Nokea
You know that it is important to foster rapport and communication with all of your patients. Which of the following actions and interventions would be helpful to increase the effectiveness of your communication and increase nurse-patient rapport?
- A. Talk most of the time you are with the patient so that he or she does not get nervous
- B. Smile frequently
- C. Think of a good nickname you can call the patient to put him or her at ease
- D. Sit in a chair beside the bed and give the patient at least 5 to 10 minutes of your time
- E. Smile and be genuine
- F. Always introduce yourself while you are smiling and explain what you are about to do before you perform an intervention or assessment
- G. Be aware of possible cultural restrictions or influences. Verify them when uncertain
Correct Answer: B,D,E,F,G
Rationale: Smiling, spending time, being genuine, explaining actions, being nonjudgmental, and respecting cultural differences foster rapport and effective communication.
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When you assessed the radial pulse and the apical pulse of one of your patients, you noted that one of the pulses was slower than the other one. Which one of the following describes the assessment finding that you obtained?
- A. The radial pulse was faster than the apical pulse
- B. The apical pulse was faster than the radial pulse
- C. The radial pulse was slower than the apical pulse
- D. The apical pulse was slower than the radial pulse
Correct Answer: C
Rationale: A pulse deficit occurs when the radial pulse is slower than the apical pulse due to weak or missed peripheral pulses.
You know that when assessing the pulse there is more than one characteristic you should assess. Which of the following best identifies the characteristics you must assess?
- A. Rate, rhythm, and strength
- B. Rate, volume, and strength
- C. Regularity and number of beats per minute
- D. Site of PMI, rate, and strength
Correct Answer: A
Rationale: Pulse assessment includes rate (beats per minute), Rhythm (regular or irregular), and strength (force of the pulse).
Select the symptom(s) from this list of assessment findings.
- A. Flushing
- B. Fever of 102.8°F
- C. Nausea
- D. Vomiting
- E. Light-headedness
- F. Cramping
- G. Guarding
Correct Answer: C,D,E,F
Rationale: Symptoms are subjective complaints reported by the patient (nausea, vomiting, light-headedness, cramping), while others are objective findings.
What type of assessment is performed on admission?
- A. A focused assessment
- B. An initial head-to-toe shift assessment
- C. A comprehensive health assessment
- D. A brief admission systems assessment
- E. Disease and injury assessment
Correct Answer: B,C
Rationale: A comprehensive health assessment (C) is typically performed on admission to gather baseline data, often including an initial head-to-toe shift assessment (B) to evaluate all body systems.
Body temperature can provide you with information regarding which of the following?
- A. Central nervous system
- B. Immune system
- C. Hydration level
- D. Infection
- E. Respiratory system
- F. Cardiovascular system
Correct Answer: B,D
Rationale: Body temperature is influenced by the immune system (B) in response to pathogens and indicates infection (D) when elevated.