NR 509 Week 2 Quiz / NR509 Week 2 Quiz (2019): Advanced Physical Assessment: Chamberlain (Already graded A)

NR 509 Week 2 Quiz / NR509 Week 2 Quiz (Latest): Advanced Physical Assessment: Chamberlain NR 509 Advanced Physical Assessment Quiz 2 / NR509 Advanced Physical Assessment Quiz 2 (Latest): Chamberlain NR 509 Week 2 Advanced Physical Assessment Quiz / NR 509 Week 2 Advanced Physical Assessment Quiz (Latest): Chamberlain Question1. The nurse is reviewing theories of illness. The germ theory, which states that microscopic organisms such as bacteria and viruses are responsible for specific disease conditions, is a basic belief of which theory of illness? Holistic Biomedical Naturalistic Magicoreligious Question 2. In the hotcold theory, illnesses are believed to be caused by hot or cold entering the body. Which of these patients’ conditions is most consistent with a “cold” condition? Diabetic patient with renal failure Teenager with an abscessed tooth Child with symptoms of itching and a rash Elderly male with gastrointestinal discomfort Question 3. The nurse is conducting a heritage assessment. Which question is most appropriate for this assessment? “What is your religion?” “Do you mostly participate in the religious traditions of your family?” “Do you smoke?” “Do you have a history of heart disease?” Question 4. The nurse is comparing the concepts of religion and spirituality. Which of the following is an appropriate component of one’s spirituality? Belief in and the worship of God or gods Attendance at a specific church A personal effort to find purpose and meaning in life Spirituality is closely tied to one’s ethnic background Question 5. The nurse is reviewing the hotcold theory of health and illness. Which statement best describes the basic tenets of this theory? The causation of illness is based on supernatural forces that influence the humors of the body. Herbs and medicines are classified on their physical characteristics of hot and cold and the humors of the body. The four humors of the body consist of blood, yellow bile, spiritual connectedness, and social aspects of the individual. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors of the body. Question 6. An elderly Mexican-American woman with traditional beliefs has been admitted to an inpatient care unit. A culturally-sensitive nurse would contact the hospital administrator about the best course of action. automatically get a curandero for her because it is not culturally appropriate for her to request one. further assess the patient’s cultural beliefs and offer the patient assistance in contacting a curandero or priest if she desires. ask the family what they would like to do because Mexican-Americans traditionally give control of decisions to their families. Question 7. The nurse recognizes that working with children with a different cultural perspective may be especially difficult because children have spiritual needs that are influenced by their stages of development. children have spiritual needs that are direct reflections of what is occurring in their homes. religious beliefs rarely affect the parents’ perceptions of the illness. parents are often the decision makers, and they have no knowledge of their children’s spiritual needs. Question 8. During morning rounds, the nurse asks a patient, “How are you today?” The patient responds, “You today, you today, you today!” and mumbles the words. This speech pattern is an example of echolalia. clanging. word salad. perseveration. Question 9. A patient repeats, “I feel hot. Hot, cot, rot, tot, got. I’m a spot.” The nurse documents this as an illustration of blocking. clanging. echolalia. neologism. Question 10. A 26-year-old woman was robbed and beaten a month ago. She is returning to the clinic today for a follow-up assessment. The nurse would want to be certain to ask her which of these questions? “How are things going with the trial?” “How are things going with your job?” “Tell me about your recent engagement!” “Are you having any disturbing dreams?” Question 11. A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated Words Test, the nurse would be concerned if she could not _____ four unrelated words _____. invent; within 5 minutes invent; within 30 seconds recall; after a 30-minute delay recall; after a 60-minute delay Question 12. The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient will have no decrease in any of his abilities, including response time. will have difficulty on tests of remote memory because this typically decreases with age. may take a little longer to respond, but his general knowledge and abilities should not have declined. will have had a decrease in his response time because of language loss and a decrease in general knowledge. Question 13. A patient has had a cerebrovascular accident, or stroke. He is trying very hard to communicate. He seems driven to speak and says, “I buy obie get spirding and take my train.” What is the best description of this patient’s problem? Global aphasia Broca’s aphasia Echolalia Wernicke’s aphasia Question 14. A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of the fluid and electrolyte imbalance. For the mental status examination, the nurse should first assess the patient’s affect and mood. memory and affect. language abilities. level of consciousness and cognitive abilities. Question 15. The nurse is reviewing aspects of substance abuse in preparation for a seminar. Which of these statements illustrates the concept of “tolerance” to an illicit substance? The person has a physiologic dependence on a substance. requires an increased amount of the substance to produce the same effect. requires daily use of the substance in order to function, and is unable to stop using it. experiences a syndrome of physiologic symptoms if the substance is not used. Question 16. The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than two hours old? Red Purple-blue Greenish-brown Brownish-yellow Question 17. The nurse is examining a 3-year-old child who was brought to the emergency room after a fall. Which bruise, if found, would be of most concern? A bruise on the knee A bruise on the elbow Bruising on the abdomen A bruise on the shin Question 18. A 16-year-old girl is being seen at the clinic for gastrointestinal complaints and weight loss. The nurse determines that many of her complaints may be related to erratic eating patterns, eating predominantly fast foods, and high caffeine intake. In this situation, which is most appropriate when collecting current dietary intake information? Schedule a time for direct observation of the adolescent during meals. Ask the patient for a 24-hour diet recall and assume this is reflective of a typical day for her. Have the patient complete a food diary for three days, including two weekdays and one weekend day. Use the food frequency questionnaire to identify the amount of intake of specific foods. Question 19. The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios. Which one of these patients would be at increased risk? 29-year-old woman whose waist is 33 inches and whose hips are 36 inches 32-year-old man whose waist is 34 inches and whose hips are 36 inches 38-year-old man whose waist is 35 inches and whose hips are 38 inches 46-year-old woman whose waist is 30 inches and whose hips are 38 inches Question 20. The nurse is providing care for a 68-year-old woman who is complaining of constipation. What concern exists regarding her nutritional status? The absorption of nutrients may be impaired. The constipation may represent a food allergy. She may need emergency surgery for the problem. The gastrointestinal problem will increase her caloric demand. Question 21. Which of these conditions is due to an inadequate intake of both protein and calories? Obesity Bulimia Marasmus Kwashiorkor Question 22. After completing a diet assessment on a 30-year-old woman, the nurse suspects that she may be deficient in iron. Laboratory studies to obtain to verify this condition would be hemoglobin and hematocrit. cholesterol and triglycerides. urinalysis. serum albumin. Question 23. When assessing a patient’s nutritional status, the nurse recalls that the best definition of optimal nutritional status is nutrients in excess of daily body requirements. sufficient nutrients to provide for the minimum body needs. sufficient nutrients for daily body requirements but not for increased metabolic demands. sufficient nutrients to provide for daily body requirements and for increased metabolic demands. Question 24. A patient tells the nurse that his food just doesn’t have any taste anymore. The nurse’s best response would be “That must be really frustrating.” “When did you first notice this change?” “My food doesn’t always have a lot of taste either.” “Sometimes that happens but your taste will come back.” Question 25. The nurse is concerned about the skeletal protein reserves of a patient who has been hospitalized frequently for chronic lung disease. Which of these measurements would be necessary to include in the assessment? Body mass index Weight and height Mid-arm muscle area Ideal body weight and frame size