Fundamentals Exam 1 ACTUAL
QUESTIONS WITH GRADED
ANSWERS
WhichYisYtheYfirstYstepYinYhealthYpromotion,YwellnessYeducation,YandYillnessYprevention?
1.YIdentfyingYriskYfactors
2.YIdentifyingYvulnerableYpeople
3.YHelpingYtheYpatientYimproveYhealthYstatus
4..YEmphasizingYwellnessYstrategiesY-YCORRECTYANSWERS1.YIdentifyingYriskYfactors
WhenYcaringYforYaYpatient,YtheYnurseYmustYidentifyYtheYriskYfactorsYandYdiscussYhealthYissuesYfollo
wingYaYcomprehensiveYnursingYassessment.YAssessmentYisYfollowedYbyYidentificationYofYvulnerabl
eYgroups.YFollowingYthis,YtheYnurseYcanYhelpYpatientsYdecideYifYtheyYwantYtoYmaintainYorYimproveYt
heirYhealthYstatusYbyYtakingYrisk-
reducingYefforts.YBasedYonYtheYassessmentYandYtheYpatient'sYneeds,YtheYnurseYcanYemphasizeYwell
nessYstrategies.
TheYnurseYisYconductingYtheYinitialYassessmentYofYanYelderlyYpatientYadmittedYtoYtheYhospitalYwithY
diabetesYmellitus.YWhichYassessmentYquestionsYshouldYtheYnurseYaskYwhenYobtainingYdataYaboutY
theYpatient'sYcognitive-perceptualYpattern?YSelectYallYthatYapply.
1..Y"HaveYyouYlostYanyYweightYinYtheYlastY6Ymonths?"
2..Y"WhoYisYtheYcurrentYpresident?"
3.Y"HowYmuchYactivityYorYexerciseYdoYyouYgenerallyYengageYin?"
4.Y"WhatYisYtheYdate?"
5.Y"WhatYisYtheYyear?"Y-YCORRECTYANSWERS2.Y"WhoYisYtheYcurrentYpresident?"
4.Y"WhatYisYtheYdate?"
5.Y"WhatYisYtheYyear?"
,CognitiveYfunctionsYincludeYmemory,Ythoughts,Ylanguage,YandYreasoning.YTheseYaspectsYwouldYbe
YassessedYduringYaYmentalYstatusYexamination.YAskingYquestionsYthatYcanYbeYvalidatedYbyYtheYnurs
eYwillYhelpYevaluateYtheYpatient'sYcognitive-
perceptualYpattern.YTheseYincludeYaskingYaboutYtheYdate,Yyear,YandYcurrentYpresident.YTheYassess
mentYofYtheYactivityYorYexerciseYlevelYincludesYtheYpatient'sYabilityYtoYexerciseYandYhisYorYherYlevelY
ofYfunctionalYability.YAssessmentYofYnutritional-
metabolicYpatternsYincludesYweightYandYdietaryYneedsYinYrelationYtoYmetabolicYneeds.
AY65-year-
oldYmaleYpatientYisYadmittedYtoYtheYhospitalYwithYsevereYabdominalYpain.YTheYnurseYhasYtoYobtainY
hisYhealthYhistory,YandYasksYtheYpatientYvariousYopen-
endedYquestions.YIdentifyYappropriateYopen-
endedYquestionsYthatYtheYnurseYshouldYaskYinYthisYcontext.YSelectYallYthatYapply.
1Y"WhereYexactlyYisYtheYpain?"
2Y"TellYmeYeverythingYaboutYyourYpain."
3Y"WhatYdoYyouYdoYtoYrelieveYthisYpain?"
4Y"TellYmeYwhatYproblemsYyouYareYfacing."
