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Terms in this set (123)
The nurse is conducting an interview A) Collect the patient's data in a direct, face-to-face
in an outpatient clinic and is using a manner.
computer to record data. Which is the D) Type the data into the computer after the narrative
best use of the computer in this is fully explored.
situation? Select all that apply. E) Allow the patient to see the monitor during typing.
A) Collect the patient's data in a Page: 32 The use of a computer can become a
direct, face-to-face manner. barrier. The nurse should begin the interview as usual
B) Enter all the data as the patient by greeting the patient, establishing rapport, and
states it. collecting the patient's narrative story in a direct
C) Ask the patient to wait as the nurse face-to-face manner. Only after the narrative is fully
enters data. explored should the nurse type data into the
D) Type the data into the computer computer. When typing, the nurse should position
after the narrative is fully explored. the monitor so that the patient can see it.
E) Allow the patient to see the monitor
during typing.
A nurse is taking complete health C) using biased or leading questions.
histories on all of the patients
attending a wellness workshop. On Page: 36 This is an example of using leading or
the history form, one of the written biased questions. Asking, "You don't smoke, do you?"
questions asks, "You don't smoke, implies that one answer is "better" than another. If the
drink, or take drugs, do you?" This person wants to please someone, he or she is either
question is an example of: forced to answer in a way corresponding to their
implied values or is made to feel guilty when
A) talking too much. admitting the other answer.
B) using confrontation.
C) using biased or leading questions.
D) using blunt language to deal with
distasteful topics.
,The nurse is performing a health A) "Do you take medicine?"
interview on a patient who has a
language barrier, and no interpreter is Page: 46 In a situation where there is a language
available. Which is the best example barrier and no interpreter available, use simple words
of an appropriate question for the avoiding medical jargon. Avoid using contractions
nurse to ask in this situation? and pronouns. Use nouns repeatedly and discuss
one topic at a time.
A) "Do you take medicine?"
B) "Do you sterilize the bottles?"
C) "Do you have nausea and
vomiting?"
D) "You have been taking your
medicine, haven't you?"
The mother of a 16-month-old toddler D. "Please describe what she is doing to indicate she
tells the nurse that her daughter has is having pain."
an earache. What would be an
appropriate response? Page: 60. With a very young child, ask the parent,
"How do you know the child is in pain?" Pulling at
A. "Maybe she is just teething." ears alerts parent to ear pain. The statements about
B. "I will check her ear for an ear teething and questioning whether the child is really
infection." having pain do not explore the symptoms, which
C. "Are you sure she is really having should be done before a physical examination.
pain?"
D. "Please describe what she is doing
to indicate she is having pain."
The Nurse is interviewing a patient A) Attempt to reduce the pain and complete the
with acute pain. Which of the interview later
following actions by the nurse should
be preformed first?
A) Attempt to reduce the pain and
complete the interview later
B) Interview the family to get the
information needed
C) Document why the interview could
not be completed at this time
D) Proceed very quickly with the
interview
,An individual who takes the B) supernatural forces.
magicoreligious perspective of illness
and disease is likely to believe that his Page: 21 The basic premise of the magicoreligious
or her illness was caused by: perspective is that the world is seen as an arena in
which supernatural forces dominate. The fate of the
A) germs and viruses. world and those in it depends on the actions of
B) supernatural forces. supernatural forces for good or evil. The other
C) eating imbalanced foods. answers do not reflect the magicoreligious
D) an imbalance within his or her perspective.
spiritual nature.
The nurse is performing a functional B. "Are you able to dress yourself?"
assessment on an 82-year-old patient
who recently had a stroke. Which of Page: 67. Functional assessment measures how a
these questions would be most person manages day-to-day activities. For the older
important to ask? person, the meaning of health becomes those
activities that they can or cannot do. The other
A. "Do you wear glasses?" responses do not relate to functional assessment.
B. "Are you able to dress yourself?"
C. "Do you have any thyroid
problems?"
D. "How many times a day do you
have a bowel movement?"
During a mental status examination, A) "How do you feel today?"
the nurse wants to assess a patient's
affect. The nurse should ask the Page: 74. Judge mood and affect by body language
patient which question? and facial expression and by asking directly, "How do
you feel today?" or "How do you usually feel?" The
A) "How do you feel today?" mood should be appropriate to the person's place
B) "Would you please repeat the and condition and should change appropriately with
following words?" topics.
C) "Have these medications had any
effect on your pain?"
D) "Has this pain affected your ability
to get dressed by yourself?"
, In recording the childhood illnesses of D. Patient denies measles, mumps, rubella,
a patient who denies having had any, chickenpox, pertussis, and strep throat.
which note by the nurse would be
most accurate? Page: 51. Childhood illnesses include measles,
mumps, rubella, chickenpox, pertussis, and strep
A. Patient denies usual childhood throat. Avoid recording "usual childhood illnesses"
illnesses. because an illness common in the person's childhood
B. Patient states he was a "very may be unusual today (e.g., measles).
healthy" child.
C. Patient states sister had measles,
but he didn't.
D. Patient denies measles, mumps,
rubella, chickenpox, pertussis, and
strep throat.
The nurse is assessing a 75-year-old C) may take a little longer to respond, but his general
man. As the nurse begins the mental knowledge and abilities should not have declined.
status portion of the assessment, the
nurse expects that this patient: Page: 72. The aging process leaves the parameters of
mental status mostly intact. There is no decrease in
A) will have no decrease in any of his general knowledge and little or no loss in
abilities, including response time. vocabulary. Response time is slower than in youth. It
B) will have difficulty on tests of takes a bit longer for the brain to process information
remote memory because this typically and to react to it. Recent memory, which requires
decreases with age. some processing is somewhat decreased with aging,
C) may take a little longer to respond, but remote memory is not affected.
but his general knowledge and
abilities should not have declined.
D) will have had a decrease in his
response time because of language
loss and a decrease in general
knowledge.