A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over 6
months since you've been in, but your appointment was for every 2 months. Tell me about that.
Also I see from your last visit that the doctor recommended routine exercise. Can you tell me
how successful you have been following his plan?" The nurse's assessment covers which of
Gordon's functional health patterns?
A) Value-belief pattern
B) Cognitive-perceptual pattern
C) Coping-stress-tolerance pattern
D) Health perception-health management pattern - answer✔Health perception-health
management pattern
The nurse asks a patient, "Describe for me your typical diet over a 24-hour day. What foods do
you prefer? Have you noticed a change in your weight recently?" This series of questions would
likely occur during which phase of a patient-centered interview?
A) Setting the stage
B) Gathering information about the patient's chief concerns
C) Collecting the assessment
What type of interview techniques does the nurse use when asking these questions, "Do you
have pain or cramping?" "Does the pain get worse when you walk?" (Select all that apply.)
A) Active listening
B) Open-ended questioning
C) Closed-ended questioning
D) Problem-oriented questioning - answer✔Closed-ended questioning
Problem-oriented questioning
What technique(s) best encourage(s) a patient to tell his or her full story? (Select all that apply.)
A) Active listening
B) Back channeling
C) Validating
D) Use of open-ended questions
E) Use of closed-ended questions - answer✔Active listening
Back channeling
Use of open-ended questions
A nurse gathers the following assessment data. Which of the following cues form(s) a pattern
suggesting a problem? (Select all that apply.)
A) The skin around the wound is tender to touch.
B) Fluid intake for 8 hours is 800 mL.
C) Patient has a heart rate of 78 and regular.
D) Patient has drainage from surgical wound.
E) Body temperature is 101° F (38.3° C).
F) Patient asks, "I'm worried that I won't return to work when I planned." - answer✔A) The skin
around the wound is tender to touch.
D) Patient has drainage from surgical wound.
E) Body temperature is 101° F (38.3° C).
The nurse makes the following statement during a change of shift report to another nurse. "I
assessed Mr. Diaz, my 61-year-old patient from Chile. He fell at home and hurt his back 3 days
ago. He has some difficulty turning in bed, and he says that he has pain that radiates down his
leg. He rates his pain at a 6, but I don't think it's that severe. You know that back patients often
have chronic pain. He seems fine when talking with his family. Have you cared for him before?"
What does the nurse's conclusion suggest?
A) The nurse is making an accurate clinical inference.
B) The nurse has gathered cues to identify a potential problem area.
C) The nurse has allowed stereotyping to influence her assessment.
D) The nurse wants to validate her information with the other nurse. - answer✔C) The nurse
has allowed stereotyping to influence her assessment.
A nurse checks a patient's intravenous (IV) line in his right arm and sees inflammation where
the catheter enters the skin. She uses her finger to apply light pressure (i.e., palpation) just
above the IV site. The patient tells her the area is tender. The nurse checks to see if the IV line is
running at the correct rate. This is an example of what type of assessment?
A) Agenda setting
B) Problem-focused
C) Objective
D) Use of a structured database format - answer✔B) Problem-focused
A patient who visits the allergy clinic tells the nurse practitioner that he is not getting relief
from shortness of breath when he uses his inhaler. The nurse decides to ask the patient to
explain how he uses the inhaler, when he should take a dose of medication, and what he does
when he gets no relief. On the basis of Gordon's functional health patterns, which pattern does
the nurse assess?
A) Health perception-health management pattern
B) Value-belief pattern
C) Cognitive-perceptual pattern
D) Coping-stress tolerance pattern - answer✔A) Health perception-health management pattern
A nurse is conducting a patient-centered interview. Place the statements from the interview in
the correct order.
1. "You say you've lost weight. Tell me how much weight you have lost in the last month."
2. "My name is Todd. I'll be the nurse taking care of you today. I'm going to ask you a series of
questions to gather your health history."
3. "I have no further questions. Thank you for your patience."
4. "Tell me what brought you to the hospital."
5. "So, to summarize, you've lost about 6 pounds in the last month, and your appetite has been
poor—correct?" - answer✔2) "My name is Todd. I'll be the nurse taking care of you today. I'm
going to ask you a series of questions to gather your health history."
4) "Tell me what brought you to the hospital."
1) "You say you've lost weight. Tell me how much weight you have lost in the last month."
5) "So, to summarize, you've lost about 6 pounds in the last month, and your appetite has been
poor—correct?"
3) "I have no further questions. Thank you for your patience."
Which of the following are examples of data validation? (Select all that apply.)
A) The nurse assesses the patient's heart rate and compares the value with the last value
entered in the medical record.
B) The nurse asks the patient if he is having pain and then asks the patient to rate the severity.
C) The nurse observes a patient reading a teaching booklet and asks the patient if he has
questions about its content.
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