Chapter 24: Putting it all Together

Chapter 24: Putting it all Together

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which of the following is true regarding the relationship between the examiner and patient?

ANS:  D

The patient is a full partner with the examiner. The examiner should keep the patient informed and should develop a relationship to ensure trust. Cultural issues should be acknowledged, not ignored. The examiner should keep the patient informed, but it is not the examiner’s responsibility to help the patient understand that he or she is qualified to make health care decisions. The examiner should develop a relationship to ensure trust, but it is not necessary for the patient to trust the examiner completely.

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   p. 494

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Basic Care and Comfort

2. Which one of the following examiner behaviors would help minimize your patient’s dissatisfaction?

ANS:  D

When performing an examination, you are seeking information about the patient and the problem that brings the patient to you. This process teaches you about the patient and teaches the patient about your personal discipline, professional composure, and respect for others.

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 594

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Basic Care and Comfort

3. An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by:

ANS:  A

Acknowledging the patient’s discomfort during the examination will help the patient feel more relaxed. Your professional concern can be reassuring to the patient. You should explain what you are doing to the patient before the assessment and what the patient will experience; if not, you will run the risk of losing trust. The other choices would make the patient more uneasy.

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 595

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Basic Care and Comfort

4. When performing a history and physical assessment, the examiner should:

ANS:  B

When performing a history and physical assessment, you should develop an approach that is comfortable to you and ensures comfort for the patient. Part of the history can be obtained while you are doing the physical examination.

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   p. 595

OBJ:   Nursing process—assessment          MSC:  Physiologic Integrity: Basic Care and Comfort