5Y"WhatYwouldYyouYrateYthisYpainYonYaYscaleYofY0YtoY10?"Y-YCORRECTYANSWERS2,Y3,Y&Y4
Open-
endedYquestionsYencourageYtheYpatientYtoYtalkYmore.YTheseYquestionsYprovideYanYopportunityYfor
YtheYpatientYtoYrespondYinYdetail.YClosed-
endedYquestionsYusuallyYhaveYaYyesYorYnoYresponseYandYdoYnotYallowYtheYpatientYtoYexplainYhisYco
nditionYfreely.YAskingYtheYpatientYeverythingYaboutYhisYpainYgivesYtheYpatientYtheYopportunityYtoYe
xplainYhisYconditionYfreely.YAskingYtheYpatientYwhatYheYdoesYtoYrelieveYtheYpainYallowsYtheYpatientY
toYanswerYinYdetail.YAskingYtheYpatientYaboutYhisYproblemsYallowsYtheYpatientYtoYanswerYfreelyYan
dYelaborate.YAskingYtheYpatientYaboutYtheYexactYlocationYofYtheYpainYwillYrestrictYtheYpatient'sYresp
onseYtoYoneYorYtwoYwords,YasYthisYisYanYexampleYofYaYclosed-
endedYquestion.YSimilarlyYaskingYtheYpatientYtoYrateYhisYpainYonYaYscaleYofY0YtoY10YisYanYexampleYofY
aYclosed-endedYquestion.
,TheYnurseYisYassignedYtoYaY78-year-
oldYpatientYwhoYjustYenteredYtheYhospitalYwithYsymptomsYofYH1N1Yflu.YTheYnurseYfindsYtheYpatient
YtoYbeYshortYofYbreathYwithYanYincreasedYrespiratoryYrateYofY30YbreathsYperYminute.YHeYlostYhisYwif
eYjustYaYmonthYago.YTheYnurse'sYknowledgeYaboutYthisYpatientYwouldYresultYinYwhichYtypeYofYasses
smentYapproachYatYthisYtime?YSelectYallYthatYapply.
1.YAYproblem-focusedYapproach
2.YAYstructured,YcomprehensiveYapproach
3.YUsingYmultipleYvisitsYtoYgatherYaYcompleteYdatabase
4.YFocusingYonYtheYfunctionalYhealthYpatternYofYrole-relationship
5.YSchedulingYaYsingle,Yextensive,YstructuredYinterviewYtoYgatherYaYdetailedYassessmentY-
YCORRECTYANSWERS1,Y3
TheYnurseYshouldYuseYaYfocusedYapproachYinitiallyYtoYdetermineYtheYpatient'sYrespiratoryYstatus.YH
owever,YtoYgatherYanYadmissionYassessment,YmultipleYvisitsYareYnecessaryYbecauseYofYtheYpatient'
sYageYandYlevelYofYphysicalYdistress.YAYstructured,YcomprehensiveYapproachYisYnotYappropriateYforY
thisYacuteYsituation.YEventuallyYtheYnurseYwillYwantYtoYassessYtheYpatient'sYrole-
relationshipYhealthYpatternYbecauseYofYhisYwife'sYdeath.YHowever,YitYisYnotYappropriateYatYthisYtim
e.
AYpatientYhasYarrivedYatYtheYemergencyYdepartmentY(ED)YcomplainingYofYfatigueYandYmemoryYloss
.YWhileYperformingYtheYhealthYassessment,YwhichYback-
channelingYtechniquesYmayYtheYnurseYuseYduringYtheYpatientYinterview?YSelectYallYthatYapply.
1.Y"IYsee."
2.Y"GoYon."
3.Y"AllYright."
4.Y"WhereYdoesYitYhurt?"
5.Y"WhenYdidYtheYcomplaintYstart?"
