to people from your culture"
c. "Are there any special needs that you and your family request during this time?"
d. "I'll call the hospital priest so he can administer last rites"
a. It fits the patient's valued life patterns and set of Which explanation provided by the nurse is the most accurate meaning for
meanings. "providing culturally congruent care"?
a. It fits the patient's valued life patterns and set of meanings.
b. It is the same set of values as those of the health care team member providing
daily care.
c. It holds one's own way of life as superior to those of others.
d. It redirects the patient to a more socially expected set of values.
b. By abandoning prejudgment of others How does a nurse begin the process of becoming culturally competent?
a. By caring for patients from different cultures
b. By abandoning prejudgment of others
c. By being motivated to study other cultures
d. By learning to speak a foreign language
a. Examine his or her feelings about the role of religious A nurse is assessing a woman whose religious beliefs do not allow blood
beliefs in making decisions about life. transfusions. She has severe anemia, is very weak, and has altered mental status.
What should the nurse do to provide culturally competent care to this woman?
a. Examine his or her feelings about the role of religious beliefs in making
decisions about life.
b. Recognize that he or she cannot provide care to patients whose religious
beliefs endanger their lives.
c. Try to convince the patient to have a blood transfusion to save her own life.
d. Determine whether the patient is competent to make her own decisions about
health care.
d. Reflect on her own values, beliefs, feelings, and A nurse at a clinic is admitting a new patient. During the assessment, she learns
attitudes. that this patient lives as a female but was born with male genitalia. The nurse feels
uncomfortable after learning about this gender variance. What should this nurse
do to provide competent care to this patient?
a. Ask another nurse to complete the assessment of this patient.
b. Try to subdue or hide her feelings from the patient.
c. Discuss with the patient the reasons for living as a woman.
d. Reflect on her own values, beliefs, feelings, and attitudes.
, c. Ask her about her spiritual and cultural needs. A nurse admits a Hispanic woman who describes having traditional cultural
beliefs. What action by the nurse demonstrates culturally competent care?
a. Consult the hospital chaplain about how to meet her spiritual needs.
b. Contact a curandero to visit her when possible.
c. Ask her about her spiritual and cultural needs.
d. Ask the family members what care they want for their relative.
d. By comparing the patient's left side with the right side How does the nurse determine if a patient's musculoskeletal examination is
normal?
a. By reading the examination findings documented in the patient's chart
b. By comparing findings from other patients in the same age group
c. By reading descriptions in health assessment books
d. By comparing the patient's left side with the right side
b. Flexion of the arm While assessing a patient's bicep muscle strength, the nurse applies resistance
and asks the patient to perform which motion?
a. Extension of the arm
b. Flexion of the arm
c. Adduction of the arm
d. Abduction of the arm
d. Normal or 5/5 The nurse assessing the patient's muscle strength finds that the patient has full
resistance to opposition. How would this finding be documented?
a. Poor or 2/5
b. Fair or 3/5
c. Good or 4/5
d. Normal or 5/5
a. Flexion, extension, and hyperextension While assessing the range of motion of the patient's knee, the nurse expects the
patient to be able to perform which movements?
a. Flexion, extension, and hyperextension
b. Circumduction, internal rotation, and external rotation
c. Adduction, abduction, and rotation
d. Flexion, pronation, and supination