a gradual progressive decrease in cogni- tion which is not reversible
2. During an interview the nurse notes that the patient gets up several times to wash her hands
even though they are not dirty. this is example of
Compulsive disorder
3. which of the following is an example of a first level priority problem?
An individual with shortness of breath and respiratory distress
4. A patient drifts off to sleep when she is not being stimulated. The nurse can arouse her easily
when calling her name, but she remains drowsy during the conversation.The best description of
this patient's level of consciousness is
Lethargic
5. A 45yr old woman is brought to the ER with a head injury after hitting a tree. A few months
after her injuries, she's unable to learn new information or recall previously learn information.
This is?
Amnestic disorder
6. The nurse is conducting an interview with a woman who has recently learned that she is
pregnant and has to come to the clinic today. The woman states that she is and her husband are
excited about the pregnancy but have a few questions. She looks nervously at her hands and
sighs loudly. What statement is most accurate?
She is exhibiting verbal and nonverbal behavior that does not match.
,7. After completing an initial assessment on a patient, the nurse has charted that his respirations
are eupneic and his pulse is 58. This type of data would be?
Objective
8. Which of the following is the best definition of spirituality?
That which arises out of each person's unique life experience and his or her personal effort to
find purpose in life.
9. which of the following examples would be a hallucination?
1) a man believes that his dead wife is talking to him
2) a woman hears the doorbell rings and goes to it, but no one is there
3) a child sees a man standing in his closet, when the light s are on it is only a dry cleaning bag.
4) a man believes hat the dog has been curled up on the bed, but when her gets closer he sees
that it is a blanket
a man believes that his dead wife is talking to him
10. A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best
response to this information?
"please describe what happens to you when you take penicillin"
11. What data would not be included in a client's health history?
1) laboratory tests
2) physical assessment 3)nutritional assessment
4) family medical history
laboratory tests
12. Which data would a nurse document under the category of family health history?
, 1) maternal disease
2) present illness 3)allergies to meds
4) client's name and birth date
maternal disease
13. symptoms such as pain, are often influence by cultural heritage. which statement is true?
The ethnic background of a patient is important in a nurse's assessment of that patient's plain.
14. A client with cancer says "I feel like I am getting weaker everyday I wonder is the
chemotherapy is working." the nurse responds "Isn't it a beautiful day?" this interaction is an
example of what type of communication barrier.
Chang- ing the subject or topic
15. which scenario described below best illustrates a screening type of health assessment?
-a hospital sponsors a health fair at a local mall and provides cholesterol and bp checks to mall
patron
-a client visits an obstetric clinic for the first time, and the nurse conducts a detailed history and
physical exam
-a client make an appointment 1 month after today's office visit for a fallow-up testing of fasting
blood glucose level.
-the nurse in the triage are of an urgent care center checks the vital signs of a client who is
complaining of leg pain
a hospital sponsors a health fair at a local mall and provides cholesterol and bp checks to mall
patrons
16. the largest and fasting growing population in the U.S is
Hispanics
17. The following statement could be found at which phase of the interview? "Mr. S.., I would
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