, 6.YMaintainYgoodYeyeYcontactYandYshowYinterestYinYwhatYtheYpatientYisYsaying.Y-
YCORRECTYANSWERS1,2,3,6Y
Back-
channelingYtechniquesYsuchYasYstating,Y"GoYon,"Y"IYsee,"YandY"AllYright"YreinforceYtheYnurse'sYinter
estYinYwhatYtheYpatientYhasYtoYsayYandYencourageYtheYpatientYtoYprovideYmoreYdetails.YMaintainin
gYgoodYeyeYcontactYandYshowingYinterestYareYalsoYimportantYback-
channelingYtechniques.YTheYquestions,Y"WhereYdoesYitYhurt?"YandY"WhenYdidYtheYcomplaintYstart
?"YareYexamplesYofYopen-endedYquestions,YnotYback-channelingYtechniques.
TheYnurseYisYcaringYforYaYpatientYwithYaYpressureYulcerYonYhisYleftYhip.YTheYnurseYasksYtheYpatientYs
everalYquestionsYtoYdetermineYhowYheYmayYhaveYgottenYtheYpressureYulcer.YWhichYofYGordon'sYm
odelYofY11YfunctionalYhealthYpatternsYshouldYtheYnurseYaddressYinYherYassessment?YSelectYallYthatY
apply.
1.YSleep-rest
2.YElimination
3.YPainYandYweakness
4.YNutritional-metabolic
5.YPastYmedicalYhistoryYorYfamilyYhistoryY-YCORRECTYANSWERS1,2,4Y
Gordon'sYmodelYofY11YfunctionalYhealthYpatternsYincludesYhealthYperceptionYandYhealthYmanage
ment,Ynutritional-metabolic,Yelimination,Yactivity-exercise,Ysleep-rest,Ycognitive-perceptual,Yself-
perceptionYandYself-concept,Yrole-relationship,Ysexuality-reproductive,YcopingYandYstress-
tolerance,YandYvalue-
belief.YTheYpastYmedicalYorYfamilyYhistoriesYandYpainYorYweaknessYareYnotYamongYGordon'sYmodels
YofY11YfunctionalYhealthYpatterns.
ArrangeYtheYdifferentYstepsYofYaYproblem-
orientedYapproachYforYcomprehensiveYassessmentYinYtheYappropriateYorder.
QUESTIONS WITH GRADED
ANSWERS
WhichYisYtheYfirstYstepYinYhealthYpromotion,YwellnessYeducation,YandYillnessYprevention?
1.YIdentfyingYriskYfactors
2.YIdentifyingYvulnerableYpeople
3.YHelpingYtheYpatientYimproveYhealthYstatus
4..YEmphasizingYwellnessYstrategiesY-YCORRECTYANSWERS1.YIdentifyingYriskYfactors
WhenYcaringYforYaYpatient,YtheYnurseYmustYidentifyYtheYriskYfactorsYandYdiscussYhealthYissuesYfollo
wingYaYcomprehensiveYnursingYassessment.YAssessmentYisYfollowedYbyYidentificationYofYvulnerabl
eYgroups.YFollowingYthis,YtheYnurseYcanYhelpYpatientsYdecideYifYtheyYwantYtoYmaintainYorYimproveYt
heirYhealthYstatusYbyYtakingYrisk-
reducingYefforts.YBasedYonYtheYassessmentYandYtheYpatient'sYneeds,YtheYnurseYcanYemphasizeYwell
nessYstrategies.
TheYnurseYisYconductingYtheYinitialYassessmentYofYanYelderlyYpatientYadmittedYtoYtheYhospitalYwithY
diabetesYmellitus.YWhichYassessmentYquestionsYshouldYtheYnurseYaskYwhenYobtainingYdataYaboutY
theYpatient'sYcognitive-perceptualYpattern?YSelectYallYthatYapply.
1..Y"HaveYyouYlostYanyYweightYinYtheYlastY6Ymonths?"
2..Y"WhoYisYtheYcurrentYpresident?"
3.Y"HowYmuchYactivityYorYexerciseYdoYyouYgenerallyYengageYin?"
4.Y"WhatYisYtheYdate?"
5.Y"WhatYisYtheYyear?"Y-YCORRECTYANSWERS2.Y"WhoYisYtheYcurrentYpresident?"
