health assessment test bank jarvis

health assessment test bank jarvis Related

Review health assessment test bank jarvis related questions and content

A nurse is taking health history from a patient. The nurse observes the patient's nonverbal behaviors such as hand wringing, avoiding eye contact, and shifting in the seat. Which of the following would be an appropriate response by the nurse?

  • A. Ask the patient to explain what they are feeling and what might have caused the behavior.
  • B. Remain silent and allow the patient to continue at their own pace.
  • C. Ask the patient if they feel nervous or worried about the pregnancy.
  • D. Focus on making the patient feel heard and understood.
Correct Answer: C

Rationale: The correct answer is C because it demonstrates empathy and addresses the patient's potential emotions directly. By asking if the patient feels nervous or worried about the pregnancy, the nurse acknowledges the observed nonverbal behaviors and opens the door for the patient to express their feelings. This approach shows sensitivity and may help the patient feel understood and supported.

Choice A is incorrect because directly asking the patient to explain what they are feeling might come off as intrusive and could make the patient uncomfortable. Choice B is not ideal as remaining silent may lead to missed opportunities for the patient to share their concerns. Choice D, while important, does not address the specific nonverbal cues observed and may not prompt the patient to open up about their emotions.

You may also like to solve these questions

A patient is describing his symptoms to the nurse. Which of the following statements is a description of the setting of his symptoms?

  • A. "It is a sharp, burning pain in my stomach."
  • B. "I also have the sweats and nausea when I feel this pain."
  • C. "I think this pain is telling me that something is wrong with me."
  • D. "This pain happens every time I sit down to use the computer."
Correct Answer: D

Rationale: The correct answer is D because it describes the setting of the symptoms by specifying when the pain occurs (every time the patient sits down to use the computer). This detail helps identify possible triggers or patterns associated with the pain. Choices A, B, and C focus on the nature or characteristics of the pain rather than the setting, making them incorrect. Choice A describes the type of pain, choice B includes associated symptoms, and choice C reflects the patient's interpretation of the pain, none of which directly address the setting of the symptoms.

A nurse is caring for a patient with chronic heart failure. Which of the following interventions is the priority?

  • A. Administering diuretics as prescribed.
  • B. Encouraging the patient to rest.
  • C. Monitoring vital signs and fluid status.
  • D. Teaching the patient about dietary changes.
Correct Answer: C

Rationale: The correct answer is C because monitoring vital signs and fluid status is crucial in managing chronic heart failure. This intervention helps in assessing the patient's condition, detecting any signs of deterioration, and ensuring appropriate fluid balance. Administering diuretics (A) may be necessary but should be based on the patient's fluid status. Encouraging rest (B) is important, but monitoring vital signs takes precedence. Teaching about dietary changes (D) is essential, but ensuring the patient's immediate stability through monitoring is the priority.

Which organ is responsible for the extensive metabolism of acetaminophen?

  • A. Liver
  • B. Kidneys
  • C. Lungs
  • D. Pancreas
Correct Answer: A

Rationale: The correct answer is A: Liver. The liver is responsible for the extensive metabolism of acetaminophen through various pathways, including glucuronidation, sulfation, and oxidation. It converts acetaminophen into less toxic metabolites for elimination. The kidneys (B) primarily filter blood and regulate fluid balance; the lungs (C) are involved in gas exchange; and the pancreas (D) produces digestive enzymes and insulin, not involved in acetaminophen metabolism. Therefore, the liver is the correct choice for this question.

A nurse is teaching a patient about managing diabetes. Which of the following actions would the nurse emphasize as most important in preventing complications from diabetes?

  • A. Monitoring blood glucose levels regularly.
  • B. Limiting physical activity to prevent injury.
  • C. Maintaining a low-fat, high-protein diet.
  • D. Taking insulin as prescribed regardless of blood sugar levels.
Correct Answer: A

Rationale: Step-by-step rationale for why choice A is correct:
1. Monitoring blood glucose levels regularly allows for timely adjustments in treatment.
2. It helps in preventing hypoglycemia or hyperglycemia complications.
3. Enables the patient to understand how their lifestyle choices impact their blood sugar levels.
4. Empowers the patient to make informed decisions regarding their diabetes management.

Summary of why the other choices are incorrect:
B: Limiting physical activity can lead to complications like obesity and decreased insulin sensitivity.
C: Diet should focus on balanced nutrition, not just low-fat or high-protein, to manage diabetes effectively.
D: Taking insulin regardless of blood sugar levels can result in hypoglycemia or poor blood sugar control.

A nursing diagnosis made by a critical thinker using a dynamic nursing process would identify the actual problem and would also:

  • A. continue to reassess.
  • B. predict potential problems.
  • C. check the appropriateness of goals.
  • D. modify the diagnosis if necessary.
Correct Answer: B

Rationale: The correct answer is B because critical thinking involves anticipating potential issues to provide proactive care. By predicting potential problems, nurses can prevent complications and tailor interventions accordingly. This step is essential in the nursing process to ensure comprehensive and effective care. Continuing to reassess (A) is important but not the primary focus of a nursing diagnosis. Checking the appropriateness of goals (C) is crucial but comes after identifying the problem and predicting potential issues. Modifying the diagnosis if necessary (D) is a part of critical thinking but not the immediate next step after identifying the actual problem.

Copyright © 2025 Nokea. All rights reserved.