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NURS 209 Final Exam: Study Guide

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NURS 209 Final Exam: Study Guide

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NURS 209 Final Exam: Study Guide

The nurse is preparing to conduct a health history. Which of these statements best describes the
purpose of a health history? - ANSWER:To provide a database of subjective information about the
patient's past and current health.

A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response for this
information? - ANSWER:"Please describe what happens to you when you take penicillin."

During an assessment of a patient's family history, the nurse constructs a genogram. Which statement
best describes a genogram? - ANSWER:A graphic tree that uses symbols to depict the gender,
relationship, and age of immediate family members.

a 90 year old patient tells the nurse that he can't remember the names of the medications he is taking or
for what reason he is taking them. an appropriate response from the nurse would be: - ANSWER:"Would
you have your family bring in your medications?"

The nurse is preparing to complete a health assessment on a 16 year old girl whose parents have
brought her to the clinic. Which instruction would be appropriate for the parents before the interview
begins? - ANSWER:"While I interview your daughter, will you step out to the waiting room and complete
these family health history questionnaires?"

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, the nurse knows that which
statement is most accurate? The woman is: - ANSWER:exhibiting verbal and nonverbal behavior that
does not match.

The nurse makes which adjustment in the physical environment in order to promote the success of an
interview? - ANSWER:reduces noise by turning off television and radios.

during an interview, the nurse states, "you mentioned shortness of breath. tell me more about that."
Which verbal skill is used with this statement? - ANSWER:open-ended question

A man has been admitted to the observation unit for observation after being treated for a large cut on
his forehead. as the nurse works through the interview, one of the standard questions has to do with
alcohol, tobacco, and drug use. when the nurse asks him about tobacco use, he states, "I quit smoking
after my wife died 7 years ago" However, the nurse notices an open package of cigarettes in his shirt
pocket. Using confrontation, the nurse could say: - ANSWER:"you have said that you dont smoke, but I
see you have an open package of cigarettes in your pocket."

A nurse is taking complete health histories on all the patients attending a wellness workshop. On this
history form, one of the questions asks, "you dont smoke, drink, or take drugs, do you?" this questions is
an example of: - ANSWER:using biased or leading questions

, during an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer
begins to discuss his son's treatment, however, he suddenly crosses his arms against his chest and
crosses his legs. this would suggest that the parent is: - ANSWER:uncomfortable talking about his son's
treatment

The nurse is interviewing a patient who has a hearing impairment. What techniques would be most
beneficial in communicating with this patient? - ANSWER:determine the communication method he
prefers.

during a follow up visit, the nurse discovers that a patient has not been taking his insulin on a regular
basis. The nurse asks, "why havent you taken your insulin?" which statement is an appropriate
evaluation of this question? - ANSWER:It may put the patient on the defensive.

The nurse is conducting an interview in an outpatient clinic and is using a computer to record data.
which is the best use of the computer in this situation? - ANSWER:-collect the patient's data as the
patient states it

-type the data into the computer after the narrative has been explored.

-allow the patient to see the monitor during typing.

the nurse is reviewing information about evidence-based practice (EBP). which statement best reflects
EBP? - ANSWER:EBP emphasizes the use of the best evidence with the clinician's experience.

Barriers to incorporating EBP include: - ANSWER:Nurses lack of research skills in evaluating quality of
research studies

when reviewing concepts of health, the nurse recalls that components of holistic health include which of
these? - ANSWER:holistic health view the mind, body, and spirit as interdependent.

The nurse recognizes that the concept of prevention in describing health is essential because: -
ANSWER:prevention places emphasis on the link between health and personal behavior.

A visiting nurse is making an initial home visit for a patient who has many chronic medical problems.
Which type of data base is most appropriate to collect in this setting? - ANSWER:a complete health
database because of the nurse's primary responsibility for monitoring the patient's health.

which situation is most appropriate for the nurse to perform a focused or problem-centered history? -
ANSWER:a patient in an outpatient clinic has cold and flu like symptoms.

The nurse is preparing to assess a patient's abdomen by palpation. How should the nurse proceed? -
ANSWER:start with light palpation to detect surface characteristics and to accustom the patient to being
touched

The nurse is preparing to percuss the abdomen of a patient. The purpose of the percussion is to assess
the underlying tissue: - ANSWER:density

The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the
diaphragm of the stethoscope? The diphragm: - ANSWER:is used to listen for high pitched sounds
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