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MULTIPLE CHOICE
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.‖
DIF:Cognitive Level: Analyzing (Analysis) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
d. (^) restore balance in an individual’s life. ANS: B A more scientific approach to healthcare problem solving, in which a cause can be determined for every problem in a precise way, is a Western approach. Hispanics, Native Americans, Asians, and Arabs embrace a more holistic approach. Using a holistic approach, establishing harmony between a person and the entire cosmos, and restoring balance in an individual’s life would not be troublesome to many Hispanics, Native Americans, Asians, and Arabs. DIF:Cognitive Level: Understanding (Comprehension) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
a. (^) a fever. b. (^) a rash. c. (^) tuberculosis. d. (^) an ulcer. ANS: C A cold condition in cultures with a holistic approach is tuberculosis. DIF:Cognitive Level: Remembering (Knowledge) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation MULTIPLE RESPONSE
MULTIPLE CHOICE
c. (^) ―On a scale of 1 to 10, how would you rate the severity of your headaches?‖ d. (^) ―At what time of the day are your headaches the most severe?‖ ANS: B Stating to the patient that he or she does not get headaches would limit the information in the patient’s answer. Asking the patient what he or she thinks is causing the headaches is an open-ended question. Asking the patient how he or she would rate the severity of the headaches and asking what time of the day the headaches are the most severe are direct questions. DIF:Cognitive Level: Applying (Application) OBJ:Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
ANS: l l B Specific llbut llopen-ended llquestions llare llbest llused llwhen llthe llpatient llhas llfeelings llof llloss llof self-worth lland lldepression. ll―Tryllto llthink llabout llthe llgood llthings llin lllife,‖ ll―You llcan’t llmean llwhat llyou’re llsaying,‖ lland ll―If llyou llthink llabout llit, llnothing llis llworth llgetting llthis llupset llabout‖ llare llstatements llthat llwill llhurry llthe llpatient lland lloffer llonly llsuperficial llassurance. DIF:Cognitive llLevel: llAnalyzing ll(Analysis) OBJ:Nursing llprocess—assessment MSC: l l Physiologic llIntegrity: llPhysiologic llAdaptation
d. (^) dim llthe lllights llto lldecrease llanxiety. ANS: l l C The llhealthcare llprovider llshould llposition llhimself llor llherself llso llthat llthe llolder llpatient llcan llsee llhis llor llher llface. llShouting lldistorts llspeech, lldimming llthe lllights llimpairs llvision, lland lla llwritten llinterview llmay llbe llnecessary llif llall llelse llfails. DIF:Cognitive llLevel: llUnderstanding ll(Comprehension) OBJ:Nursing llprocess—assessment MSC: l l Physiologic llIntegrity: llPhysiologic llAdaptation
ANS: l l A The llpresence llof lldomestic llviolence llshould llbe llroutinely llqueried, lland llthe llquestioning llshould llbe lldirect llfor llall llpatients. llDirect llquestioning llabout lldomestic llviolence llin llthe llhome llshould llnot llbe llavoided llfor llfear llof lloffending llthe llpatient’s llpartner, llshould llbe llpart llof lla llroutine llexamination, lland llshould llnot llbe llused llonly llwhen llthe llpatient llis llobviously llbeing llvictimized. DIF:Cognitive llLevel: llRemembering ll(Knowledge) OBJ:Nursing llprocess—assessment MSC: l l Physiologic llIntegrity: llPhysiologic llAdaptation
ANS: l l B The lldorsal llsurface, llor llback llof llthe llhand, llis llbest llfor llassessing llwarmth, llor lltemperature. llThe llpalmar llsurface, llrather llthan llthe lldorsal llsurface, llis llbest llfor llassessing llcrepitus. llThe llpalmar llsurface, llrather llthan llthe lldorsal llsurface, llis llbest llfor llassessing lltexture. llThe llulnar llsurfaces llof llthe llhand lland llfingers, llrather llthan llthe lldorsal llsurface, llare llbest llfor llassessing llvibration. DIF:Cognitive llLevel: llUnderstanding ll(Comprehension) OBJ:Nursing llprocess—assessment MSC: l l Physiologic llIntegrity: llPhysiologic llAdaptation
b. (^) heart. c. (^) lungs. d. (^) abdomen. ANS: l l D Auscultation llis llthe lllast llexamination lltechnique llused llfor llall llareas llexcept llthe llabdomen. llIn llthis llcase, llit llis llperformed llafter llinspection. DIF:Cognitive llLevel: llUnderstanding ll(Comprehension) OBJ:Nursing llprocess—assessment MSC: l l Physiologic llIntegrity: llPhysiologic llAdaptation