Maryville NURS 612 Exam 1 with complete solution Latest 2020/2021 Update (100% Verified)

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Maryville NURS 612 Exam 1 with complete solution Latest 2020/2021 Update (100% Verified) Which of the following will best facilitate the interview when obtaining a history for a deaf patient who can... read lips? Correct Answer- speaking slowly During a history, the patient indicates he has an uncle and a brother with sickle cell disease. Which of the following is an appropriate method to document this information? Correct Answer- Include it in the family history. Which approach is recommended at the onset of an interview? Correct Answer- Use an open-ended approach; let the patient explain the problem or reason for the visit. Which of the following questions may lead to an inaccurate patient response? Correct Answer- "That was a horrible experience, wasn't it?" Repeating a patient's answer is an attempt to Correct Answer- confirm an accurate understanding. During an interview, your patient admits to feeling worthless and having a sleep disturbance for the past 3 weeks. These are clues that warrant the exploration of Correct Answer- risk for suicide Jerry, a 26-year-old homosexual man, is having a health history taken. Which question regarding sexual activity would most likely hamper trust between Jerry and the interviewer? Correct Answer- Are you married or do you have a girlfriend When questioning a patient regarding a sensitive issue, such as drug use, it is best to Correct Answer- be direct, firm, and to the point Direct questions are designed to Correct Answer- obtain or clarify specific details about an answer Interviewers should identify and assess their own feelings, such as hostility and prejudice, in order to Correct Answer- reduce communication barriers During an interview, a patient describes abdominal pain that often awakens him at night. Which of the following responses by the interviewer would facilitate the interviewing process? Correct Answer- "Tell me what you mean by often." Developing cultural sensitivity is vital in order for the examiner to be successful in Correct Answer- recognizing and accepting health beliefs that differ from his or her own beliefs. The balance of hot and cold and its relationship to wellness is a concept that Correct Answer- is believed by members of many cultures, including Arabs, Asians, Filipinos, and Hispanics. Developing a knowledge base about cultural groups allows the practitioner to Correct Answer- understand the behaviors, practices, and problems observed Which of the following is an example of a cultural characteristic? Correct Answer- shared belief A young mother brings her infant to the emergency department with a high temperature and dehydration. Which of the following questions asked by an examiner demonstrates cultural awareness? Correct Answer- What do you think is causing the illness? A common mistake made by health care professionals is to? Correct Answer- stereotype individuals based on color or ethnic group All of the following are cultural considerations that affect health care except Correct Answer- eye color, temperature, and visual acuity Which of the following is an example of a physical, as opposed to a cultural, characteristic? Correct Answer- Skin color Despite repeated instruction over a period of 3 years, the mother of three young children has still not had her children immunized. Which of the following questions would help the health care provider understand this situation? Correct Answer- What are your beliefs about immunizations Which mode of communication may be offensive to a patient whose cultural perspective differs from that of the practitioner Correct Answer- maintaining firm and direct eye contact Which of the following infection control guidelines are currently recommended by the Centers for Disease Control and Prevention (CDC)? Correct Answer- standard precautions A patient presents with multiple raised lesions on her skin. Which instrument should be used to examine these lesions Correct Answer- ruler In an outpatient setting such as a clinic, how should infection control practice differ from that in the acute care setting? Correct Answer- Infection control practice is applicable in all healthcare settings. In which of the following situations is transillumination an appropriate examination technique Correct Answer- Detection of fluid within the sinuses Which of the following instruments is used in conjunction with a simple nasal speculum to visualize the lower and middle turbines of the nose? Correct Answer- penlight On first meeting, the examiner notices that the patient has an obvious odor. Which examination technique is the examiner using in this scenario? Correct Answer- Inspection Focused visual attention obtains data from Correct Answer- inspection Which technique is applied throughout the entire examination and interview process Correct Answer- inspection As a component of palpation, which surface is most sensitive to vibration Correct Answer- ulnar surface of the hand How deep should the examiner's hands press while performing deep palpation? Correct Answer- 4 cm The term intensity, when used in relation to percussion tones, refers to Correct Answer- the loudness of the tone. The examiner has detected a superficial mass in the skin. What part of the hand is best to use to palpate this mass? Correct Answer- fingertips Ideally, auscultation should be carried out last, except when examining the Correct Answer- abdomen Which of the following techniques is incorrect and affects the accuracy of auscultation? Correct Answer- Auscultating through clothing Which of the following is true regarding the correct use of a stethoscope? Correct Answer- The bell is pressed lightly against the skin to detect low-frequency sounds In which of the following situations is use of a Doppler indicated Correct Answer- Auscultation of a nonpalpable pulse in a patient with peripheral vascular disease While performing an internal eye examination, the examiner observes a fundal lesion. What feature on the ophthalmoscope permits the examiner to estimate the size and location of the lesion? Correct Answer- grid light An ophthalmoscope has positive and negative magnification in order to Correct Answer- compensate for myopia or hyperopia in the examiner's or the patient's eyes. According to the Centers for Disease Control and Prevention, the health care provider should apply infection control [Show More]

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