ANSWERS 100% SOLVED
,A 52 year old male patient is admitted to the hospital with a new diagnosis of rectal
cancer. The nurse conducts which type of assessment on his admission?
A. comprehensive assessment
B. problem-based assessment
C. episodic assessment
D. screening assessment for colorectal cancer - ANSWERA. comprehensive
assessment: detailed history and physical examination performed at the onset of care in
a primary care setting, admission to a hospital, or long term care facility. Encompasses
health problems experienced by the patient; health promotion, disease prevention, and
assessment for problems associated with known risk factors; or assessment for age and
gender specific health problems
The formation of a plan of care is initiated with?
A. analysis of data
B. collection of data
C. clustering of data
D. identification of nursing diagnosis - ANSWERB. collection of data
During an interview the nurse learns that a patient has a 5 year history of hypertension.
Which health promotion intervention is most appropriate at this time?
A. teaching the patient how to relieve stress to prevent hypertension
B. monitoring and minimizing the progression of hypertension
C. establishing a screening schedule for detection of hypertension.
D. advising the patient on the benefits of exercise to lower blood pressure. -
ANSWERB. monitoring and minimizing the progression of hypertension
A patient reports painful urination for 2 days. The urine is pink tinged and cloudy. What
type of data does this information represent?
A. subjective data
B. objective data
C. subjective and objective data
D. secondary source data - ANSWERC. subjective and objective data:
Signs are the objective data observed, felt, heard, or measured. Symptoms are
subjective data perceived and reported by the patient.
Which process does the clustering of data facilitate?
A. analyzing data
B. collecting data
, C. implementing data
D. evaluating nursing care - ANSWERA. analyzing data
The nurse is interviewing an adult Navajo woman. Which statement demonstrates
cultural sensitivity and acceptance of the patient?
A. "how often do you visit the medicine man for your health care?"
B. "tell me about your health care beliefs and practices."
C. "many Navajo people are afraid of hospitals. Are you afraid?"
D. 'have you ever had a physical examination with a physician or nurse practitioner?" -
ANSWERB. "tell me about your health care beliefs and practices."
The nurse is conducting an interview with Jermey, a 17 year old accompanied by his
mother. Which statement by the nurse is an age appropriate adjustment when
conducting a health history on an adolescent?
A. Jermey, do you have a girlfriend, and if so are you sexually active?
B. Mrs. Williams, is your son sexually active yet?
C. Jermey, how do you incorporate safe sex practices into your daily life?
D. Mrs. Williams, would you mind waiting outside for a few minutes while I discuss a few
things with Jermey? - ANSWERD. Mrs. Williams, would you mind waiting outside for a
few minutes while I discuss a few things with Jermey?
During an interview an elderly patient tells the nurse that she has periodic problems
keeping her balance. The nurse asks her what she is doing when the episodes occur.
Which area of the symptom analysis is the nurse pursuing with this question?
A. severity
B. frequency
C. aggravation factors
D. location - ANSWERC. aggravation factors
Which communication technique conveys genuine interest in what the patient has to
say?
A. active listening
B. sitting close to the patient
C. maintaining professional dress conduct
D. holding the patient's hand during the interview - ANSWERA. active listening: involves
listening with a purpose to spoken words as well as noticing nonverbal behaviors. Do
not predict how the patient will respond or form the next question while the patient is
talking.
A 62 year old patient tells the nurse that he is in excellent health and does not take any
medication. What is the most appropriate response by the nurse to follow up on the
patient's statement?