Exam #1 Flashcards
You are reviewing the concepts related to steps in the nursing process to prioritize and develop patient outcomes. To what are these actions attributed?
a) Planning
b) Assessment
c) Implementation
d) Diagnosis
a) Planning
A patient says she is very nervous and nauseated, and she feels like she will vomit. This data would be what type of data?
a) Objective
b) Reflective
c) Subjective
d) Instrospective
c) Subjective
Which is an example of objective data?
a) Patient’s history of allergies
b) Patient’s use of medications at home
c) Last menstrual cycle
d) 2x5cm scar present on the right lower forearm
d) 2x5cm scar present on the right lower forearm
During the evaluation phase of the nursing process, which action would be included?
a) Validating the nursing diagnosis
b) Establishing priorities related to patient care
c) Providing information to the patient & family members
d) Establishing a timeline for the planned outcome
c) Providing information to the patient & family members
A patient asks a nurse, “May I ask you a question?” This is an example of:
a) An open-ended question
b) A reflective question
c) A closed question
d) A double-barreled question
c) A closed question
Which demonstrates a good understanding of the interviewing process?
a) The nurse stops the patient each time something is said that is not understood
b) The nurse spends more time listening to the patient than talking
c) The nurse is consistently thinking of his next step
d) The nurse uses “Why” questions to seek clarification of unusual behavior
b) The nurse spends more time listening to the patient than talking
What does active listening not include?
a) Taking detailed notes during the interview
b) Watching for clues in body language
c) Repeating statements back to the person to make sure you have understood
d) Asking open-ended questions to explore the person’s perspective
a) Taking detailed notes during the interview
A client is having surgery, and she states, “I don’t know if I will make it through surgery.” Which response by the nurse may block further communication by the client? Select all that apply
a) “This type of surgery you are having is minor.”
b) “Surgery often can be frightening.”
c) “You are not going to die.”
d) “You sound scared.”
a) “This type of surgery you are having is minor”
c) “You are not going to die”
When reading a medical record, you see the following notation: Patient states, “I have had a cold for about a week, and now I am having difficulty breathing. This is an example of:
a) A past health history
b) A review of systems
c) A functional assessment
d) A reason for seeking care
d) A reason for seeking care
You have reason to question the reliability of the information being provided by a patient. One way of verifying reliability within the context of the interview is:
a) Rephrase the same question later in the interview
b) Review the client’s past medical records
c) Call the person identified as the emergency contact to verify the date provided
d) Provide the patient with a printed history to complete then compare the date provided
a) Rephrase the same question later in the interview
A genogram is used for which reasons?
a) Past history
b) Past health history, specifically hospitalizations
c) Family history
d) The 8 characteristics of presenting symptoms
c) Family history
What is the best description of “review of systems” as part of the health history?
a) The evaluation of the past and present health state of each body system
b) A documentation of the problem as described by the patient
c) The recording of the objective findings of the practitioner
d) A statement that describes the overall health state of the patient
a) The evaluation of the past and present health state of each body system
For health assessment, which assessment technique will you use first?
a) Inspection
b) Palpation
c) Percussion
d) Auscultation
a) Inspection
The bell of the stethoscope is used for:
a) For soft, low-pitched sounds
b) For High-pitched sounds
c) To hold firmly against the skin
d) To magnify sounds
a) For soft, low-pitched sounds
After assessing the patient’s pulse, the practitioner determines it to be “Normal.” This would be recorded as:
a) 3+
b) 2+
c) 1+
d) 0
b) 2+
