Solutions
0. The nurse is incorporating a persons spiritual values into the
health history. Which of these questions illustrates the
community portion of the FICA (faith and belief, importance
and influence, community, and addressing or applying in care)
questions?
a.
Do you believe in God?
b.
Are you a part of any religious or spiritual congregation?
c.
Do you consider yourself to be a religious or spiritual person?
d.
How does your religious faith influence the way you think about
your health? Correct Answers B
1. During assessment of a patients pain, the nurse is aware that
certain nonverbal behaviors are associated with chronic pain.
Which of these behaviors are associated with chronic pain?
Select all that apply.
a.
Sleeping
b.
Moaning
c.
Diaphoresis
d.
Bracing
e.
,Restlessness
f.
Rubbing Correct Answers A,D,F
1. The nurse is assessing a patients headache pain. Which
questions reflect one or more of the critical characteristics of
symptoms that should be assessed? Select all that apply.
a.
Where is the headache pain?
b.
Did you have these headaches as a child?
c.
On a scale of 1 to 10, how bad is the pain?
d.
How often do the headaches occur?
e.
What makes the headaches feel better?
f.
Do you have any family history of headaches? Correct Answers
A,C,D,E
1. The nurse is assessing voice sounds during a respiratory
assessment. Which of these findings indicates a normal
assessment? Select all that apply.
a.
Voice sounds are faint, muffled, and almost inaudible when the
patient whispers one, two, three in a very soft voice.
b.
As the patient repeatedly says ninety-nine, the examiner clearly
hears the words ninety-nine.
c.
,When the patient speaks in a normal voice, the examiner can
hear a sound but cannot exactly distinguish what is being said.
d.
As the patient says a long ee-ee-ee sound, the examiner also
hears a long ee-ee-ee sound.
e.
As the patient says a long ee-ee-ee sound, the examiner hears a
long aaaaaa sound. Correct Answers A,C,D
1. The nurse is conducting an interview with a woman who has
recently learned that she is pregnant and who has come to the
clinic today to begin prenatal care. The woman states that she
and her husband are excited about the pregnancy but have a few
questions. She looks nervously at her hands during the interview
and sighs loudly. Considering the concept of communication,
which statement does the nurse know to be most accurate? The
woman is:
a.
Excited about her pregnancy but nervous about the labor.
b.
Exhibiting verbal and nonverbal behaviors that do not match.
c.
Excited about her pregnancy, but her husband is not and this is
upsetting to her.
d.
Not excited about her pregnancy but believes the nurse will
negatively respond to her if she states this. Correct Answers B
1. The nurse is conducting an interview. Which of these
statements is true regarding open-ended questions? Select all
that apply.
, a.
Open-ended questions elicit cold facts.
b.
They allow for self-expression.
c.
Open-ended questions build and enhance rapport.
d.
They leave interactions neutral.
e.
Open-ended questions call for short one- to two-word answers.
f.
They are used when narrative information is needed. Correct
Answers B,C,F
1. The nurse is performing a general survey. Which action is a
component of the general survey?
a.
Observing the patients body stature and nutritional status
b.
Interpreting the subjective information the patient has reported
c.
Measuring the patients temperature, pulse, respirations, and
blood pressure
d.
Observing specific body systems while performing the physical
assessment Correct Answers A
1. The nurse is preparing to conduct a health history. Which of
these statements best describes the purpose of a health history?
a.