NSC209 Tma Solutions
1. During an interview and physical examination, the nurse should be sensitive to issues of __________
eye contact and space
modesty
touching
—>> all of the options
2. Pain assessment is captured under the _____________ functional pattern
—>> Cognitive-Perceptual
Sleep-Rest
Activity-Exercise
Coping-Stress Tolerance
3. Which of the following questions is the MOST appropriate for the nurse to ask a client who lost the husband with history of 3 days anorexia?
What is the quantity and quality of foods and fluids consumed?
—>> Did the anorexia start before/after the sad incident occurred?
What are your food preferences?
Who prepares the food you eat?
4. Which of the following is not a reason why the nurse performs assessment continuously throughout the nursing process?
to validate nursing diagnoses
to evaluate client’s response to nursing interventions
—>> to establish rapport and interpersonal relationship
to determine the extent to which client outcomes and goals have been met
5. The type of assessment that is typically done on admission to the hospital or onset of care in a primary care setting is _____?
Focused assessment
—>> Comprehensive assessment
Emergency assessment
None of the options
6. The functional health pattern format used in nursing assessment was formulated by _________
—>> Gordon
Roy
Orems
Nightingale
7. The following are complementary therapies to achieve relief of pain EXCEPT ______?
acupuncture
—>> medication
massage
imagery
8. ___________________ is the systematic assessment of the bodily and mental status of a patient
History taking
—>> physical examination
emergency assessment
None of the options
9. When a nurses asks a patient during history taking What other things do you see or feel when symptom occurs? The nurse is eliciting information on which area?
—>> Associated manifestation
Aggravating or alleviating factors
Quality
Setting
10. Which of the nurse leader defined pain as whatever the person experiencing the pain says it is, existing whenever the person says it does
Florence Nightingale
Virginia Anderson
—>> Margo McCaffery
Calista Roy
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