Jarvis Study Guide - Chapters 1-7. Questions and answers, 2022. 99% proven pass rate.

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Jarvis Study Guide - Chapters 1-7. Questions and answers, 2022. 99% proven pass rate. The concept of health and healing has evolved in recent years. Which is the best description of health? a... . Health is the absence of disease. b. Health is a dynamic process toward optimal functioning. c. Health depends on an interaction of mind, body, and spirit within the environment. d. Health is the prevention of disease. - ✔✔c. Health depends on an interaction of mind, body, and spirit within the environment. Which would be included in the database for a new patient admission to a surgical unit? a. All subjective and objective data gathered by a health practitioner from a patient b. All objective data obtained from a patient through inspection, percussion, palpation, and auscultation c. A summary of a patient's record, including laboratory studies d. All subjective and objective data, data gathered from a patient, and the results of any laboratory or diagnostic studies completed - ✔✔d. All subjective and objective data, data gathered from a patient, and the results of any laboratory or diagnostic studies completed You are reviewing assessment data of a 45-year-old male patient and note pain of 8 on a scale of 10, labored breathing, and pale skin color on the electronic health record. This documentation is an example of: a. Hypothetical reasoning. b. Diagnostic reasoning. c. Data cluster. d. Signs and symptoms. - ✔✔c. Data Cluster A patient is in the emergency department with nausea and vomiting. Which would you include in the database? a. A complete health history and full physical examination b. A diet and GI history c. Previously identified problems d. Start collection of data in conjunction with lifesaving measures - ✔✔b. A diet and GI history 5. A patient has recently received health insurance and would like to know how often he should visit the provider. How do you respond? a. "It would be most efficient if you visit on an annual basis." b. "There is no recommendation for the frequency of health care visits." c. "Your visits may vary, depending on your level of wellness." d. "Your visits will be based on your preference." - ✔✔c. "Your visits may vary, depending on your level of wellness." You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed? a. Planning b. Assessment c. Implementation d. Diagnosis - ✔✔a. Planning Which best describes evidence-based nursing practice? a. Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient's values and circumstances b. Appraising and looking at the implications of one or two articles as they relate to the culture and ethnicity of the patient c. Completing a literature search to find relevant articles that use nursing research to encourage nurses to use good practices d. Finding value-based resources to justify nursing actions when working with patients of diverse cultural backgrounds - ✔✔a. Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patient's values and circumstances What can be determined when the nurse clusters data as part of the critical-thinking process? a. This step identifies problems that may be urgent and require immediate action. b. This step involves making assumptions in the data. c. The nurse recognizes relevant information among the data. d. Risk factors can be determined so the nurse knows how to offer health teaching. - ✔✔c. The nurse recognizes relevant information among the data. A patient says she is very nervous and nauseated, and she feels as if she will vomit. This data would be what type of data? a. Objective b. Reflective c. Subjective d. Introspective - ✔✔c. Subjective The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as: a. Deductive reasoning. b. Intuition. c. The nursing process. d. Focused assessment. - ✔✔b. Intuition. Which would be considered a risk diagnosis? a. Identifying existing levels of wellbess b. Evaluating previous problems and goals c. Identifying potential problems the individual may develop d. Focusing on individual's transition to higher strengths and reflecting an levels of wellness - ✔✔c. Identifying potential problems the individual may develop Which would be included in a holistic model of assessment? a. Nursing goals for the patient b. Anticipated growth and development patterns c. A patient's perception of his or her health status d. The nurse's perception of disease related to the patient - ✔✔c. A patient's perception of his or her health status The nurse uses health promotion activities with a new patient. What would this focus include? a. The nurse would try to change the patient's perceptions of disease. b. The nurse would search for identification of biomedical model interventions. c. The nurse would help to identify negative health acts of the patient. d. The nurse would empower the patient to choose a healthier lifestyle. - ✔✔d. The nurse would empower the patient to choose a healthier lifestyle. Which is an example of objective data? a. Patient's