NUR2092 Exam 1 / NUR 2092 Exam 1 Latest complete Questions & Answers - Rasmussen College.

NUR2092 Exam 1. • Question 1 The public’s concept of health has changed since the 1950s. Which of the following statements most accurately describes this change? Lifestyle, personal habits, exercise, and nutrition are essential to health. Assessment of health is critical to identifying disease-causing pathogens. Accurate diagnosis and treatment by a physician are essential for all health care. An individual is considered healthy when signs and symptoms of disease have been eliminated. • Question 2 During an assessment, the nurse uses the CAGE test. The patient answers “yes” to two of the questions. What could this be indicating? The patient is an alcoholic. The patient is annoyed at the questions. The patient should be examined thoroughly for possible alcohol withdrawal symptoms. The nurse should suspect alcohol abuse and continue with a more thorough substance abuse assessment. • Question 3 What objective data would a nurse obtain during a physical examination? The client's radial and apical pulse The client's concern with their financial expenditures The client's complaints of numbness and tingling in their feet The client's reason for being hospitalized • Question 4 A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information? P-6, B-4, (S)Ab-2 Grav 6, Term 4, (S)Ab 2, Living 4 Patient has had four living babies. Patient has been pregnant six times. • Question 5 A 90-year-old patient tells the nurse that he can’t remember the names of the drugs he is taking or what they are for. An appropriate response would be: “Can you tell me what they look like?” “Don’t worry about it. You are only taking two.” “How long have you been taking each of the pills?” “Would you have your family bring in your medications?” • Question 6 A nurse is taking complete health histories on all the patients attending a wellness workshop. On the history form, one of the written question asks, “You don’t smoke, drink, or take drugs, do you?” This question is an example of: talking too much. using confrontation. using biased or leading questions. using blunt language to deal with distasteful topics. • Question 7 A patient tells the nurse that he is very nervous, that he is nauseated, and that he “feels hot.” This type of data would be: objective reflective subjective introspective • Question 8 Culture has four basic characteristics. Which statement correctly reflects one of these characteristics? Cultures are static and unchanging despite changes around them. Cultures are never specific, which makes them hard to identify. Culture is most clearly reflected in a person’s language and behavior. Culture adapts to specific environmental factors and available natural resources. • Question 9 A woman, Mrs. H., has just entered the emergency department after being battered by her husband. The nurse will need to get some information from her to begin treatment. What is the best choice for an opening with this patient? “Nancy, my name is Mrs. C.” “Hello, Mrs. H., my name is Mrs. C. It sure is cold today!” “Mrs. H., my name is Mrs. C. You sure look like you’re in pain, can I get you anything?” “Mrs. H., my name is Mrs. C. I’ll need to ask you a few questions about what happened.” • Question 10 Why is the concept of prevention essential in describing health? Disease can be prevented by treating the external environment. The majority of deaths among Americans under age 65 years are not preventable. Prevention places emphasis on the link between health and personal behavior. The means to prevention is through treatment provided by primary health care practitioners. • Question 11 Which of the following is an example of a folk healer? curandero botanica expressionist tourista • Question 12 Which of the following is an example of an 'open-ended question'? 'How have you been feeling today?' 'Did you try home remedies for your symptoms?' 'Did you drive yourself today?' 'Did you call your doctor?' • Question 13 An example of objective information obtained during the physical assessment includes the: patient’s history of allergies patient’s use of medications at home last menstrual period 1 month ago 2.5 cm scar present on the right lower forearm • Question 14 The first step in understanding the health care needs of another person is: identifying the meaning of health to the other person. understanding one’s own heritage-based cultural values, beliefs, attitudes, and practices relevant to health and illness. understanding how the health care delivery system works. being knowledgeable about the person’s social background. • Question 15 Which of the following statements is true regarding the assessment of mental status? Mental status assessment diagnoses specific psychiatric disorders. Mental disorders occur in response to everyday life stressors. Mental status functioning is inferred through assessment of an individual’s behaviors. Mental status can be assessed directly, just like other systems of the body (e.g., cardiac and breath sounds). • Question 16 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: just changing positions. more comfortable in this position. tired and needs a break in the interview. uncomfortable talking about his son’s treatment. • Question 17 A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most appropriate choice? A trained interpreter A male family member A female family member A volunteer college student from the foreign language studies department. • Question 18 Which of the following responses might the nurse expect during a functional assessment of a patient whose leg is in a cast? “I broke my right leg in a car accident 2 weeks ago.” “The pain is getting less, but I still need to take Tylenol.” “I check the color of my toes every evening just like I was taught.” “I’m able to transfer myself from the wheelchair to the bed without help.” • Question 19 The nurse is assessing mental status in children. Which of the following statements is true? All aspects of mental status in children are interrelated. Children are highly labile and unstable until the age of 2 years. Children’s mental status is largely a function of their parents’ level of functioning until the age of 7 years. Children’s mental status is impossible to assess until the child develops the ability to concentrate. • Question 20 When observing a patient’s verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should ask someone who knows the patient well to help