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Homework answers / question archive / Pensacola State College ESC 201 Test 1 case studies and quiz 1)According to Maslows hierarchy of needs, which of these would the patient seek to meet first? a

Pensacola State College ESC 201 Test 1 case studies and quiz 1)According to Maslows hierarchy of needs, which of these would the patient seek to meet first? a

Psychology

Pensacola State College

ESC 201

Test 1 case studies and quiz

1)According to Maslows hierarchy of needs, which of these would the patient seek to meet first?

a.            self actualization

b.            psychological security c. shelter

d. love and belonging

 

2.            After evaluating a patient’s external variables, the nurse concludes that health beliefs and practices can be influenced by:

a.            Emotional factors

b.            Intellectual background

c.             Developmental stage d. Socioeconomic factors

 

3.            You will use the concept of primary prevention when instructing a patient to: a. Get a flu shot

b.            Take a blood pressure reading every day

c.             Explore hiring a patient with a known disability

d.            Undergo physical therapy following a cerebrovascular accident

 

4.            sally has decided to set aside 30 minutes a day to walk after work next week. Sally is in what stage of risk factor modification?

a.            Precontemplation

b.            Contemplation

c.             Action

d.            Maintenance e. Preparation

 

5.            Health disparities are unequal burdens of disease morbidity and mortality rates experienced by racial and ethnic groups. These disparities are often exacerbated by:

a.            Bias

b.            Stereotyping

c.             Prejudice

d.            All of the above

 

6.            Which approach reflects an obstacle to nurse-patient communication?

a.            Discussing fear about a patient with members of the health care team.

b.            Obtaining information about a critically ill patient from his or her family

c.             Admitting a mistake to a patient’s family

d.            Avoiding issues that are uncomfortable for a patient

 

7.            the nurse is caring for a postoperative patient who is still having pain despite analgesia administration. Which statement by the nurse best reflects therapeutic communication?

a.            “I think your doctor needs to know that you are still in pain”

b.            “what do you want me to do about your pain problem?”

c.             When it come to pain, your doctor tends to undermedicate his patients

d.            “your pain will be a lot better in the morning”

 

8.            a patient recovering from a bilateral mastectomy for breast cancer tearfully tells the nurse she is feeling depressed and worthless as a woman. Which communication phrase is inappropriate?

a.            “many women have body image concerns after undergoing this surgery”

b.            Tell me more about how you feel

c.             Why do you feel depressed and worthless

d.            How long have you been feeling this way?

 

9.            which approach would be best when initially working with an anxious patient?

a.            Tell the patient that everything he or she says will be kept private

b.            Ask the patient what he or she believes is causing his or her anxiety

c.             Watch the patients behavior for the amount of anxiety being exhibited

d.            Explain what the patient can expect in terms he or she can understand.

 

10.          a nurse is working with a potentially threatening patient. Which nursing intervention is most appropriate?

a.            Speaking clearly and slightly louder so the patient does not need the nurse to repeat what was said.

b.            Positioning himself or herself near the exit of the room to prevent being blocked by the patient.

c.             Bringing in other team members so the patient knows there are others to help him or her control.

d.            Asking the patient what comfort measures he or she uses when he or she becomes out of control.

11.          A patient with a complex medical condition and an unusual family situation has just been admitted to the unit. Which type of charting would be most appropriate for the nurse to use?

 

A.            SBAR documentation

B.            Charting by exception

C.            Focus charting

D.            PIE documentation

 

12.          The nurse is documenting the care delivered to his patients. The best documentation would

 

contain which characteristics?

 

a.            The majority of the documentation provides subjective data.

b.            The nurse's hunches are included in case a sudden change occurs in the patient's condition.

c.             The documentation contains only objective data.

d.            The documentation reflects individualized care based on assessment data.

 

13.          During report, the nurse includes that a positive variance has occurred with one of the patients. Which information provided by the nurse would support this statement?

 

a.            A Foley catheter needed to be inserted because the patient could not void.

b.            The patient's fever dropped dramatically and sooner than expected.

c.             The patient had to be taken back to surgery.

d.            The patient's family has been visiting frequently.

 

14.          Unexpected events occur in the health care arena. When would an incident report need to be completed?

 

a.            When less than standard patient care has been provided

b.            To document an injury to a patient or visitor

c.             To identify potential risks in new treatments

d.            To document when an adverse situation almost occurred in care

 

15.          After receiving a narcotic for pain, the patient's respirations drop to a dangerous but stable level. Which documentation statement regarding this situation is best?

 

a.            "Too much morphine was given; being monitored frequently and is stable; family at bedside and has been told of situation."

b.            "Incident report filed after patient received too much pain medication and had decreased respirations; is resting quietly; doctor notified."

c.             "Dilaudid 1 mg IV caused RR 8, BP 100/68, P 70 afterward; being monitored q15 min— see graphic for VS; MD notified."

d.            "Sleeping deeply and snoring after receiving narcotic IV; VS stable; nailbeds pink, oxygen ready if needed; supervisor notified."

 

 

 

 

 

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