Question 1

What is an important concept when undertaking a life-cycle approach to health assessment?

Accepted Answer

A) Consideration of the patient's cultural view of health 
B) Being responsive to the patient's gestures to build a relationship 
C) Acknowledgement of the effect of poverty on health 
D) Awareness of age-specific developmental factors

Question 2

A 38-year-old patient who is a recent refugee from Syria is attending the clinic for an initial examination.A potential intervention the nurse will implement is:

Accepted Answer

A) Cognitive assessment. 
B) Fall risk screening. 
C) Fasting glucose test. 
D) Tuberculin skin test.

Question 3

The nurse is conducting a class on priority setting for a group of new graduate nurses.Which is an example of a first-level priority problem?

Accepted Answer

A) Patient with postoperative pain 
B) Patient newly diagnosed with diabetes needing diabetic teaching 
C) Individual with a small laceration on the sole of the foot 
D) Individual with shortness of breath and respiratory distress

Question 4

What is the purpose of a nursing diagnosis? (Select all that apply.)

Accepted Answer

A) To evaluate the cause of disease 
B) To evaluate a patient's response to treatment 
C) To determine the need to initiate supportive measures 
D) To order specific diagnostic tests 
E) To determine the need for health education

Question 5

A patient tells the nurse that he is very nervous, is nauseated, and "feels hot." These types of data would be:

Accepted Answer

A) Objective 
B) Reflective 
C) Subjective 
D) Introspective

Question 6

Which critical thinking skill helps the nurse see relationships among the data?

Accepted Answer

A) Validation 
B) Clustering related cues 
C) Identifying gaps in data 
D) Distinguishing relevant data from irrelevant data

Question 7

Which of the following are social determinants of health with potential to influence a patient's health? (Select all that apply.)

Accepted Answer

A) Poverty 
B) Poor research studies 
C) Unaffordable housing 
D) Lack of education 
E) Poor nursing skills

Question 8

Which statement best describes an experienced nurse? An experienced nurse is one who:

Accepted Answer

A) Has little experience with a specified population and uses rules to guide performance. 
B) Takes a linear approach to the nursing process. 
C) Is focused only on a patient's disease. 
D) Understands a patient's situation as a whole, rather than a list of tasks, and recognizes the long-term goals for the patient.

Question 9

A patient is brought by ambulance to the emergency department with multiple injuries received in an automobile accident.The patient is alert and cooperative, but his injuries are quite severe.How would the nurse proceed with data collection?

Accepted Answer

A) Collect history information first and then perform the physical examination and institute life-saving measures. 
B) Simultaneously ask history questions while performing the examination and initiating life-saving measures. 
C) Collect all information on the history form, including social support patterns, strengths, and coping patterns. 
D) Perform life-saving measures and delay asking any history questions until the patient is transferred to the intensive care unit.

Exam 1: Evidence-Based Assessment