funda questions

8/7/2019 funda questions

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1. When examining a patient with abdominal pain the nurse in charge should assess:

a. Any quadrant first

b. The symptomatic quadrant firstc. The symptomatic quadrant last

d. The symptomatic quadrant either second or third

- Answer C. The nurse should systematically assess all areas of the abdomen, if time and

the patients condition permit, concluding with the symptomatic area. Otherwise, thenurse may elicit pain in the symptomatic area, causing the muscles in other areas to

tighten. This would interfere with further assessment.

2. . Which of the following planes divides the body longitudinally into anterior and

posterior regions?a. Frontal plane

b. Sagittal plane

c. Midsagittal plane

d. Transverse plane

-Answer A. Frontal or coronal plane runs longitudinally at a right angle to a sagittal plane

dividing the body in anterior and posterior regions. A sagittal plane runs longitudinally

dividing the body into right and left regions; if exactly midline, it is called a midsagittalplane. A transverse plane runs horizontally at a right angle to the vertical axis, dividing

the structure into superior and inferior regions.

3. The nurse in charge is transferring a patient from the bed to a chair. Which action does

the nurse take during this patient transfer?a. Position the head of the bed flat

b. Helps the patient dangle the legsc. Stands behind the patientd. Places the chair facing away from the bed

-Answer B. After placing the patient in high Fowlers position and moving the patient to

the side of the bed, the nurse helps the patient sit on the edge of the bed and dangle the

legs; the nurse then faces the patient and places the chair next to and facing the head ofthe bed.

4. . Before administering the evening dose of a prescribed medication, the nurse on the

evening shift finds an unlabeled, filled syringe in the patients medication drawer. What

should the nurse in charge do?a. Discard the syringe to avoid a medication error

b. Obtain a label for the syringe from the pharmacy

c. Use the syringe because it looks like it contains the same medication the nurse wasprepared to give

d. Call the day nurse to verify the contents of the syringe


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- Answer D. During a rapid assessment, the nurses first priority is to check the patients

vital functions by assessing his airway, breathing, and circulation. To check a patients

circulation, the nurse must assess his heart and vascular network function. This is done bychecking his skin color, temperature, mental status and, most importantly, his pulse. The

nurse should use the carotid artery to check a patients circulation. In a patient with a

circulatory problems or a history of compromised circulation, the radial pulse may not bepalpable. The brachial pulse is palpated during rapid assessment of an infant

9. The four major concepts in nursing theory are the

A. Person, Environment, Nurse, HealthB. Nurse, Person, Environment, Cure

C. Promotive, Preventive, Curative, Rehabilitative

D. Person, Environment, Nursing, Health

- Answer D.

10. Personal state in which a person feels unhealthy

A. Illness

B. Disease

C. HealthD. Wellness

- Answer A. Illness is something PERSONAL. Unlike disease, Illness are personal state

in which person feels unhealthy. An old person might think he is ILL but in fact, he is not

due, to diminishing functions and capabilities, people might think they are ILL. Diseasehowever, is something with tangible basis like lab results, X ray films or clinical sign and

symptoms.

11. Defined as an alteration in normal function resulting in reduction of capacities andshortening of life span.

A. Illness

B. DiseaseC. Health

D. Wellness

-Answer B. Disease are alteration in body functions resulting in reduction of capabilities

or shortening of life span.

12. According to Leavell and Clarks ecologic model, All of this are factors that affects

health and illness except

A. Reservoir


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B. Agent

C. Environment

D. Host

- Answer A. According to L&C's Ecologic model, there are 3 factors that affect health

and illness. These are the AGENT or the factor the leads to illness, either a bacteria or anevent in life. HOST are persons that may or may not be affected by these agents.

ENVIRONMENT are factors external to the host that may or may not predispose him tothe AGENT.

13. It includes internal and external factors that leads the individual to seek help

A. Demographic

B. SociopsychologicC. Structural

D. Cues to action

- Answer D. Modifying variables in Becker's health belief model includes

DEMOGRAPHIC : Age, sex, race etc. SOCIOPSYCHOLOGIC : Social and Peerinfluence. STRUCTURAL : Knowledge about the disease and prior contact with it and

CUES TO ACTION : Which are the sign and symptoms of the disease or advice from

friends, mass media and others that forces or makes the individual seek help.

