507 Exam 1
A nurse precepting a student nurse asks, "What's the most important step in the critical-thinking
process?"
-Clustering subjective and objective data
-Analyzing health data
-Using evidence based assessment techniques
-Prioritizing health concerns - ✔✔ correct answer -Using evidence-based assessment techniques
Evidence-based techniques are supported by research showing effectiveness of the technique that
provides the safest and most current techniques to promote the health of patients. Clustering
subjective and objective data is a step in the critical-thinking process, but is not the most important
step. Analyzing health data is a step in the critical-thinking process, but is not the most important
step. Prioritizing health concerns is a step in the critical-thinking process, but is not the most
important step.
First-level priority problems
Second-level priority problems
Third-level priority problems - ✔✔ correct answer *First-level priority problems* are problems that
are emergent, life-threatening, and immediate. Impaired gas exchange is an emergent and
immediate problem. *Second-level priority problems* are problems that are next in urgency; these
problems require prompt intervention to forestall further deterioration. Risk for infection is an
example of a second-level priority. *Third-level priority problems* are problems that are important
to the patient's health but can be addressed after more urgent health problems are addressed.
Wellness diagnoses are third-level priority problems.
Which of the following actions/behaviors in the critical-thinking process are important for the novice
nurse to remember? (Select all that apply.)
-Disregard initial cues
-Approach assessment with a non-judgmental attitude
-Cluster associated assessment data
-Perform assessment in whatever manner works for you
-Avoid making assumptions - ✔✔ correct answer -Approach assessment with a non-judgmental
attitude
-Cluster associated assessment data
-Avoid making assumptions
Which of the following statements regarding language barriers and health care is true?
-English proficiency is associated with lower quality of care
,507 Exam 1
-Patients with language barriers have decreased risk for nonadherence to medication regimens
-Standards have been identified that are important to eliminate health disparities
-LEP is associated with higher quality of care - ✔✔ correct answer -Standards have been identified
that are important to eliminate health disparities.
Title VI of the Civil Rights Act of 1964 provides people with LEP access to health care; these
individuals cannot be denied health care services. The National Standards for Culturally and
Linguistically Appropriate Services in Health Care are important to implement in order to improve
quality of care and eliminate health disparities. LEP is associated with a lower quality of care. English
proficiency is associated with a higher quality of care. Patients with language barriers have an
increased risk for nonadherence to medication regimens.
Which theory has been expanded in an attempt to study the degree to which a person's lifestyle
reflects his or her traditional heritage?
-Congruence mechanism
-Heritage consistency
-Behavior theory
-Socialization experience - ✔✔ correct answer -Heritage consistency
Heritage consistency theory has been expanded in an attempt to study the degree to which a
person's lifestyle reflects his or her traditional heritage. Behavior theory or behaviorism is a learning
theory. Carl Rogers described the concepts of congruence and incongruence as important ideas in his
theory of personality and human development. Socialization is the process of being raised within a
culture and acquiring the characteristics of that group.
When considering cultural competence, the nurse must develop knowledge of discrete areas to
understand the health care needs of others. These discrete areas include understanding of (Select all
that apply.)
-his or her own heritage
-cultural and ethnic values
-the heritage of the healthcare system
-the heritage of the nursing profession
-the heritage of the patient - ✔✔ correct answer -his or her own heritage
-heritage of healthcare system
-heritage of nursing profession
-heritage of the patient
Discrete areas of knowledge for cultural competence include understanding of one's own heritage,
the heritage of the nursing profession, the heritage of the patient, and the heritage of the health
, 507 Exam 1
care system. Understanding cultural and ethnic values is not an area of knowledge for cultural
competence.
The hot/cold theory of health - ✔✔ correct answer is based on humoral theory; the treatment of
disease is based on the balance of the humors. Beverages, foods, herbs, medicines, and diseases are
classified as hot or cold according to their perceived effects on the body, not their physical
characteristics. The four humors of the body include the blood, phlegm, black bile, and yellow bile;
the humors regulate basic bodily functions and are described in terms of temperature, dryness, and
moisture. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness
to restore the balance of the humors.
What is the yin/yang theory of health? - ✔✔ correct answer In the yin/yang theory, health is
believed to exist when all aspects of the person are in perfect balance.
Which of the social determinants of health has the greatest influence on a person's health? - ✔✔
correct answer Poverty
The social determinants of health are interconnected and affect a person's health. But, research has
consistently shown that poverty has the greatest influence on health status.
Parents or caregivers accompany children to the health care setting. Starting at ___ years of age, the
interviewer asks the child directly about his or her presenting symptoms.
-11
-7
-9
-5 - ✔✔ correct answer 7
School-age children (starting at age 7) have the verbal ability to add important data to the history.
The nurse should interview the parent and child together, but when a presenting symptom or sign
exists, the nurse should ask the child about it first and then gather data from the parent.
The most appropriate introduction to use to start an interview with an older adult patient is
-"Mr. Jones, I want to ask you some questions about your health so that we can plan your care."
-"David, I am here to ask you questions about your illness; we want to determine what is wrong."
-"Because so many people have already asked you questions, I will just get the information from the
chart."
