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NUR 634 MIDTERM EXAM NEWEST p p p p




ACTUAL EXAM (2 VERSIONS) WITH CO p p p p p




MPLETE QUESTIONS AND DETAILEDAN p p p p




SWERS GRADED A | BRAND NEW!!! p p p p p




VERSION A p




During a staff meeting, nurses discuss the problems with accessin
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g research studies to incorporate evidence-
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based clinical decision making into their practice. Which suggesti
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on bythe nurse manager would best help these problems?
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a . Form a committee to conduct research studies.
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b . Post published research studies on the units bulletin boards.c .
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Encourage the nurses to visit the library to review studies.
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d . Teach the nurses how to conduct electronic searches for resea
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rch studies. - p p




p✔✔✔ Correct Answer > ANS: D Facilitating support for EBP woul
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d include teaching the nurses how to conduct electronic searches
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; time to visit the library may not beavailable for many nurses. Act
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ually conducting research studies may be helpful in the long-
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run but not an immediate solution toreviewing existing research.
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,When performing a physical examination, safety must be consid
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ered to protect the examiner and the patient against thespread
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of infection. Which of these statements describes the most appr
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opriate action the nurse should take when performing a physical
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examination?
a . Washing ones hands after removing gloves is not necessary,a
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s long as the gloves are still intact.
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b . Hands are washed before and after every physical patientenco
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unter.
c . Hands are washed before the examination of each body system
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to prevent the spread of bacteria from one part of thebody to anot
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her.
d . Gloves are worn throughout the entire examination to demon
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strate to the patient concern regarding the spread of infectious di
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seases - p




✔✔✔ Correct Answer > ANS: B The nurseshould wash his or her
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hands before and after every physical patient encounter; after co
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ntact with blood, body fluids, secretions, and excretions; after co
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ntact with any equipment contaminated with body fluids; and aft
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er removing gloves.
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Hands should be washed after gloves have been removed, evenif
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the gloves appear to be intact. Gloves should be worn when pote
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ntial contact with any body fluids is present.
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When reviewing the concepts of health, the nurse recalls thatth
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e components of holistic health include which of these?
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,a . Disease originates from the external environment.b
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. The individual human is a closed system.
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c . Nurses are responsible for a patients health state.
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d . Holistic health views the mind, body, and spirit as interdepen
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dent. - p




✔✔✔ Correct Answer > ANS: D Consideration of the whole pers
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on is the essence of holistic health, which views the mind, body, a
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nd spirit as interdependent. The basis of disease originates from
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both the external environment and from within the person. Both
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the individual human and the external environment are open sy
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stems, continually changing and adapting, and each person isres
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ponsible for his or her own personal health state.
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The nurse recognizes that the concept of prevention indescribin
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g health is essential because:
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a . Disease can be prevented by treating the externale
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nvironment.
b . The majority of deaths among Americans under age 65 yearsar
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e not preventable.
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c . Prevention places the emphasis on the link between healtha
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nd personal behavior.
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d . The means to prevention is through treatment provided bypri
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mary health care practitioners. -
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✔✔✔ Correct Answer > ANS: C A natural progression to preven
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tion rounds out the
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, present concept of health. Guidelines to prevention place theemp
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hasis on the link between health and personal behavior.
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20. The nurse is performing a physical assessment on a newlyad
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mitted patient. An example of objective information obtained d
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uring the physical assessment includes the
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a . Patients history of allergies.
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B . Patients use of medications at home.c
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. Last menstrual period 1 month ago.
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d . 2 5 cm scar on the right lower forearm. - ✔✔✔ Correct
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Answer > ANS: D Objective data are the patients record, laborator
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y studies, and condition that the health professional observes by i
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nspecting, percussing, palpating, and auscultatingduring the physi
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cal examination. The other responses reflect subjective data.
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A visiting nurse is making an initial home visit for a patient whoha
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s many chronic medical problems. Which type of data base ismos
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t appropriate to collect in this setting?
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a . A follow-
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up data base to evaluate changes at appropriateintervals
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b . An episodic data base because of the continuing, complexm
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edical problems of this patient p p p p

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