Exam 1: NR302/ NR 302 Health Assessment I
Exam Prep| 100% Correct|Questions and
Verified Answers| 2023/ 2024 Update –
Chamberlain
Q: A female patient does not speak English well, and the nurse needs to choose an interpreter.
Which of the following would be the most appropriate choice?
A) A trained interpreter
B) A male family member
C) A female family member
D) A volunteer college student from the foreign language studies department
Answer:
A) A trained interpreter
whenever possible, the nurse should use a trained interpreter, preferably one who knows medical
terminology. In general, an older, more mature interpreter is preferred to a younger, less
experienced one, and the same gender is preferred when possible.
Q: The nurse is conducting an interview. Which of these statements is true regarding openended questions? Select all that apply.
A) They elicit cold facts.
B) They allow for self-expression.
C) They build and enhance rapport.
D) They leave interactions neutral.
E) They call for short one- to two-word answers.
F) They are used when narrative information is needed.
Answer:
B) They allow for self-expression.
C) They build and enhance rapport.
F) They are used when narrative information
Open-ended questions allow for self-expression, build rapport, and obtain narrative information.
These features enhance communication during an interview. The other statements are appropriate
for closed or direct questions.
Q: The nurse is conducting an interview in an outpatient clinic and is using a computer to
record data. Which is the best use of the computer in this situation? Select all that apply.
A) Collect the patient’s data in a direct, face-to-face manner.
B) Enter all the data as the patient states it.
C) Ask the patient to wait as the nurse enters data.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
Answer:
A) Collect the patient’s data in a direct, face-to-face manner.
D) Type the data into the computer after the narrative is fully explored.
E) Allow the patient to see the monitor during typing.
The use of a computer can become a barrier. The nurse should begin the interview as usual by
greeting the patient, establishing rapport, and collecting the patient’s narrative story in a direct
face-to-face manner. Only after the narrative is fully explored should the nurse type data into the
computer. When typing, the nurse should position the monitor so that the patient can see it.
Q: During an assessment, the nurse notices that a patient is handling a small charm that is tied
to a leather strip around his neck. Which action by the nurse is appropriate?
A) Ask the patient about the item and its significance.
B) Ask the patient to lock the item with other valuables in the hospital’s safe.
C) Tell the patient that a family member should take valuables home.
D) No action is necessary.
Answer:
A) Ask the patient about the item and its significance.
The nurse should inquire about the amulet’s meaning. Amulets, such as charms, are often seen as
an important means of protection from “evil spirits” by some cultures.
Q: In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an
illness. For some individuals of Mexican-American origin, however, these symptoms are a
normal part of living. The nurse recognizes that this is true, probably because MexicanAmericans:
A) have less efficient immune systems and are often ill.
B) consider these symptoms a part of normal living, not symptoms of ill health.
C) come from Mexico and coughing is normal and healthy there.
D) are usually in a lower socioeconomic group and are more likely to be sick.
Answer:
B) consider these symptoms a part of normal living, not symptoms of ill health.
The nurse needs to identify the meaning of health to the patient, remembering that concepts are
derived, in part, from the way in which members of the cultural group define health.
Q: Among many Asians there is a belief in the yin/yang theory, rooted in the ancient Chinese
philosophy of Tao. The nurse recognizes which statement that most accurately reflects “health”
in an Asian with this belief?
A) A person is able to work and produce.
B) A person is happy, stable, and feels good.
C) All aspects of the person are in perfect balance.
D) A person is able to care for others and function socially.
Answer:
C) All aspects of the person are in perfect balance.
Many Asians believe in the yin/yang theory, in which health is believed to exist when all aspects
of the person are in perfect balance. The other statements do not describe this theory.
Q: An individual who takes the magicoreligious perspective of illness and disease is likely to
believe that his or her illness was caused by:
A) germs and viruses.
B) supernatural forces.
C) eating imbalanced foods.
D) an imbalance within his or her spiritual nature.
Answer:
B) supernatural forces.
The basic premise of the magicoreligious perspective is that the world is seen as an arena in
which supernatural forces dominate. The fate of the world and those in it depends on the actions
of supernatural forces for good or evil. The other answers do not reflect the magicoreligious
perspective.
Q: If an American Indian has come to the clinic to seek help with regulating her diabetes, the
nurse can expect that she:
A) will comply with the treatment prescribed.
B) has obviously given up her beliefs in naturalistic causes of disease.
C) may also be seeking the assistance of a shaman or medicine man.
D) will need extra help in dealing with her illness and may be experiencing a crisis of faith.
Answer:
C) may also be seeking the assistance of a shaman or medicine man.
When self-treatment is unsuccessful, the individual may turn to the lay or folk healing systems,
to spiritual or religious healing, or to scientific biomedicine. In addition to seeking help from a
biomedical or scientific health care provider, patients may also seek help from folk or religious
healers.
Q: An elderly Mexican-American woman with traditional beliefs has been admitted to an
inpatient care unit. A culturally-sensitive nurse would:
A) contact the hospital administrator about the best course of action.
B) automatically get a curandero for her because it is not culturally appropriate for her to request
one.
C) further assess the patient’s cultural beliefs and offer the patient assistance in contacting a
curandero or priest if she desires.
D) ask the family what they would like to do because Mexican-Americans traditionally give
control of decisions to their families
Answer:
C) further assess the patient’s cultural beliefs and offer the patient assistance in contacting a
curandero or priest if she desires.