history of allergies b. Patient's use of medications at home c. Last menstrual period 1 month ago d. 2- x 5-cm scar present on the right lower forearm - ✔✔d. 2- x 5-cm scar present on the right lower forearm During the evaluation phase of the nursing process, which action would be included? a. Validating the nursing diagnosis b. Establishing priorities related to patient care c. Including the patient and family members d. Establishing a timeline for planned outcomes - ✔✔c. Including the patient and family members Which statement best describes religion? a. An organized system of beliefs concerning the cause, nature, and purpose of the universe b. Belief in a divine or superhuman spirit to be obeyed and worshiped c. Affiliation with one of the 1200 recognized religions in the United States d. The following of established rituals, especially in conjunction with health-seeking behaviors - ✔✔a. An organized system of beliefs concerning the cause, nature, and purpose of the universe The major factor contributing to the need for cultural care nursing is: a. An increasing birth rate. b. Limited access to health care services. c. Demographic change. d. A decreasing rate of immigration. - ✔✔c. Demographic change. The term culturally competent implies that the nurse: a. Is prepared in nursing. b. Possesses knowledge of the traditions of diverse peoples. c. Applies underlying knowledge to providing nursing care. d. Understands the cultural context of the patient's situation. - ✔✔d. Understands the cultural context of the patient's situation. 4. You are the triage nurse in the emergency department and perform the initial intake assessment on a patient who does not speak English. Based on your understanding of linguistic competence, which action would present as a barrier to effective communication? a. Maintaining a professional respectful demeanor b. Allowing for additional time to complete the process c. Providing the patient with a paper and pencil so he or she can write down the answers to the questions that you are going to ask d. Seeing if there are any family members present who may assist with the interview process - ✔✔c. Providing the patient with a paper and pencil so he or she can write down the answers to the questions that you are going to ask Which culture would describe illness as hot and cold imbalance? a. Asian-American heritage b. African-American heritage c. Hispanic-American heritage d. American Indian heritage - ✔✔c. Hispanic-American heritage Of what does the patient believe the amulet is protective? a. The evil eye b. Being kidnapped c. Exposure to bacterial infections d. An unexpected fall - ✔✔a. The evil eye Which statement best illustrates the difference between religion and spirituality? a. Religion reflects an individual's reaction to whether the individual attends religious life events whereas spirituality is based on services. b. Religion is characterized by identification of a higher being shaping one's destiny, whereas spirituality reflects an individual's perception of one's life having worth or meaning. c. Religion is the expression of spiritual awakening whereas spirituality is based on belief in divine right. d. Religion is the active interpretation of one's spirituality. - ✔✔b. Religion is characterized by identification whereas spirituality reflects an individual's of a higher being shaping one's destiny, perception of one's life having worth meaning. The first step to cultural competency by a nurse is to: a. Identify the meaning of health to the patient. b. Understand how a health care delivery system works. c. Develop a frame of reference to traditional health care practices. d. Understand your own heritage and its basis in cultural values. - ✔✔d. Understand your own heritage and its basis in cultural values. Which statement is true in regard to pain? a. Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain. b. The cultural background of a patient is important in a nurse's assessment of that patient's pain. c. A nurse's area of clinical practice is most likely to determine his or her assessment of a patient's pain. d. A nurse's years of clinical experience and current position are a strong indicator of his or her response to patient pain. - ✔✔b. The cultural background of a patient is important in a nurse's assessment of that patient's pain. Which factor is identified as a priority influence on a patient's health status? a. Poverty b. Lifestyle factors c. Legislative action d. Occupational status - ✔✔a. Poverty Which statement is most appropriate to use when initiating an assessment of cultural beliefs with an older American Indian patient? a. "Are you of the Christian faith?" b. "Do you want to see a medicine man?" c. "How often do you seek help from medical providers?" d. What cultural or spiritual beliefs are important to you?" - ✔✔d. What cultural or spiritual beliefs are important to you?" Which statement best describes ethnocentrism? a. The government's description of various cultures b. A central belief that accepts all cultures as one's own c. The