14. Views people as physiologic system and Absence of sign and symptoms equates

health.

A. Clinical ModelB. Role performance Model

C. Adaptive Model

D. Eudaemonistic Model

- Answer A. Smith formulated 5 models of health. Clinical model simply states that

when people experience sign and symptoms, they would think that they are unhealthy

therefore, Health is the absence of clinical sign and symptoms of a disease. Role

performance model states that when a person does his role and activities without deficits,he is healthy and the inability to perform usual roles means that the person is ill. Adaptive

Model states that if a person adapts well with his environment, he is healthy and

maladaptation equates illness. Eudaemonistic Model of health according to smith is theactualization of a person's fullest potential. If a person functions optimally and develop

self actualization, then, no doubt that person is healthy.

15. According to DUNN, Overcrowding is what type of illness precursor?

A. Heredity

B. Social


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C. Behavioral

D. Environmental

- Answer D.

16. What kind of illness precursor, according to DUNN is cigarette smoking?

A. Heredity

B. SocialC. Behavioral

D. Environmental

Answer C. Behavioral precursors includes smoking, alcoholism, high fat intake and other

lifestyle choices. Environmental factors involved poor sanitation and over crowding.Heridity includes congenital and diseases acquired through the genes. There are no social

precursors according to DUNN.

17. An integrated method of functioning that is oriented towards maximizing ones

potential within the limitation of the environment.

A. Well being

B. HealthC. Low level Wellness

D. High level Wellness

-Answer D.

18. He describes the WELLNESS-ILLNESS Continuum as interaction of the

environment with well being and illness.

A. Cannon

B. Bernard

C. DunnD. Clark

Answer C.

19. According to her, Wellness is a condition in which all parts and subparts of an

individual are in harmony with the whole system.

A. Orem

B. Henderson

C. NeumanD. Johnson


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- Answer C. Neuman believe that man is composed of subparts and when this subparts

are in harmony with the whole system, Wellness results. Please do not confuse this with

the SUB and SUPRA systems of martha rogers.

20. What regulates HOMEOSTASIS according to the theory of Walter Cannon?

A. Positive feedback

B. Negative feedbackC. Buffer system

D. Various mechanisms

- Answer B. The theory of Health as the ability to maintain homeostasis was postulated

by Walter Cannon. According to him, There are certain FEEDBACK Mechanism thatregulates our Homeostasis. A good example is that when we overuse our arm, it will

produce pain. PAIN is a negative feedback that signals us that our arm needs a rest.

21. Defines health as the ability to maintain internal milieu. Illness according tohim/her/them is the failure to maintain internal environment.

A. Cannon

B. BernardC. Leddy and Pepper

D. Roy

- Answer B. According to Bernard, Health is the ability to maintain and Internal Milieu

and Illness is the failure to maintain the internal environment.

22. What country did Florence Nightingale train in nursing?

A. BelgiumB. US

C. Germany

D. England

-Answer C.

23. Florence nightingale is born in

A. GermanyB. BritainC. France

D. Italy

-Answer D. Florence Nightingale was born in Florence, Italy, May 12, 1820. Studied in

Germany and Practiced in England.


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24. This is the essence of mental health

A. Self awarenessB. Self actualization

C. Self esteem

D. Self worth

- Answer B. The peak of maslow's hierarchy is the essence of mental health.

25. Proposed the HEALTH CARE SYSTEM MODEL.

A. Henderson

B. OremC. Parse

D. Neuman

- Answer D. Betty Neuman asserted that nursing is a unique profession and is concernedwith all the variables affecting the individual's response to stressors. These are INTRA or

within ourselves, EXTRA or outside the individual, INTER means between two or more

people. She proposed the HEALTH CARE SYSTEM MODEL which states that by

PRIMARY, SECONDARY and TERTIARY prevention, The nurse can help the clientmaintain stability against these stressors.

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