4.Y"WhatYisYtheYdate?"
5.Y"WhatYisYtheYyear?"
,CognitiveYfunctionsYincludeYmemory,Ythoughts,Ylanguage,YandYreasoning.YTheseYaspectsYwouldYbe
YassessedYduringYaYmentalYstatusYexamination.YAskingYquestionsYthatYcanYbeYvalidatedYbyYtheYnurs
eYwillYhelpYevaluateYtheYpatient'sYcognitive-
perceptualYpattern.YTheseYincludeYaskingYaboutYtheYdate,Yyear,YandYcurrentYpresident.YTheYassess
mentYofYtheYactivityYorYexerciseYlevelYincludesYtheYpatient'sYabilityYtoYexerciseYandYhisYorYherYlevelY
ofYfunctionalYability.YAssessmentYofYnutritional-
metabolicYpatternsYincludesYweightYandYdietaryYneedsYinYrelationYtoYmetabolicYneeds.
AY65-year-
oldYmaleYpatientYisYadmittedYtoYtheYhospitalYwithYsevereYabdominalYpain.YTheYnurseYhasYtoYobtainY
hisYhealthYhistory,YandYasksYtheYpatientYvariousYopen-
endedYquestions.YIdentifyYappropriateYopen-
endedYquestionsYthatYtheYnurseYshouldYaskYinYthisYcontext.YSelectYallYthatYapply.
1Y"WhereYexactlyYisYtheYpain?"
2Y"TellYmeYeverythingYaboutYyourYpain."
3Y"WhatYdoYyouYdoYtoYrelieveYthisYpain?"
4Y"TellYmeYwhatYproblemsYyouYareYfacing."
5Y"WhatYwouldYyouYrateYthisYpainYonYaYscaleYofY0YtoY10?"Y-YCORRECTYANSWERS2,Y3,Y&Y4
Open-
endedYquestionsYencourageYtheYpatientYtoYtalkYmore.YTheseYquestionsYprovideYanYopportunityYfor
YtheYpatientYtoYrespondYinYdetail.YClosed-
endedYquestionsYusuallyYhaveYaYyesYorYnoYresponseYandYdoYnotYallowYtheYpatientYtoYexplainYhisYco
nditionYfreely.YAskingYtheYpatientYeverythingYaboutYhisYpainYgivesYtheYpatientYtheYopportunityYtoYe
xplainYhisYconditionYfreely.YAskingYtheYpatientYwhatYheYdoesYtoYrelieveYtheYpainYallowsYtheYpatientY
toYanswerYinYdetail.YAskingYtheYpatientYaboutYhisYproblemsYallowsYtheYpatientYtoYanswerYfreelyYan
dYelaborate.YAskingYtheYpatientYaboutYtheYexactYlocationYofYtheYpainYwillYrestrictYtheYpatient'sYresp
onseYtoYoneYorYtwoYwords,YasYthisYisYanYexampleYofYaYclosed-
endedYquestion.YSimilarlyYaskingYtheYpatientYtoYrateYhisYpainYonYaYscaleYofY0YtoY10YisYanYexampleYofY
aYclosed-endedYquestion.
,TheYnurseYisYassignedYtoYaY78-year-
oldYpatientYwhoYjustYenteredYtheYhospitalYwithYsymptomsYofYH1N1Yflu.YTheYnurseYfindsYtheYpatient
YtoYbeYshortYofYbreathYwithYanYincreasedYrespiratoryYrateYofY30YbreathsYperYminute.YHeYlostYhisYwif
eYjustYaYmonthYago.YTheYnurse'sYknowledgeYaboutYthisYpatientYwouldYresultYinYwhichYtypeYofYasses
smentYapproachYatYthisYtime?YSelectYallYthatYapply.