interpret this discrepancy. The nurse should focus on the patient’s verbal message and try to ignore the nonverbal behaviors. The nurse should try to integrate the verbal and nonverbal messages and then interpret them as an “average.” The nurse should focus on the patient’s nonverbal behaviors because these are often more reflective of a patient’s true feelings. • Question 21 Symptoms, such as pain, are often influenced by a person’s cultural heritage. Which of the following is a true statement in regard to pain? Nurses’ attitudes toward their patients’ pain are unrelated to their own experiences with pain. The ethnic background of a patient is important in a nurse’s assessment of that patient’s pain. A nurse’s area of clinical practice is most likely to determine his or her assessment of a patient’s pain. A nurse’s years of clinical experience and current position are a strong indicator of his or her response to patient pain. • Question 22 Which statement is an appropriate component of one’s spirituality? Belief in the worship of God or gods Attendance at a specific church A personal effort to find purpose and meaning in life Closely tied to one’s ethnic background • Question 23 In response to a question regarding use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information? This is necessary to determine the patient’s reliability. Alcohol can interact with all medications and make some diseases worse. The nurse needs to be able to teach the patient about the dangers of alcohol use. It’s not really necessary to have this information unless there is an obvious drinking problem. • Question 24 The nurse is performing a functional assessment on an 82-year-old patient with a recent stroke. Which of the following questions would be most important to ask? “Do you wear glasses?” “Are you able to dress yourself?” “Do you have any thyroid problems?” “How many times a day do you have a bowel movement?” • Question 25 A 42-year-old Asian patient is being seen at the clinic for an initial examination. The nurse knows that it is important to include cultural information in his health assessment to: identify the cause of his illness make accurate disease diagnoses. provide cultural health rights for the individual provide culturally sensitive and appropriate care. • Question 26 Which data would not be included in a client's health history? Laboratory tests Physical Assessment Nutritional assessment Family Medical History • Question 27 Which statement is correct regarding the development of one’s culture? Culture is genetically determined on the basis of racial background. Culture is learned through language acquisition and socialization. Culture is a nonspecific phenomenon and is adaptive but unnecessary. Culture is biologically determined on the basis of physical characteristics. • Question 28 Which of the following is the best definition of spirituality? A personal search to discover a supreme being An organized system of beliefs concerning the cause, nature, and purpose of the universe A belief that each person exists forever in some form, such as a belief in reincarnation or the afterlife That which arises out of each person’s unique life experience and his or her personal effort to find purpose in life • Question 29 Which of the following examples would be a hallucination? A man believes that his dead wife is talking to him. A woman hears the doorbell ring and goes to answer it, but no one is there. A child sees a man standing in his closet. When the lights are turned on it is only a dry cleaning bag. A man believes that the dog has curled up on the bed, but when he gets closer he sees that it is a blanket. • Question 30 When the nurse is evaluating the reliability of a patient’s responses, which of the following would be a correct statement? The patient has a history of drug abuse and therefore is not reliable. The patient provided consistent information and therefore is reliable. The patient smiled throughout interview and therefore is assumed reliable. The patient would not answer questions concerning stress and therefore is not reliable. • Question 31 The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to add to the health history? “Why did you come to the United States?” “When did you come to the United States, and from what country?” “What made you leave your native country?” “Are you planning to return to your home?” • Question 32 Many individuals embrace the hot/cold theory of health illness. Which of the following best describes the basic tenets of this theory? The causation of illness is based on supernatural forces that influence the humors of the body. Herbs and medicines are classified on their physical characteristics of hot and cold and the humors of the body. The four humors of the body consist of blood, yellow bile, spiritual connectedness, and social aspects of the individual. The treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of the humors of the body. • Question 33 Which data do nurses document under the category of past health history? Chronic diseases Present illness Allergies to Medications Name and date of birth • Question 34 During an interview, the nurse notes that the patient gets up several times to wash her hands even though they are not dirty. This is an example of: social phobia. compulsive disorder. generalized anxiety disorder. posttraumatic stress disorder • Question 35 Which of the following is not a barrier to communication? clarification giving advice failure to listen judgmental statements • Question 36 Which of the following should a nurse document in the history component of a health assessment? Smoking Habits Vital Signs Facial symmetry Respiratory assessment • Question 37 The following statement could be found at which phase of the interview? “Mr. S., I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here.” During the summary Closing the interview During the body of the interview Opening/introducing the interview • Question 38 When does the health assessment begin? When the nurse initially meets the client When the client tells the nurse their name When the nurse asks the client the first health-related question When the client consents to have a health assessment • Question 39 The largest and fasting growing population in the United States is: Hispanics Blacks Asians American Indians • Question 40 Which of the following is an example of a symptom? Chest pain Clammy skin Serum potassium level 4.2 mEq/L A temperature of 100 degrees F • Question 41