advanced health assessment test bank

advanced health assessment test bank Related

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A nurse is frequently bothered when a patient does not take the medications as prescribed until the patient speaks with her family. The nurse is so irritated by this behaviour that he often finds it hard to provide appropriate care to this individual. What should the nurse do first in trying to overcome his difficulty?

  • A. Identify the meaning of family inclusion to the patient
  • B. Understand that this is a cultural practice that is helpful to the patient
  • C. Allow the patient to take her medications only when she feels comfortable
  • D. Discuss with the patient the importance of independent health decisions
Correct Answer: B

Rationale: Step 1: Recognize Cultural Sensitivity - Understanding that family inclusion is a cultural practice is crucial as it helps the nurse appreciate the patient's perspective. Step 2: Empathy - Acknowledging the significance of family involvement for the patient shows empathy and respect for their beliefs and values. Step 3: Effective Communication - By recognizing and respecting the cultural practice, the nurse can build a trusting relationship with the patient and her family, leading to better adherence to medication and improved care outcomes. In summary, Option B is correct as it emphasizes cultural competence and patient-centered care. Options A, C, and D are incorrect as they do not address the core issue of cultural understanding and may hinder effective communication and relationship-building with the patient and her family.

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A nurse is teaching a patient about managing chronic pain. Which of the following strategies should the nurse emphasize?

  • A. Increasing activity to improve function.
  • B. Using medications only when absolutely necessary.
  • C. Implementing physical therapy and exercises.
  • D. Using complementary therapies such as meditation and relaxation.
Correct Answer: C

Rationale: The correct answer is C: Implementing physical therapy and exercises. This is crucial for managing chronic pain as it helps improve strength, flexibility, and overall function. Physical therapy can also address underlying issues contributing to pain. Choice A could worsen pain if not done appropriately. Choice B may be necessary but should not be the sole approach. Choice D can be beneficial but may not address the root cause of pain like physical therapy does.

A nurse is teaching a patient with osteoarthritis about managing their condition. Which of the following statements by the patient indicates the need for further education?

  • A. I will use heat or cold therapy to relieve joint pain.
  • B. I will take my pain medication regularly.
  • C. I will exercise regularly to strengthen my joints.
  • D. I will avoid physical activity to prevent joint strain.
Correct Answer: D

Rationale: The correct answer is D because avoiding physical activity to prevent joint strain is not recommended for managing osteoarthritis. Exercise is crucial for strengthening joints and improving flexibility. Choice A is correct as heat or cold therapy can help relieve joint pain. Choice B is correct as taking pain medication regularly can help manage symptoms. Choice C is correct as regular exercise is important for maintaining joint health. In summary, avoiding physical activity is not a recommended approach for managing osteoarthritis, unlike the other choices which are beneficial for the condition.

The nurse is planning to assess new memory with a patient. The best way to do this would be to:

  • A. Administer the FACT test.
  • B. Ask him to describe his first job to you.
  • C. Give him the Four Unrelated Words Test.
  • D. Ask him to describe the last TV show he watched before coming to the clinic.
Correct Answer: C

Rationale: The correct answer is C: Give him the Four Unrelated Words Test. This is the best way to assess new memory because it is a standardized test specifically designed to evaluate a patient's ability to form new memories. The test involves presenting the patient with four unrelated words and then asking them to recall those words after a delay. This test is reliable, valid, and widely used in clinical settings to assess new memory formation.

Other choices are incorrect because:

A: Administering the FACT test is not the best way to assess new memory as it is not specifically designed for this purpose.

B: Asking the patient to describe his first job does not directly evaluate new memory formation and may not provide a standardized assessment.

D: Asking the patient to describe the last TV show he watched does not focus on new memory and is not a standardized way to assess memory function.

A nurse is caring for a patient with a history of chronic asthma. The nurse should prioritize monitoring for which of the following complications?

  • A. Pneumothorax.
  • B. Hyperglycemia.
  • C. Respiratory failure.
  • D. Chronic renal failure.
Correct Answer: C

Rationale: The correct answer is C: Respiratory failure. For a patient with chronic asthma, the priority complication to monitor for is respiratory failure as it can be life-threatening. Asthma is a chronic respiratory condition that can lead to severe bronchoconstriction and impaired gas exchange, potentially resulting in respiratory failure. Monitoring for signs such as increased respiratory rate, use of accessory muscles, decreased oxygen saturation, and altered mental status is crucial. Pneumothorax (A) is a possible complication but less common in chronic asthma. Hyperglycemia (B) and chronic renal failure (D) are not directly related to asthma and are not the primary complications to monitor for in this case.

Which of the following is the best indicator of a patient's nutritional status?

  • A. Patient's weight
  • B. Serum albumin levels
  • C. Patient's food preferences
  • D. Number of meals consumed per day
Correct Answer: B

Rationale: The correct answer is B: Serum albumin levels. Serum albumin is a protein produced by the liver and is a key indicator of a patient's nutritional status. Low levels of serum albumin indicate malnutrition or protein deficiency. Monitoring serum albumin levels provides an objective measure of the patient's overall nutritional status.

Choice A (Patient's weight) can be influenced by factors other than nutrition, such as fluid retention or muscle mass. Choice C (Patient's food preferences) does not provide direct information on the patient's actual nutritional intake. Choice D (Number of meals consumed per day) does not account for the quality or quantity of nutrients consumed in those meals.

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