Evidence-Based Assessment Questions

Question 1

EBP

Answer 1

Assessment: Collection of data about a person’s health.
Biomedical Model: The Western European/North American view that health is the absence of disease.
Complete database: A complete health history and full physical examination.
Critical Thinking: Problem solving and improving one’s own thinking ability at the same time.
Diagnostic reasoning: Method of collecting and analyzing clinical information including these components: initial available cues, formulating a diagnostic hypothesis, gathering data, evaluating the hypothesis with new data, and arriving at a final diagnosis.
Emergency database: Rapid collection compiled concurrently with lie-saving measures

Question 2

Example of SOAP

Answer 2

Question 3

EBP

Answer 3

Evidence-based practice: A systematic approach emphasizing the best research evidence, the clinician’s experience, patient preferences and values, and physical examination and assessment.

Question 4

SBAR for Nurses

Answer 4

Situation
Background
Assessment
Recommendations

Question 5

SOAP or SOAPIER

Answer 5

Subjective
Objective
Assessment
Plan
Intervention
Evaluation
Revision

Question 6

Cultural Competence Information

Answer 6

Be open to people who are different from you, have a curiosity about people and become culturally competent. The United States is becoming more diverse not only through globalization and immigration, but also because of more increasing acceptance of diverse lifestyle choices. A key to understanding cultural diversity is self-awareness and knowledge of one’s own culture. Nursing and heath care professionals also are a part of a subculture. A cultural assessment must be an integral component of a complete physical and health assessment.

Question 7

Healthy People 2020

Answer 7

The purposes of Healthy People 2020 are to address the multiple determinants of health and evaluate interventions. For the past two decades, the goals of Healthy People have been to eliminate health disparities. Healthy People defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have experienced greater obstacles to health based on ethnic group, religion, socioeconomic status, age, sexual orientation, geographic location or other characteristics historically linked to discrimination or exclusion.

Question 8

Healthcare Disparities Among Vulnerable Populations

Answer 8

Health care disparities affect people who experience social, economic, and environmental disadvantage. These “vulnerable populations” include ethnic minorities, people with disabilities, and the LGBT community. Health care disparities can be measured by comparing the percent of difference from one group to the best group rate of disease. Non-Hispanic Whites had the highest rates of all racial and ethnic groups in drug-induced deaths and death from cirrhosis, death by poisoning, smoking in pregnant women, physical assault, chronic obstructive pulmonary disease (COPD), binge drinking among high school seniors, firearm related deaths, steroid use among 10th graders, and prostate cancer deaths. Few of the differences in health between ethic and racial groups have a biologic basis but rather pertain to the social determinants of health.

Question 9

Culture and Culture Related Concepts

Answer 9

Culture: A pattern of shared attitudes, beliefs, norms, roles and values that can occur among those who speak a particular language or live in a defined geographic location.
Ethnicity: A social group that may possess shared traits such as a common geographic origin, migratory status, religion, language, values, traditions, and food preferences.
Acculturation: Process of social and psychological exchanges that take place when there are ongoing encounters between individuals of different cultures with subsequent changes in both groups.
Acculturative Stress: Losses and changes that occur when adjusting to a new system of beliefs, routines, and social roles.
Biculturalism and Integration: Bidirectional and bi-dimensional: Rather than solely relying on assimilation, new immigrants developed new means of forging identities between the country of origin and the host country.

Question 10

Difference between religion and spirituality

Answer 10

Religion and Spirituality: Spirituality is born out of each person’s unique life experience in his personal effort to find purpose and meaning in life. Religion refers to an organized system of beliefs about the cause, nature, and purpose of the universe or a belief in a divine and higher power.

Question 11

The Concept of Health and healing has evolved in recent years. Which is the best description of health?

Answer 11

Health depends on an interaction of mind, body, and spirit within the environment.

Question 12

Which would be included in the database for a new patient admission to a surgical unit?

Answer 12

All subjective and objective data, data gathered from a patient, and the results of any laboratory or diagnostic studies completed

Question 13

You are reviewing assessment data of a 45-year old male patient and note pain of 8 on a scale of 10, labored breathing, and pale skin color on the EHR. This documentation is an example of:

Answer 13

Data Cluster

Question 14

A patient is in the emergency department with naseau and vomiting. Which would you include you include in the database?

Answer 14

A diet and GI history

Question 15

A patient has recently recieved health insurance and would like to know how often he should visit the provider. How do you respond?

Answer 15

You visits may vary depending on level of wellness

Question 16

You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions?

Answer 16

Planning

Question 17

Which best describes evidence-based nursing practice?

Answer 17

Combining clinical expertise with the use of nursing research to provide the best care for the patients values and circumstances

Question 18

What can be determined when the nurse clusters data as part of the critical-thinking process?

Answer 18

The nurse recognizes relevant information among the data

Question 19

A patient says she is very nervous and nauseated, and she feels as if she will vomit. This data would be what type of data?

Answer 19

Subjective

Question 20

The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as:

Answer 20

Intuition

Question 21

Which would be considered a risk diagnosis?

Answer 21

Identifying potential problems the individual may develop

Question 22

Which would be included in a holistic model of assessment?

Answer 22

A patient’s perception of his or her health status

Question 23

The nurse uses health promotion activities with a new patient. What would this focus include?

Answer 23

The nurse would empower the patient to choose a healthier lifestyle

Question 24

Which is an example of objective data?

Answer 24

2-X 5cm scar present on the right lower forearm

Question 25

Which statement best describes religion?

Answer 25

An organized system of beliefs concerning the cause, nature, and purpose of the universe

Question 26

The major factor contributing to the need for cultural care nursing is:

Answer 26

Demographic Change

Question 27

The term culturally competent implies that the nurse:

Answer 27

Understands the cultural context of the patient’s situation.

Question 28

You are the triage nurse in the emergency department and perform the initial intake assessment on a patient who does not speak English. Based on your understanding of linguistic competence, which action would present as a barrier to effective communication?

Answer 28

Providing the patient with a paper and pencil so he or she can write down the answers to the questions that you are going to talk.

Question 29

Which culture would describe illness as hot and cold imbalance?

Answer 29

Hispanic-American heritage

Question 30

Of what does the patient believe the amulet is protective?

Answer 30

The Evil Eye

Question 31

Which statement best illustrates the difference between religion and spirituality?

Answer 31

Religion is characterized by identification of a higher being shaping one’s destiny whereas spiritualy reflects an individual’s perception of one’s life having worth or meaning.

Question 32

The first step to cultural competency by a nurse is to

Answer 32

Understand your own heritage and its basis in culteral values

Question 33

Which statement is true in regard to pain?

Answer 33

The cultural background of a patient is important in a nurse’s assessment of that patient’s pain.

Question 34

Which factor is identified as a priority influence on a patient’s health status?

Answer 34

Poverty

Question 35

Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an older American Indian patient?

Answer 35

What cultural or spiritual beliefs are important to you?”

Question 36

Which statement best describes ethnocentrism?

Answer 36

The tendency to view your own way of life as the most desirable

Question 37

Which category is appropriate in a cultural assessment?

Answer 37

Health-related beliefs

Question 38

Which health belief practice is associated with patients who are of American Indian heritage?

Answer 38

Believing that forces of nature must be kept in natural balance

Question 39

Which statement best reflects the Magicoreligious causation of illness?

Answer 39

Belief in the struggle between good and evil is reflected in the regulation of health and illness