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Evidence-Based Assessment and Cultural Considerations

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What type of assessment data is indicated by a patient's respirations being eupneic and pulse at 58 beats per minute? - correct answer Objective data. What type of assessment data is represented by a patient expressing feelings of nervousness, nausea, and heat? - correct answer Subjective data. What do the patient's record, laboratory studies, objective data, and subjective data combine to form? - correct answer A database. If a nurse is unsure about a sound heard while listening to a patient's breath sounds, what should they do next? - correct answer Validate the data by asking another nurse to listen to the breath sounds. What are novice nurses more likely to base their decisions on due to lack of skills and experience? - correct answer A set

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Evidence-Based Assessment and Cultural Considerations


What type of assessment data is indicated by a patient's respirations being eupneic and pulse at
58 beats per minute? - correct answer Objective data.
What type of assessment data is represented by a patient expressing feelings of nervousness,
nausea, and heat? - correct answer Subjective data.
What do the patient's record, laboratory studies, objective data, and subjective data combine
to form? - correct answer A database.
If a nurse is unsure about a sound heard while listening to a patient's breath sounds, what
should they do next? - correct answer Validate the data by asking another nurse to listen to the
breath sounds.
What are novice nurses more likely to base their decisions on due to lack of skills and
experience? - correct answer A set of rules.
Which statement best reflects the concept of evidence-based practice (EBP)? - correct answer
EBP emphasizes the use of best evidence with the clinician's experience.
What is an example of a first-level priority problem in nursing? - correct answer Individual with
shortness of breath and respiratory distress.
What aspects are included in second-level priority problems? - correct answer Abnormal
laboratory values.
Which critical-thinking skill helps nurses see relationships among data? - correct answer
Clustering related cues.
What are the steps included in the nursing process? - correct answer Assessment, diagnosis,
outcome planning, implementation, and evaluation.
How should a nurse prioritize problems for a newly admitted patient in acute pain, difficulty
breathing, and poor sleep? - correct answer Breathing, pain, and sleep.
What is a barrier to incorporating evidence-based practice (EBP) in nursing? - correct answer
Nurses' lack of research skills in evaluating the quality of research studies.
What suggestion by a nurse manager would best help nurses identify evidence-based practices?
- correct answer Ensuring time for staff to review current literature.
What does holistic health view as interdependent components? - correct answer The mind,
body, and spirit.

,What is the nursing process? - correct answer A sequential method of problem solving that
includes assessment, diagnosis, outcome planning, implementation, and evaluation.
What should a nurse do if they hear an unusual sound during a physical assessment? - correct
answer Document the sound exactly as it was heard.
What does EBP stand for in nursing? - correct answer Evidence-Based Practice.
What is the significance of subjective data in patient assessment? - correct answer It reflects
the patient's personal experiences and feelings.
What is the role of objective data in patient assessment? - correct answer It provides
measurable and observable information about the patient.
What is the importance of prioritizing patient problems? - correct answer It ensures that the
most critical issues are addressed first.
What is the purpose of validating assessment data? - correct answer To ensure accuracy and
reliability of the information collected.
What is a common challenge faced by nurses in implementing EBP? - correct answer
Insufficient clinical skills of nurses.
What is the role of research in evidence-based practice? - correct answer To provide the best
available evidence for clinical decision-making.
What is an example of objective information obtained during a physical assessment? - correct
answer A 2×5 cm scar on the right lower forearm.
Which type of database is most appropriate for a visiting nurse making an initial home visit? -
correct answer A complete database.
In which situation is it most appropriate for the nurse to perform a focused or problem-
centered history? - correct answer When the patient has a sudden and severe shortness of
breath.
What is the most appropriate action for a nurse caring for a patient who has been coming for
weekly blood pressure checks? - correct answer Check the patient's blood pressure.
How should a nurse proceed with data collection for a patient with multiple injuries from an
automobile accident? - correct answer Simultaneously ask history questions while performing
the examination and initiating lifesaving measures.
Which statement best describes a proficient nurse? - correct answer Has an intuitive grasp of a
clinical situation and quickly identifies the accurate solution.
What is the correct statement regarding the development of one's culture? - correct answer
Learned through language acquisition and socialization.

, Which statement reflects one of the basic characteristics of culture? - correct answer Adapted
to specific conditions related to environmental and technical factors.
What term reflects the specific and distinct knowledge, beliefs, customs, and skills acquired by
members of a society? - correct answer Culture.
How can subculture be best described? - correct answer Recognizing groups of people within a
culture with shared characteristics that are not common to all members of the culture.
Which ethnic group is the largest and fastest growing population in the United States? - correct
answer Hispanic.
What type of information is considered subjective during a physical assessment? - correct
answer Patient's history of allergies.
What is the most appropriate database to collect for a patient with chronic medical problems? -
correct answer A complete database.
When is a focused history most appropriate? - correct answer When a patient presents with
acute symptoms.
What should a nurse do first when a patient arrives with severe injuries? - correct answer
Initiate lifesaving measures.
What characterizes a proficient nurse's approach to patient care? - correct answer
Understanding a patient situation as a whole rather than a list of tasks.
What is a major characteristic of culture? - correct answer It is learned and adaptive.
What does culture encompass according to nursing definitions? - correct answer Knowledge,
beliefs, customs, and skills.
What is a defining feature of subcultures? - correct answer They have shared characteristics
that differ from the larger culture.
What is the role of socialization in cultural development? - correct answer It is a key process
through which culture is learned.
What is the significance of environmental factors in culture? - correct answer They influence
the adaptation and characteristics of a culture.
What is the relationship between culture and ethnicity? - correct answer Culture encompasses
the beliefs and practices of an ethnic group.
What is the importance of understanding cultural characteristics in nursing? - correct answer It
helps provide culturally competent care.

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