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NUR 2063 Physical Assessment Quiz 1

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1. Question : The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the Student Answer: patient’s history of allergies. patient’s use of medications at home. last menstrual period one month ago. 2  5 cm scar present on the right lower forearm. Instructor Explanation: Objective data are the patient’s record, laboratory studies, and information that the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The other responses reflect subjective data. Points Received: 2 of 2 Comments: Question 2.Question : Barriers to incorporating evidence-based practice (EBP) include Student Answer: nurses’ lack of research skills in evaluating quality of research studies. lack of significant research studies. insufficient clinical skills of nurses. inadequate physical assessment skills. Instructor Explanation: As individuals, nurses lack research skills in evaluating quality of research studies, are isolated from other colleagues who are knowledgeable in research, and lack time to go to the library to read research. The other responses are not considered barriers. Points Received: 2 of 2 Comments: Question 3.Question : The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain. Which would be the next appropriate action? Student Answer: Establish priorities. Identify expected outcomes. Evaluate the individual’s condition and compare actual outcomes with expected outcomes. Interpret data and then identify clusters of cues and make inferences. Instructor Explanation: Evaluation is the next step after the implementation phase of the nursing process. During this step, the nurse should evaluate the individual’s condition and compare actual outcomes with expected outcomes. Points Received: 2 of 2 Comments: Question 4.Question : Which of these would be formulated by a nurse using diagnostic reasoning? Student Answer: Nursing diagnosis Medical diagnosis Diagnostic hypothesis Diagnostic assessment Instructor Explanation: Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesis; the nursing process calls for a nursing diagnosis. Points Received: 2 of 2 Comments: Question 5.Question : The nurse asks, “I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here.” This question is found at the _____ phase of the interview process. Student Answer: summary closing body opening or introduction Instructor Explanation: When gathering a complete history, the nurse should give the reason for the interview during the opening or introduction of the interview, not during or at the end of the interview. Points Received: 2 of 2 Comments:

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