A nurse precepting a student nurse asks, "What's the most important step in the critical-thinking
process?"
-Clustering subjective and objective data
-Analyzing health data
-Using evidence based assessment techniques
-Prioritizing health concerns - ✔✔ correct answer -Using evidence-based assessment techniques
Evidence-based techniques are supported by research showing effectiveness of the technique that
provides the safest and most current techniques to promote the health of patients. Clustering
subjective and objective data is a step in the critical-thinking process, but is not the most important
step. Analyzing health data is a step in the critical-thinking process, but is not the most important
step. Prioritizing health concerns is a step in the critical-thinking process, but is not the most
important step.
First-level priority problems
Second-level priority problems
Third-level priority problems - ✔✔ correct answer *First-level priority problems* are problems that
are emergent, life-threatening, and immediate. Impaired gas exchange is an emergent and
immediate problem. *Second-level priority problems* are problems that are next in urgency; these
problems require prompt intervention to forestall further deterioration. Risk for infection is an
example of a second-level priority. *Third-level priority problems* are problems that are important
to the patient's health but can be addressed after more urgent health problems are addressed.
Wellness diagnoses are third-level priority problems.
Which of the following actions/behaviors in the critical-thinking process are important for the novice
nurse to remember? (Select all that apply.)
-Disregard initial cues
-Approach assessment with a non-judgmental attitude
-Cluster associated assessment data
-Perform assessment in whatever manner works for you
-Avoid making assumptions - ✔✔ correct answer -Approach assessment with a non-judgmental
attitude
-Cluster associated assessment data
-Avoid making assumptions
Which of the following statements regarding language barriers and health care is true?
-English proficiency is associated with lower quality of care
,507 Exam 1
-Patients with language barriers have decreased risk for nonadherence to medication regimens
-Standards have been identified that are important to eliminate health disparities
-LEP is associated with higher quality of care - ✔✔ correct answer -Standards have been identified
that are important to eliminate health disparities.
Title VI of the Civil Rights Act of 1964 provides people with LEP access to health care; these
individuals cannot be denied health care services. The National Standards for Culturally and
Linguistically Appropriate Services in Health Care are important to implement in order to improve
quality of care and eliminate health disparities. LEP is associated with a lower quality of care. English
proficiency is associated with a higher quality of care. Patients with language barriers have an
increased risk for nonadherence to medication regimens.
Which theory has been expanded in an attempt to study the degree to which a person's lifestyle
reflects his or her traditional heritage?
-Congruence mechanism
-Heritage consistency
-Behavior theory
-Socialization experience - ✔✔ correct answer -Heritage consistency
Heritage consistency theory has been expanded in an attempt to study the degree to which a
person's lifestyle reflects his or her traditional heritage. Behavior theory or behaviorism is a learning
theory. Carl Rogers described the concepts of congruence and incongruence as important ideas in his
theory of personality and human development. Socialization is the process of being raised within a
culture and acquiring the characteristics of that group.
When considering cultural competence, the nurse must develop knowledge of discrete areas to
understand the health care needs of others. These discrete areas include understanding of (Select all
that apply.)
-his or her own heritage
-cultural and ethnic values
-the heritage of the healthcare system
-the heritage of the nursing profession
-the heritage of the patient - ✔✔ correct answer -his or her own heritage
-heritage of healthcare system
-heritage of nursing profession
-heritage of the patient
Discrete areas of knowledge for cultural competence include understanding of one's own heritage,
the heritage of the nursing profession, the heritage of the patient, and the heritage of the health
, 507 Exam 1
care system. Understanding cultural and ethnic values is not an area of knowledge for cultural
competence.
The hot/cold theory of health - ✔✔ correct answer is based on humoral theory; the treatment of
disease is based on the balance of the humors. Beverages, foods, herbs, medicines, and diseases are
classified as hot or cold according to their perceived effects on the body, not their physical
characteristics. The four humors of the body include the blood, phlegm, black bile, and yellow bile;
the humors regulate basic bodily functions and are described in terms of temperature, dryness, and
moisture. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness
to restore the balance of the humors.
What is the yin/yang theory of health? - ✔✔ correct answer In the yin/yang theory, health is
believed to exist when all aspects of the person are in perfect balance.
Which of the social determinants of health has the greatest influence on a person's health? - ✔✔
correct answer Poverty
The social determinants of health are interconnected and affect a person's health. But, research has
consistently shown that poverty has the greatest influence on health status.
Parents or caregivers accompany children to the health care setting. Starting at ___ years of age, the
interviewer asks the child directly about his or her presenting symptoms.
-11
-7
-9
-5 - ✔✔ correct answer 7
School-age children (starting at age 7) have the verbal ability to add important data to the history.
The nurse should interview the parent and child together, but when a presenting symptom or sign
exists, the nurse should ask the child about it first and then gather data from the parent.
The most appropriate introduction to use to start an interview with an older adult patient is
-"Mr. Jones, I want to ask you some questions about your health so that we can plan your care."
-"David, I am here to ask you questions about your illness; we want to determine what is wrong."
-"Because so many people have already asked you questions, I will just get the information from the
chart."
