NUR2180 / NUR 2180 (Latest Update 2024 / 2025) Proctored exam for physical_examination_and_health assessment |Questions and Correct Answers |Rated A+|
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Course
Clinical Medical Assisting
Institution
Clinical Medical Assisting
4. When listening to a patient’s breath sounds, the NURSEY is unsure of a sound that is heard. The
NURSEY’s next action should be to:
a. Immediately notify the patient’s physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to ...
1. An older Mexican-American woman with traditional beliefs has been admitted to an inpatient
care unit. A culturally sensitive NURSEY would:
a. Contact the hospital administrator about the best course of action.
Automatically get a curandero for her, because requesting one herself is not culturally
b. appropriate.
Further assess the patient’s cultural beliefs and offer the patient assistance in contacting a
c. curandero or priest if she desires.
Ask the family what they would like to do because Mexican-AmericRESPONSE traditionally
give
d. control of decision making to their families.
RESPONSE: C
In addition to seeking help from the biomedical or scientific health care provider, patients may
also seek help from folk or religious healers. Some people, such as those of Mexican-American
or American-Indian origins, may believe that the cure is incomplete unless the body, mind, and
spirit are also healed (although the division of the person into parts is a Western concept).
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 19
MSC: Client Needs: Psychosocial Integrity
2. A 63-year-old Chinese-American man enters the hospital with complaints of chest pain,
shortness of breath, and palpitations. Which statement most accurately reflects the
NURSEY’s best course of action?
a. The NURSEY should focus on performing a full cardiac assessment.
The NURSEY should focus on psychosomatic complaints because the patient has just learned
b. that his wife has cancer.
This patient is not in any danger at present; therefore, the NURSEY should send him home
with
c. instructions to contact his physician.
It is unclear what is happening with this patient; consequently, the NURSEY should perform
an
d. assessment in both the physical and the psychosocial realms.
RESPONSE: D
,Wide cultural variations exist in the manner in which certain symptoms and disease conditions
are perceived, diagnosed, labeled, and treated. Chinese-AmericRESPONSE sometimes convert
mental experiences or states into bodily symptoms (e.g., complaining of cardiac symptoms
because the center of emotion in the Chinese culture is the heart).
DIF: Cognitive Level: Analyzing (Analysis) REF: pp. 17-18
MSC: Client Needs: Psychosocial Integrity
3. Symptoms, such as pain, are often influenced by a person’s cultural heritage. Which of the
following is a true statement regarding pain?
NURSEYs’ attitudes toward their patients’ pain are unrelated to their own experiences with
a. pain.
b. NURSEYs need to recognize that many cultures practice silent suffering as a response to
pain. A NURSEY’s area of clinical practice will most likely determine his or her
assessment of a
c. patient’s pain.
A NURSEY’s years of clinical experience and current position are strong indicators of his or
her
d. response to patient pain.
RESPONSE: B
Silent suffering is a potential response to pain in many cultures. The NURSEY’s assessment of
pain needs to be embedded in a cultural context. The other responses are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 22
MSC: Client Needs: Psychosocial Integrity
4. The NURSEY is reviewing concepts of cultural aspects of pain. Which statement is true
regarding pain?
a. All patients will behave the same way when in pain.
Just as patients vary in their perceptions of pain, so will they vary in their expressions of
b. pain.
Cultural norms have very little to do with pain tolerance, because pain tolerance is always
c. biologically determined.
A patient’s expression of pain is largely dependent on the amount of tissue injury associated
d. with the pain.
RESPONSE: B
,In addition to expecting variations in pain perception and tolerance, the NURSEY should expect
variations in the expression of pain. It is well known that individuals turn to their social
environment for validation and comparison. The other statements are incorrect.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 22
MSC: Client Needs: Psychosocial Integrity
5. During a class on religion and spirituality, the NURSEY is asked to define spirituality.
Which RESPONSEwer is correct? “Spirituality:
a. Is a personal search to discover a supreme being.”
Is an organized system of beliefs concerning the cause, nature, and purpose of the
b. universe.”
Is a belief that each person exists forever in some form, such as a belief in reincarnation or
c. the afterlife.”
Arises out of each person’s unique life experience and his or her personal effort to find
d. purpose in life.”
RESPONSE: D
Spirituality arises out of each person’s unique life experience and his or her personal effort to
find purpose and meaning in life. The other definitions reflect the concept of religion.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 15
MSC: Client Needs: Psychosocial Integrity
6. The NURSEY recognizes that working with children with a different cultural perspective
may be especially difficult because:
a. Children have spiritual needs that are influenced by their stages of development.
b. Children have spiritual needs that are direct reflections of what is occurring in their homes.
c. Religious beliefs rarely affect the parents’ perceptions of the illness.
Parents are often the decision makers, and they have no knowledge of their children’s
d. spiritual needs.
RESPONSE: A
Illness during childhood may be an especially difficult clinical situation. Children, as well as
adults, have spiritual needs that vary according to the child’s developmental level and the
religious climate that exists in the family. The other statements are not correct.
a. Culture shock.
b. Cultural taboos.
, c. Cultural unfamiliarity.
d. Culture disorientation.
RESPONSE: A
Culture shock is a term used to describe the state of disorientation or inability to respond to the
behavior of a different cultural group because of its sudden strangeness, unfamiliarity, and
incompatibility with the individual’s perceptions and expectations. The other terms are not
correct.
DIF: Cognitive Level: Analyzing (Analysis) REF: pp. 21-22
MSC: Client Needs: Psychosocial Integrity
1. After completing an initial assessment of a patient, the NURSEY has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
RESPONSE: A
Objective data are what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Subjective data is what the person says about
him or herself during history taking. The terms reflective and introspective are not used to
describe data.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A patient tells the NURSEY that he is very nervous, is nauseated, and “feels hot.” These
types of data would be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
RESPONSE: C
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