NURS 201 - Exam 2 Review
Terms in this set (25)
A nurse initiates a brief interview with a 3
patient who has come to the medical clinic 5
because of self-reported hoarseness, sore
throat, and chest congestion. The nurse
observes that the patient has a slumped
posture and is using intercostal muscles to
breathe. The nurse auscultates the patient's
lungs and hears crackles in the left lower
lobe. The patient's respiratory rate is 20 per
minute compared with an average of 16 per
minute during previous clinic visits. The
patient tells the nurse, "It is hard for me to
get a breath." Which of the following data
sets are examples of subjective data?
(Select all that apply.)
1. Heart rate of 20 per minute and chest
congestion
2. Lung sounds revealing crackles and use
of intercostal muscles to breathe
3. Patient statement, "It's hard for me to get
a breath"
4. Slumped posture and previous
respiratory rate of 16 per minute
5. Patient report of sore throat and
hoarseness
, The nurse asks a patient the following series of questions: 2
"Describe for me how much you exercise each day." "How do you
tolerate the exercise?" "Is the amount of exercise you get each day
the same, less, or more than what you did a year ago?" This series
of questions would likely occur during which phase of a patient-
centered
interview?
1. Orientation
2.Working phase
3. Data interpretation
4. Termination
Place the following steps of the assessment process in the correct 3
order: 5
1. compare data with another source to determine data 4
accurate 2
2. as a pattern forms, probe and frame further questions 1
3. interview a patient, observe behavior, and gather physical
assessment findings
4. cluster cues that relate together, make inferences, and identify
emerging patterns
5. differentiate important data from the total data you collect
A nurse is conducting a patient-centered interview. Place the statements 5
from the interview in the correct order, beginning
with the first statement a nurse would ask.
1. "You said you've lost weight, tell me how much weight you
have lost in the past month"
2. "My name is terry. I'll be the nurse taking care of you today."
3. "I have no further questions. Is there anything else you wish to ask
me?"
4. "Tell me what brought you to the hospital"
5. "So to summarize, you've lost about 6 pounds in the past month,
and your
appetite has been poor-correct?"
Terms in this set (25)
A nurse initiates a brief interview with a 3
patient who has come to the medical clinic 5
because of self-reported hoarseness, sore
throat, and chest congestion. The nurse
observes that the patient has a slumped
posture and is using intercostal muscles to
breathe. The nurse auscultates the patient's
lungs and hears crackles in the left lower
lobe. The patient's respiratory rate is 20 per
minute compared with an average of 16 per
minute during previous clinic visits. The
patient tells the nurse, "It is hard for me to
get a breath." Which of the following data
sets are examples of subjective data?
(Select all that apply.)
1. Heart rate of 20 per minute and chest
congestion
2. Lung sounds revealing crackles and use
of intercostal muscles to breathe
3. Patient statement, "It's hard for me to get
a breath"
4. Slumped posture and previous
respiratory rate of 16 per minute
5. Patient report of sore throat and
hoarseness
, The nurse asks a patient the following series of questions: 2
"Describe for me how much you exercise each day." "How do you
tolerate the exercise?" "Is the amount of exercise you get each day
the same, less, or more than what you did a year ago?" This series
of questions would likely occur during which phase of a patient-
centered
interview?
1. Orientation
2.Working phase
3. Data interpretation
4. Termination
Place the following steps of the assessment process in the correct 3
order: 5
1. compare data with another source to determine data 4
accurate 2
2. as a pattern forms, probe and frame further questions 1
3. interview a patient, observe behavior, and gather physical
assessment findings
4. cluster cues that relate together, make inferences, and identify
emerging patterns
5. differentiate important data from the total data you collect
A nurse is conducting a patient-centered interview. Place the statements 5
from the interview in the correct order, beginning
with the first statement a nurse would ask.
1. "You said you've lost weight, tell me how much weight you
have lost in the past month"
2. "My name is terry. I'll be the nurse taking care of you today."
3. "I have no further questions. Is there anything else you wish to ask
me?"
4. "Tell me what brought you to the hospital"
5. "So to summarize, you've lost about 6 pounds in the past month,
and your
appetite has been poor-correct?"
