Which distance between two individuals is considered the intimate zone?
1 foot
Which tools in the electronic and print format can be used to collect the family history?
-My family Health Portrait
-Utah Health Family Tree
(personal health record and electronic health record are for the patients own health record)
Under which section in the review of body systems would the nurse document a history of back pain?
musculoskeletal system.
(muscle pain, cramps, gait problems and back pain are included in this section.)
NOT NEUROLOGIC SYSTEM.
What is gait?
a person's manner of walking
What is the primary focus of the nursing process?
Diagnosing patient responses to actual or potential health problems
Which gesture enables the nurse to communicate effectively with a patient?
sitting in close proximity to the patient
which child is in the stage of presymbolic language development?
1 year old
What functions do the nursing diagnoses in a plan of care serve?
-organize the appropriate assessment data
-serve as a focus for nursing documentation
-provide a basic for developing a care plan
(it does NOT improve the clinical judgement of the nurse. research does that.)
According to Piaget, a child who has developed logical thinking and is able to use numbers for calculation is in which stage of cognitive development?
concrete operations
While documenting a complete health history, under which section would the nurse record a patient's activities of daily living?
Family history
Review of systems
Functional assessment
Reason for seeking care
functional assessment
Which statement is true regarding acculturation?
There is a lack of a definitive cultural background.
There is a belief that one culture is superior.
Individuals adopt the culture of the majority.
There are structured patterns of behavior within a group.
Individuals adopt the culture of the majority.
Which information would the nurse educator include regarding the seating of the patient and the interviewer while teaching nursing students about interviewing techniques?
Stand in front of the patient.
Sit facing the patient across a desk.
Sit at a distance of 3 feet from the patient.
Maintain equal-status seating with the patient.
Maintain equal-status seating with the patient.
Which finding indicates a normal value for the breath alcohol analysis test?
0.08
0.10
0.00
0.12
0.00
How many hours of sleep are recommended for teenagers?
5
7
9
12
9
Which is a positive nonverbal behavior of an interviewer?
Bland expression
High-pitched tone
Equal-status seating
Slouching in the chair
Equal-status seating
According to Piaget, which age is in the range for the preoperational stage of cognitive development?
1 year old
3 years old
10 years old
12 years old
3 years old
Which is a component of the review of systems?
Symptom analysis
Immunizations
Health promotion
Prenatal status
Health promotion
Which statement made by the male patient alerts the nurse to the possibility of "at-risk" drinking?
"I only drink a total of 2 mixed drinks on the weekends."
"I drink 15 bottles of beer a week, usually with friends."
"I have a glass of wine every night with supper."
"I usually have 4 drinks on Friday and 4 on Saturday."
"I drink 15 bottles of beer a week, usually with friends."
While obtaining a health history from a patient, which information should the nurse obtain? Select all that apply.
Operations
Family health
Immunizations
Hospitalizations
Current symptoms
Operations
Immunizations
Hospitalizations
Which documentation would the nursing instructor strike from the information entered by a nursing student under the past history?
Allergies
Immunization history
Physical findings
Statements given by the patient
Physical findings
Which distance would the nurse maintain from a patient while conducting an interview?
Intimate
Social distance
Public distance
Personal distance
Social distance
Which factors are characterized as societal dimensions of acculturative stress? Select all that apply.
Legal status
Discrimination
Political forces
Family separation
Lack of education
Legal status
Discrimination
Political forces
What is ambulation?
the act of walking
Which parts of the ophthalmoscope are present on the front of the ophthalmoscope head? Select all that apply.
Lens selector
Lens indicator
Mirror window
Viewing aperture
Aperture selector
Mirror window
Aperture selector
The nurse is preparing to obtain the height of a 70-year-old male patient who is established at the practice, and the patient
states, "I'm 5'10" tall and have been all my life, so you don't need to measure." Which response is appropriate?
"It is possible for older adults to become taller later in life."
"You seem concerned about our need to obtain your height."
"We need to have a baseline height for our medical records."
"As people age the vertebral disks thin, which decreases height."
"As people age the vertebral disks thin, which decreases height."
Which would the nurse know is a normal finding while assessing the mobility of a young adult patient? Select all that apply.
Lack of involuntary movements
Able to balance without assistance
Foot stance equal to shoulder width
Notable propulsion during ambulation
Symmetric arm swing during ambulation
Lack of involuntary movements
Able to balance without assistance
Foot stance equal to shoulder width
Symmetric arm swing during ambulation
Which vital sign change is expected in an older adult?
Narrowed pulse pressure
Decreased respiratory rate
More easily palpable pulse
Higher body basal temperature
More easily palpable pulse
Which symptoms are expected in a patient suffering from an acute myocardial infarction? Select all that apply.
Depression
Hypotension
Hypohidrosis
Cool, clammy skin
Shoulder and jaw pain
Hypotension
Cool, clammy skin
Shoulder and jaw pain