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NURS 5220 TEST 2 EXAM LATEST UPDATE 2025-2026|
273 QUESTIONS WITH DETAILED ANSWERS|A+ RATED
Which statement is true regarding the relationship of physical characteristics and culture? A. Physical characteristics should be used to identify members of cultural groups. B. There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics. C. To be a member of a specific culture, an individual must have certain identifiable physical characteristics. D. Gender and race are the two essential physical characteristics used to identify cultural groups. B. There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics An image of any group that rejects its potential for originality or individuality is known as a(n)
a. acculturation b. norm c. stereotype d. ethnos C. stereotype Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's son tells you that for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response? A. With your father's permission, we will examine the stone and request that it be returned to him B. The stone must be sent to the lab for examination and therefore cannot be kept C. We cannot let him keep his stone because it violates our infection control policy D. We don't know yet if your father has another kidney stone, so we must analyze this one A. With your father's permission, we will examine the stone and request that it be returned to him
The definition of ill or sick is based on a A. stereotype. B. cultural behavior. C. belief system. D. cultural attitude. C. Belief system A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, Yeah, No, or I guess so. Which of the following is appropriate for the interviewer to say or ask? A. We will be able to communicate better if you look at me. B. It's hard for me to gather useful information because your answers are so short. C. Are you uncomfortable talking with me? D. Does your religion make it hard for you to answer my questions? C. Are you uncomfortable talking with me?
As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to A. tell him that you understand his need to be alone. B. ask whether he has any questions. C. ask whether he would prefer to speak to the clinician. D. tell him that it is all right to be angry. B. ask whether he has any questions An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans, Asians, and Middle Eastern groups is Western medicine's attempts to A. use a holistic approach that views a particular medical problem as part of a bigger picture. B. determine a specific cause for every problem in a precise way. C. establish harmony between a person and the entire cosmos. D. restore balance in an individual's life. B. determine a specific cause for every problem in a precise way
concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to A. forego the examination for fear of violating cultural norms. B. ask a colleague from the same geographic area if this examination is acceptable. C. inform the patient of the reason for the examination and ask if it is acceptable to him. D. refer the patient to a provider more knowledgeable about cultural differences. C. inform the patient of the reason for the examination and ask if it is acceptable to him Mr. Jones is a 45-year-old patient who presents to the office. A person's definition of illness is likely to be most influenced by A. race. B. socioeconomic class. C. enculturation. D. age group. C. enculturation
As the healthcare provider, you are informing a patient that he or she has a terminal illness. This discussion is most likely to be discouraged in which cultural group? A. Navajo Native Americans B. Dominant Americans C. First-generation African descendants D. First-generation European descendants A. Navajo Native Americans Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group? A. Native Americans B. Hispanics C. Chinese D. Italians C. Chinese An example of a cold condition is A. a fever. B. a rash.
This allows you to gather more information and establishes you as an empathic listener First step of effective communication Periods of silence during the interview can serve important purposes, such as A. allowing the clinician to catch up on documentation. B. promoting calm. C. providing time for reflection. D. increasing the length of the visit. C. Providing time for reflection Mr. Franklin is speaking with you, the healthcare provider, about his respiratory problem. Mr. Franklin says, ―I've had this cough for 3 days, and it's getting worse.‖ You reply, ―Tell me more about your cough.‖ Mr. Franklin states, ―I wish I could tell you more. That's why I'm here. You tell me what's wrong!‖ Which caregiver response would be most appropriate for enhancing communication? A. After 3 days, you're tired of coughing. Have you had a fever? B. I'd like to hear more about your experiences. Where were you born?
C. I don't know what's wrong. You could have almost any disease. D. I'll examine you and figure out later what the problem is. A. This is the only response that aims at focusing on the chief complaint to gather more data and does not digress from the issue After you ask a patient about her family history, she says, ―Tell me about your family now.‖ Which response is generally most appropriate? A. Ignore the patient's comment and continue with the interview. B. Give a brief, undetailed answer. C. Ask the patient why she needs to know. D. Tell the patient that you do not discuss your family with patients. B. Give a brief, undetailed answer A 36-year-old woman complains that she has had crushing chest pain for the past 2 days. She seems nervous as she speaks to you. An appropriate response is to A. continue to collect information regarding the chief complaint in an unhurried manner.
A. given the opportunity to be interviewed without the parent at some point during the interview. B. mailed a questionnaire in advance to avoid the need for them to talk. C. ignored while you address all questions to the parent. D. allowed to direct the flow of the interview. A. Adolescent should be given the opportunity to give info directly. Enhances the probability that the adolescent will follow your advice. Information that is needed during the initial interview of a pregnant woman includes all the following except A. the gender that the woman hopes the baby will be. B. past medical history. C. healthcare practices. D. the woman's remembering (knowledge) about pregnancy. A. When interviewing older adults, the examiner should speak extremely loudly, because most older adults
A. have significant hearing impairment. B. provide a written questionnaire in place of an interview. C. position himself or herself facing the patient. D. dim the lights to decrease anxiety. C. Position him or herself facing the patient. This will ensure that the patient can see his or her face and may be assist in the ability to better understand the examiner. To what extent should the patient with a physical disability or emotional disorder be involved in providing health history information to the health professional? A. The patient should be present during information collection but should not be addressed directly. B. All information should be collected from past records and family members while the patient is in another room. C. The patient should be involved only when you sense that he or she may feel
A. Do you have any particular sexual likes or dislikes? B. Do you have any worries or concerns regarding your sexual life? C. How often do you have intercourse and with whom? D. Do you have any reason to think you may have been exposed to a sexually transmitted infection? B. When approaching questioning about a sensitive area, it is recommended that the provider first ask open-ended questions that explore the patient's feelings about the issue. A guideline for history taking is for caregivers to A. ask direct questions before open-ended questions so that data move from simple to complex. B. ask for a complete history at once so that data are not forgotten between meetings. C. make notes sparingly so that the patient can be observed during the history taking.
D. write detailed information as stated by patients so that their priorities are reflected. C. You should maintain eye contact during an interview; observe body language and proceed from open-ended to direct questions We have an expert-written solution to this problem! Mr. D complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the A. chief complaint. B. past medical history. C. personal and social history. D. review of systems. C. Habits are included within the personal and social history Direct questioning about domestic violence in the home should be A. a routine component of history taking with all patients. B. avoided for fear of offending the patient's partner.
D.
Adolescents tend to experiment with risky behaviors that can lead to a high incidence of morbidity and mortality Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADL) is part of a(n) A. ethnic assessment. B. functional assessment. C. genetic examination. D. social history. B. functional assessment- assessment of patient's mobility, upper extremity movement, household management, ADL, and instrumental activities of daily living Constitutional symptoms in the ROS refer to A. height, weight, and body mass index. B. fever, chills, fatigue, and malaise. C. hearing loss, tinnitus, and diplopia. D. rashes, skin turgor, and temperature.
B. Fever, chills, fatigue, and malaise are general constitutional symptoms JM has been seen in your clinic for 5 years. She presents today with signs and symptoms of acute sinusitis. The type of history that is warranted is a(n) _________ history. A. complete B. inventory C. problem or focused D. interim C. if the patient is well known, or if you have been seeing the patient for the same problem over time, a focused history is appropriate We have an expert-written solution to this problem! After the subjective and objective data have been prioritized, the next step is to A. order laboratory tests. B. formulate a problem list. C. initiate appropriate referrals. D. initiate therapy.
