Chapter 5 of Fundamental Concept
skills for nursing 6th EDITION
Q: Which action would the nurse perform while collecting information from an older
patient?: Answer, Allowing time for responses
Q: Which components are included in Gordons approach to database collec- tion?: Answer
The nurse analyzes and compares the functional patterns to understand the patients'
strengths and weaknesses
Q: Which statement is a long-term goal?: Answer The patient demonstrates relaxation,
sleep, and increased activity
Q: Which statement would the nurse document as objective data during an admission and
data collection interview?: Answer 'Eyes are downcast in a flat position'
The nurse knows that which patient presentation is objective data?: Answer Temper- ature
Q: Which part of the patient interview would the nurse ask a patient if they have any
questions?: Answer Closing
Q: Which task belongs to the data-collection step of the assessment phase?- Answer
Measuring the height of a patient
Q: Which data collection method includes a functional model to represent the interaction
between the patient and the environment?: Answer
Gordons health patterns
Q: By which method would the LPN communicate updates to the registered nurse (RN)
regarding the status of the patient receiving home health care?: - Answer Documentation
Q: Which patient condition listed is a nursing diagnosis?: Answer Nausea and acute pain
Q: Which task can an LPN perform when assisting an RN during a patient's initial
examination?: Answer Obtaining vital signs
A: Taking a brief medical history recording history of drugs and allergies
Q: According to Gordons functional health patterns, which pattern is the nurse assessing
when asking a patient who is severely dehydrated about bowl movements, urine output and
sweating?: Answer Elimination pattern
A: The nurse knows that which statement is correct regarding nursing diag- noses? Answer:
The nursing diagnosis describes a health problem that needs an interven- tion
, Q: Which is the main purpose of interviewing a patient who has just been admitted to the
nursing unit?: Answer To find out the patients major problems
Q: Which actions indicate that the LPN conducted a patient's assessment and data collection
interview correctly?: Answer: Continuing to collect data during every patient encounter
Q: Which process is involved in the planning phase?: Answer Setting priorities Prescribing
nursing interventions
A: Identifying patient-centered goals
Q: Which technique is included in a physical examination?: Answer Percussion of an area
Note: Remember: Inspection, auscultation, palpation, and percussion are examination
techniques
Q: Which data from the patient record would the LPN read to identify patient problem
areas?: Answer Answer: Cues
Note: Remember: Cues are pieces of data or information that influence decisions. LPN
would check the patient database for cues that indicate deviation from the norm.
Q: Which data would the nurse use to make decisions about patient prob- lems?: Answer
Cues
Note: Remember: Signs are abnormalities that can be verified by repeat examination and
are OBJECTIVE data.
Q: Which factor would the nurse assess when collecting the vital signs of a patient?: Answer
Temperature, blood pressure, pulse rate, respiration
Q: Which is the highest priority of nursing care?: Answer: Airway management
Note: Remember: In prioritizing care, physiologic needs for basic survival take prece- dence,
Airway management always comes first. without airway, a patient will die.
Q: Which is the third step in the nursing process?: Answer Answer: Planning
Q: How many functional patterns would the nurse assess when using Gor- dons model of
functional health patterns?: Answer Answer 11
Note: Remember: The nurse can use two approaches for comprehensive assessment. They
include using a structured database format and Gordons model is an example of just that.
Q: Which concern would the nurse have about the implementation of a hospi- talized
patients care plan that has not been reviewed in 3 days?: Answer The care plan must be
revied and updated every 24 hours
Note: Remember: A care plan must be reviewed and updated every 24 hours as the
skills for nursing 6th EDITION
Q: Which action would the nurse perform while collecting information from an older
patient?: Answer, Allowing time for responses
Q: Which components are included in Gordons approach to database collec- tion?: Answer
The nurse analyzes and compares the functional patterns to understand the patients'
strengths and weaknesses
Q: Which statement is a long-term goal?: Answer The patient demonstrates relaxation,
sleep, and increased activity
Q: Which statement would the nurse document as objective data during an admission and
data collection interview?: Answer 'Eyes are downcast in a flat position'
The nurse knows that which patient presentation is objective data?: Answer Temper- ature
Q: Which part of the patient interview would the nurse ask a patient if they have any
questions?: Answer Closing
Q: Which task belongs to the data-collection step of the assessment phase?- Answer
Measuring the height of a patient
Q: Which data collection method includes a functional model to represent the interaction
between the patient and the environment?: Answer
Gordons health patterns
Q: By which method would the LPN communicate updates to the registered nurse (RN)
regarding the status of the patient receiving home health care?: - Answer Documentation
Q: Which patient condition listed is a nursing diagnosis?: Answer Nausea and acute pain
Q: Which task can an LPN perform when assisting an RN during a patient's initial
examination?: Answer Obtaining vital signs
A: Taking a brief medical history recording history of drugs and allergies
Q: According to Gordons functional health patterns, which pattern is the nurse assessing
when asking a patient who is severely dehydrated about bowl movements, urine output and
sweating?: Answer Elimination pattern
A: The nurse knows that which statement is correct regarding nursing diag- noses? Answer:
The nursing diagnosis describes a health problem that needs an interven- tion
, Q: Which is the main purpose of interviewing a patient who has just been admitted to the
nursing unit?: Answer To find out the patients major problems
Q: Which actions indicate that the LPN conducted a patient's assessment and data collection
interview correctly?: Answer: Continuing to collect data during every patient encounter
Q: Which process is involved in the planning phase?: Answer Setting priorities Prescribing
nursing interventions
A: Identifying patient-centered goals
Q: Which technique is included in a physical examination?: Answer Percussion of an area
Note: Remember: Inspection, auscultation, palpation, and percussion are examination
techniques
Q: Which data from the patient record would the LPN read to identify patient problem
areas?: Answer Answer: Cues
Note: Remember: Cues are pieces of data or information that influence decisions. LPN
would check the patient database for cues that indicate deviation from the norm.
Q: Which data would the nurse use to make decisions about patient prob- lems?: Answer
Cues
Note: Remember: Signs are abnormalities that can be verified by repeat examination and
are OBJECTIVE data.
Q: Which factor would the nurse assess when collecting the vital signs of a patient?: Answer
Temperature, blood pressure, pulse rate, respiration
Q: Which is the highest priority of nursing care?: Answer: Airway management
Note: Remember: In prioritizing care, physiologic needs for basic survival take prece- dence,
Airway management always comes first. without airway, a patient will die.
Q: Which is the third step in the nursing process?: Answer Answer: Planning
Q: How many functional patterns would the nurse assess when using Gor- dons model of
functional health patterns?: Answer Answer 11
Note: Remember: The nurse can use two approaches for comprehensive assessment. They
include using a structured database format and Gordons model is an example of just that.
Q: Which concern would the nurse have about the implementation of a hospi- talized
patients care plan that has not been reviewed in 3 days?: Answer The care plan must be
revied and updated every 24 hours
Note: Remember: A care plan must be reviewed and updated every 24 hours as the
