NUR 200 RECENT EXAMS STUDY GUIDE QUESTIONS
AND ANSWERS SURE A+
✔✔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? - ✔✔"You
have four children; do you have any concerns about going home and caring for them?"
✔✔A nurse is checking a patient's intravenous line and, while doing so, notices how the
patient bathes himself and then sits on the side of the bed independently to put on a
new gown. This observation is an example of assessing: - ✔✔Patient's level of function.
✔✔A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his
right leg tells the nurse practitioner that he is worried about his ability to continue to
support his family. He tells the nurse he feels that he has let his family down after
having an auto accident that led to the loss of his left leg. The nurse listens and then
asks the patient, "How do you see yourself now?" On the basis of Gordon's functional
health patterns, which pattern does the nurse assess - ✔✔Self-perception-self-concept
pattern
✔✔During a visit to the clinic, a patient tells the nurse that he has been having
headaches on and off for a week. The headaches sometimes make him feel nauseated.
, Which of the following responses by the nurse is an example of probing? - ✔✔Tell me
what makes your headaches begin.
✔✔Steps of NOTICING - ✔✔Identifying Assumptions
Predicting (and Managing) Potential Complications
Assessing Systematically and Comprehensively
Gathering Complete and Accurate Data
Identifying signs and symptoms
✔✔SPICES tool - ✔✔a framework for assessing older adults that focuses on six
common "marker conditions": sleep problems, problems with eating and feeding,
incontinence, confusion, evidence of falls, and skin breakdown. These conditions
provide a snapshot of a patient's overall health and the quality of care.
✔✔Noticing-Identifying signs and symptoms - ✔✔Ability to identify signs and symptoms
indicating a situation is different, changed or not of normal state.
✔✔Noticing-Gathering complete and accurate data - ✔✔When assessing a situation it is
important to gather complete and accurate data. The data is used as the basis for
identifying problems, issues and concerns, solving problems and making decisions.
✔✔Noticing-Assessing systematically and comprehensively - ✔✔Nurses use a
systematic method such as body systems, a head to toe approach or focused
assessment so no areas are forgotten.
✔✔Noticing-Predicting and managing potential complications - ✔✔Nurses must look at
the big picture to predict potential complications that may exist for individual patients
✔✔Noticing-identifying assumptions - ✔✔Taking something for granted or hastily
arriving at a conclusion without supporting evidence.
✔✔Interpreting-clustering related information - ✔✔Grouping together information with a
common theme to form the basis for problem identification.
✔✔Interpreting-recognizing inconsistencies - ✔✔In reviewing data, nurses are
cognizant of any inconsistencies that may indicate additional problems that may not be
readily apparent.
✔✔Interpreting-checking accuracy and reliability - ✔✔If something doesn't seem quite
right, the nurse must take action to determine if the information is accurate.
✔✔Interpreting-compare and contrast data - ✔✔Comparing and contrasting information
about two similar situations provides practice with determining nuances between the
cases.
AND ANSWERS SURE A+
✔✔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? - ✔✔"You
have four children; do you have any concerns about going home and caring for them?"
✔✔A nurse is checking a patient's intravenous line and, while doing so, notices how the
patient bathes himself and then sits on the side of the bed independently to put on a
new gown. This observation is an example of assessing: - ✔✔Patient's level of function.
✔✔A patient who visits the surgery clinic 4 weeks after a traumatic amputation of his
right leg tells the nurse practitioner that he is worried about his ability to continue to
support his family. He tells the nurse he feels that he has let his family down after
having an auto accident that led to the loss of his left leg. The nurse listens and then
asks the patient, "How do you see yourself now?" On the basis of Gordon's functional
health patterns, which pattern does the nurse assess - ✔✔Self-perception-self-concept
pattern
✔✔During a visit to the clinic, a patient tells the nurse that he has been having
headaches on and off for a week. The headaches sometimes make him feel nauseated.
, Which of the following responses by the nurse is an example of probing? - ✔✔Tell me
what makes your headaches begin.
✔✔Steps of NOTICING - ✔✔Identifying Assumptions
Predicting (and Managing) Potential Complications
Assessing Systematically and Comprehensively
Gathering Complete and Accurate Data
Identifying signs and symptoms
✔✔SPICES tool - ✔✔a framework for assessing older adults that focuses on six
common "marker conditions": sleep problems, problems with eating and feeding,
incontinence, confusion, evidence of falls, and skin breakdown. These conditions
provide a snapshot of a patient's overall health and the quality of care.
✔✔Noticing-Identifying signs and symptoms - ✔✔Ability to identify signs and symptoms
indicating a situation is different, changed or not of normal state.
✔✔Noticing-Gathering complete and accurate data - ✔✔When assessing a situation it is
important to gather complete and accurate data. The data is used as the basis for
identifying problems, issues and concerns, solving problems and making decisions.
✔✔Noticing-Assessing systematically and comprehensively - ✔✔Nurses use a
systematic method such as body systems, a head to toe approach or focused
assessment so no areas are forgotten.
✔✔Noticing-Predicting and managing potential complications - ✔✔Nurses must look at
the big picture to predict potential complications that may exist for individual patients
✔✔Noticing-identifying assumptions - ✔✔Taking something for granted or hastily
arriving at a conclusion without supporting evidence.
✔✔Interpreting-clustering related information - ✔✔Grouping together information with a
common theme to form the basis for problem identification.
✔✔Interpreting-recognizing inconsistencies - ✔✔In reviewing data, nurses are
cognizant of any inconsistencies that may indicate additional problems that may not be
readily apparent.
✔✔Interpreting-checking accuracy and reliability - ✔✔If something doesn't seem quite
right, the nurse must take action to determine if the information is accurate.
✔✔Interpreting-compare and contrast data - ✔✔Comparing and contrasting information
about two similar situations provides practice with determining nuances between the
cases.
