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NU 334 Unit 1

Total questions: 12

Worksheet time: 7mins

Name
Class
Date
1.

A 62-year-old black man has been diagnosed with lung cancer and has been scheduled for surgery. The nurse recognizes what as the most likely major determinant of this patient's health?

a)

He is a black man

b)

He chose to smoke all of his adult life

c)

His father died of lung cancer at about the same age

d)

His lack of experience limits his ability to understand & act on health information

2.

Limited health literacy may be associated with which individual conditions that lead to health disparities (select all that apply).

a)

age

b)

place

c)

gender

d)

race/ethnicity

e)

income & education

3.

When admitting a woman having a spontaneous abortion, the nurse notes that the admission form identifies her religion as Islam. What should the nurse understand about this patient?

a)

She should not receive any pork-derived products

b)

She does not believe in using contraception or in abortion

c)

She probably will not have purchased any health insurance

d)

She will refuse blood or blood products if an emergency develops

4.

A hospitalized Native American patient tells the nurse that later in the day a medicine man from his tribe is coing to perform a healing ceremony to return his world to balance. What should the nurse recognize about this situation?

a)

Traditional rituals may meet the patient's spiritual needs

b)

The patient doesn't follow an organized, formal religion

c)

The patient may be putting his health in jeopardy by relying on rituals

d)

Native American medicine cannot alter the progression of the physical illness

5.

In a Hispaic patient who claims to have empacho, what assessment findings would the nurse expect?

a)

Abdominal pain & cramping

b)

Anxiety, insomnia, anorexia & social isolation

c)

Nightmares, weakness, & a sense of suffocation

d)

Headaches, stomach problems, & loss of consciousness

6.

Name a drug class that has a different response in blacks when compared with the usual response of European Americans?

a)

analgesics

b)

anticoagulants

c)

benzodiazepines

d)

antihypertensive agents

7.

Several cultural groups avoid direct eye contact & consider it disrespectful or aggressive. Which cultural group(s) may not return a direct gaze? (Select all that apply.)

a)

Arab

b)

Asian

c)

Black

d)

Hispanic

e)

Native American

8.

What is the leading cause of death in the United States?

a)

cancer

b)

diabetes

c)

coronary artery disease

d)

cerebrovascular accident

e)

chronic obstructive pulmonary disease

9.

Which statements of about older people are myths & illustrate the concept of ageism (select all that apply)?

a)

you can't teach an old dog new tricks

b)

old people are not sexually active

c)

most old people live independently

d)

most older adults can no longer learn new information

e)

most older people lose interest in life & wish they would die

10.

An 88-year-old woman is brought to the health clinic for the 1st time by her 64-year-old daughter. During the initial comprehensive nursing assessment, what should the nurse do?

a)

Ask the daughter whether the patient has any urgent needs

b)

Interview the patient & daughter together so that pertinent information can be confirmed

c)

Refer the patient for a comprehensive geriatric assessment because she will have multiple needs at her age

d)

Obtain a history using physical, psychological, functional, developmental, socioeconomic, & cultural assessments

11.

What nursing actions would show the nurse's understanding of the concept of providing safe care without using restraints (select all that apply)?

a)

placing patients with fall risks in low beds

b)

asking simple yes-or-no questions to clarify patient needs

c)

making hourly rounds on patients to assess for pain & toileting needs

d)

placing a disruptive patient near the nurses' station in a chair with a seat belt

e)

applying a jacket vest loosely so that patient can turn but not climb out of bed

12.

The 58-year-old male patient will be transferred from the acute care unit in the hospital to another care area. He needs complicated dressing changes for several months. To which practice setting(s) could the patient be transitioned (select all that apply)?

a)

acute rehabilitation

b)

long-term acute care

c)

intermediate care facility

d)

transitional subacute care

e)

Program for all-inclusive care for the elderly (PACE)