tendency to view your own way of life as the most desirable d. The tendency to impose your beliefs, values, and patterns of behaviors on an individual from another culture - ✔✔c. The tendency to view your own way of life as the most desirable Which category is appropriate in a cultural assessment? a. Family history b. Chief complaint c. Past medical history d. Health-related beliefs - ✔✔d. Health-related beliefs Which health belief practice is associated with patients who are of American Indian heritage? a. Wearing bangle bracelets to ward off evil spirits b. Believing that forces of nature must be kept in natural balance c. Using swamp root as a traditional home remedy d. Believing in a shaman as a traditional healer - ✔✔b. Believing that forces of nature must be kept in natural balance Which statement best reflects the Magicoreligious causation of illness? a. Each being is but a part of a larger structure in the world of nature as relates to health and illness. b. Causality relationship exists, leading to expression of illness. c. Belief in the struggle between good and evil is reflected in the regulation of health and illness. d. Illness occurs as a result of disturbances between hot and cold reactions. - ✔✔c. Belief in the struggle between good and evil is reflected in the regulation of health and illness. 1. The practitioner, entering the examining room to meet a patient for the first time, states: "Hello, I'm M.M., and I'm here to gather some information from you and to perform your examination. This will take about 30 minutes. D.D. is a student working with me. If it's all right with you, she will remain during the examination." Which of the following must be added to cover all aspects of the interview contract? a. A statement regarding confidentiality, patient costs, and the expectations of each person b. The purpose of the interview and the role of the interviewer c. Time and place of the interview and a confidentiality statement d. An explicit purpose of the interview and a description of the physical examination, including diagnostic studies - ✔✔a. A statement regarding confidentiality, patient costs, and the expectations of each person _____________ is exhibiting an accurate person's feelings within a communication understanding of the other context. a. Empathy b. Liking others c. Facilitation d. A nonverbal listening technique - ✔✔a. Empathy You conduct an admission interview. Because you are expecting a phone call, you stand near the door. Which would be a more appropriate approach? a. Arrange to have someone page you so you can sit on the side of the bed. b. Have someone else answer the phone so you can give the patient your full attention. c. Use this approach given the circumstances. d. Arrange for a time free of interruptions after the initial physical examination is complete. - ✔✔b. Have someone else answer the phone so you can give the patient your full attention. A patient asks the nurse, "May I ask you a question?" This is an example of: a. An open-ended question. b. A reflective question. c. A closed question. d. A double-barreled question. - ✔✔c. A closed question. 5. Which statement best describes interpretation as a communication technique? a. Interpretation is the same as clarification. b. Interpretation is a summary of a statement made by a patient. c. Interpretation is used to focus on a particular aspect of what the patient has just said. d. Interpretation is based on the interviewer's inference from the data that have been presented. - ✔✔d. Interpretation is based on the interviewer's inference from the data that have been presented. Which demonstrates a good understanding of the interview process? a. The nurse stops the patient each time something is said that is not understood. b. The nurse spends more time listening to the patient than talking. c. The nurse is consistently thinking of his or her next response so the patient will know he or she is understood. d. The nurse uses "why" questions to seek clarification of unusual symptoms or behavior. - ✔✔b. The nurse spends more time listening to the patient than talking. During an interview, a patient denies having any anxiety. The patient frequently changes position in the chair, holds his arms folded tight against his chest, and has little eye contact with the interviewer. The interviewer should: a. Use confrontation to bring the discrepancy between verbal and nonverbal behavior to the patient's attention. b. Proceed with the interview. Patients usually are truthful with a health care practitioner. c. Make a mental note to discuss the behavior after the physical examination is completed. d. Proceed with the interview and examination as outlined on the agency assessment form. The patient's behavior is appropriate for the circumstances. - ✔✔a. Use confrontation to bring the discrepancy between verbal and nonverbal behavior to the patient's attention. For what or with whom should touch be used during the interview? a. Only with individuals from [Show More]

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