1.YAYproblem-focusedYapproach
2.YAYstructured,YcomprehensiveYapproach
3.YUsingYmultipleYvisitsYtoYgatherYaYcompleteYdatabase
4.YFocusingYonYtheYfunctionalYhealthYpatternYofYrole-relationship
5.YSchedulingYaYsingle,Yextensive,YstructuredYinterviewYtoYgatherYaYdetailedYassessmentY-
YCORRECTYANSWERS1,Y3
TheYnurseYshouldYuseYaYfocusedYapproachYinitiallyYtoYdetermineYtheYpatient'sYrespiratoryYstatus.YH
owever,YtoYgatherYanYadmissionYassessment,YmultipleYvisitsYareYnecessaryYbecauseYofYtheYpatient'
sYageYandYlevelYofYphysicalYdistress.YAYstructured,YcomprehensiveYapproachYisYnotYappropriateYforY
thisYacuteYsituation.YEventuallyYtheYnurseYwillYwantYtoYassessYtheYpatient'sYrole-
relationshipYhealthYpatternYbecauseYofYhisYwife'sYdeath.YHowever,YitYisYnotYappropriateYatYthisYtim
e.
AYpatientYhasYarrivedYatYtheYemergencyYdepartmentY(ED)YcomplainingYofYfatigueYandYmemoryYloss
.YWhileYperformingYtheYhealthYassessment,YwhichYback-
channelingYtechniquesYmayYtheYnurseYuseYduringYtheYpatientYinterview?YSelectYallYthatYapply.
1.Y"IYsee."
2.Y"GoYon."
3.Y"AllYright."
4.Y"WhereYdoesYitYhurt?"
5.Y"WhenYdidYtheYcomplaintYstart?"
, 6.YMaintainYgoodYeyeYcontactYandYshowYinterestYinYwhatYtheYpatientYisYsaying.Y-
YCORRECTYANSWERS1,2,3,6Y
Back-
channelingYtechniquesYsuchYasYstating,Y"GoYon,"Y"IYsee,"YandY"AllYright"YreinforceYtheYnurse'sYinter
estYinYwhatYtheYpatientYhasYtoYsayYandYencourageYtheYpatientYtoYprovideYmoreYdetails.YMaintainin
gYgoodYeyeYcontactYandYshowingYinterestYareYalsoYimportantYback-
channelingYtechniques.YTheYquestions,Y"WhereYdoesYitYhurt?"YandY"WhenYdidYtheYcomplaintYstart
?"YareYexamplesYofYopen-endedYquestions,YnotYback-channelingYtechniques.
TheYnurseYisYcaringYforYaYpatientYwithYaYpressureYulcerYonYhisYleftYhip.YTheYnurseYasksYtheYpatientYs
everalYquestionsYtoYdetermineYhowYheYmayYhaveYgottenYtheYpressureYulcer.YWhichYofYGordon'sYm
odelYofY11YfunctionalYhealthYpatternsYshouldYtheYnurseYaddressYinYherYassessment?YSelectYallYthatY
apply.
1.YSleep-rest
2.YElimination
3.YPainYandYweakness
4.YNutritional-metabolic
5.YPastYmedicalYhistoryYorYfamilyYhistoryY-YCORRECTYANSWERS1,2,4Y
Gordon'sYmodelYofY11YfunctionalYhealthYpatternsYincludesYhealthYperceptionYandYhealthYmanage
ment,Ynutritional-metabolic,Yelimination,Yactivity-exercise,Ysleep-rest,Ycognitive-perceptual,Yself-
perceptionYandYself-concept,Yrole-relationship,Ysexuality-reproductive,YcopingYandYstress-
tolerance,YandYvalue-
belief.YTheYpastYmedicalYorYfamilyYhistoriesYandYpainYorYweaknessYareYnotYamongYGordon'sYmodels
YofY11YfunctionalYhealthYpatterns.
ArrangeYtheYdifferentYstepsYofYaYproblem-
orientedYapproachYforYcomprehensiveYassessmentYinYtheYappropriateYorder.
