NURS 5220 Exam NUR 5220 Actual

NURS 5220 Exam NUR 5220 Actual Exam Latest Update Questions and Correct Answers Rated A+

As the healthcare provider, you are informing a patient that he or she has a terminal illness. This discussion is most likely to be discouraged in which cultural group?

• Navajo Native Americans
• Dominant Americans
• First-generation African descendants
• First-generation European descendants -ANSWER-A. Navajo

Native Americans

Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group?

• Native Americans
• Hispanics
• Chinese
• Italians -ANSWER-C. Chinese

An example of a cold condition is

• a fever.
• a rash.
• tuberculosis.
• an ulcer. -ANSWER-C. Tuberculosis

Which question would be considered a ―leading question?

• What do you think is causing your headaches?
• You don't get headaches often, do you?
• On a scale of 1 to 10, how would you rate the severity of your

headaches?

• At what time of the day are your headaches the most severe? -

ANSWER-B.

Stating to the patient that he or she does not get headaches would limit the information in the patient's answer.

When are open-ended questions generally most useful?

• During sensitive area part of the interview
• After several closed-ended questions have been asked
• While designing the genogram
• During the review of systems -ANSWER-A. During sensitive area

part of the interview

This allows you to gather more information and establishes you as an empathic listener First step of effective communication

Periods of silence during the interview can serve important purposes, such as

• allowing the clinician to catch up on documentation.
• promoting calm.
• providing time for reflection.
• increasing the length of the visit. -ANSWER-C. Providing time for

reflection

Mr. Franklin is speaking with you, the healthcare provider, about his respiratory problem. Mr. Franklin says, ―I've had this cough for 3 days, and it's getting worse.‖ You reply, ―Tell me more about your cough.‖ Mr. Franklin states, ―I wish I could tell you more. That's why I'm here. You tell me what's wrong!‖ Which caregiver response would be most appropriate for enhancing communication?

• After 3 days, you're tired of coughing. Have you had a fever?
• I'd like to hear more about your experiences. Where were you

born?

• I don't know what's wrong. You could have almost any disease.
• I'll examine you and figure out later what the problem is. -

ANSWER-A.

This is the only response that aims at focusing on the chief complaint to gather more data and does not digress from the issue

After you ask a patient about her family history, she says, ―Tell me about your family now.‖ Which response is generally most appropriate?

• Ignore the patient's comment and continue with the interview.
• Give a brief, undetailed answer.
• Ask the patient why she needs to know.
• Tell the patient that you do not discuss your family with patients. -

ANSWER-B. Give a brief, undetailed answer

A 36-year-old woman complains that she has had crushing chest pain for the past 2 days. She seems nervous as she speaks to you. An appropriate response is to

• continue to collect information regarding the chief complaint in an

unhurried manner.

• finish the interview as rapidly as possible.
• ask the patient to take a deep breath and calm down.
• ask the patient if she wants to wait until another day to talk to you. -

ANSWER-A.

It's better with an anxious, vulnerable patient to not hurry. A calm demeanor will communicate caring to the patient.

Ms. A states, ―My life is just too painful. It isn't worth it.‖ She appears depressed. Which one of the following statements is the most appropriate caregiver response?

• Try to think about the good things in life.
• What in life is causing you pain?
• You can't mean what you're saying.
• If you think about it, nothing is worth getting this upset about. -

ANSWER-B.

Specific but open ended questions are best used when the patient has feelings of loss of self worth and depression.

You are collecting a history from a 16-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should be

• given the opportunity to be interviewed without the parent at some

point during the interview.

• mailed a questionnaire in advance to avoid the need for them to

talk.

• ignored while you address all questions to the parent.
• allowed to direct the flow of the interview. -ANSWER-A.

Adolescent should be given the opportunity to give info directly.Enhances the probability that the adolescent will follow your advice.

Information that is needed during the initial interview of a pregnant woman includes all the following except

• the gender that the woman hopes the baby will be.
• past medical history.
• healthcare practices.
• the woman's remembering (knowledge) about pregnancy. -

ANSWER-A.

When interviewing older adults, the examiner should speak extremely loudly, because most older adults

• have significant hearing

impairment.

• provide a written questionnaire in place of an interview.
• position himself or herself facing the patient.
• dim the lights to decrease anxiety. -ANSWER-C. Position him or

herself facing the patient.

This will ensure that the patient can see his or her face and may be assist in the ability to better understand the examiner.

To what extent should the patient with a physical disability or emotional disorder be involved in providing health history information to the health professional?

• The patient should be present during information collection but

should not be addressed directly.