The nurse is conducting a spiritual assessment for the parents of an infant who is hospitalized. Which assessment question is most appropriate?
1) Do you identify with any organized religion?
2) Do you have concerns regarding your baby's illness?
3) Are you agnostic or atheist?
4) Is your religion monotheistic or pantheistic?
Question 2Which action by the nurse is appropriate during the brief review of spiritual health that occurs before assessing the patient's spirituality?
1) Asking the patient whether a referral to the hospital chaplain is desired
2) Determining whether the patient has a belief system that provides comfort and strength
3) Asking the patient whether a religious ritual is desired
4) Separating the child from the family during spiritual counseling
Question 3Which is achieved by assessing each patient's nutritional status? Select all that apply.
1) Identifying deficiencies
2) Illuminating dietary patterns that could contribute to health problems
3) Providing a basis to plan for optimal nutrition
4) Establishing a baseline for evaluation
5) Monitoring snack intake
Question 4The nurse is assessing the patient's psychosocial profile during the health history portion of the nutritional assessment. Which questions are appropriate for the nurse to ask this patient? Select all that apply.
1) How many hours of sleep do you get each night?
2) Do you smoke?
3) Do you drink alcohol?
4) Are you constipated?
Question 5Which question is appropriate when conducting a brief review of spiritual health before conducting a spiritual assessment?
1) Do you identify with any organized religion?
2) How can I help support your religious practices?
3) Do you think your illness is some sort of punishment from God?
4) Do you or your family practice religious rituals?
Question 6The nurse notes purpura during a physical examination. Which nutritional deficit could be the cause for this assessment finding?
1) Vitamin K
2) Vitamin B12
3) Protein
4) Thiamin
Question 7The nurse is preparing to conduct a physical assessment as part of the nutritional assessment. Which tool will the nurse use during this process?
1) Otoscope
2) Ophthalmoscope
3) Measuring tape
4) Doppler ultrasound
Question 8During a 24-hour recall, which will the nurse instruct the patient to do?
1) Record anything you eat or drink, including water, over the next day.
2) Condiments and food preparation items should not be recorded.
3) Bring the labels for the food you eat and we will look at them together.
4) Weigh yourself three times in the next day.
Question 9During a physical assessment the nurse notes that the patient has low blood pressure. Which is a possible cause for this clinical manifestation?
1) Fluid overload
2) High sodium intake
3) Dehydration
4) Obesity
Question 10The nurse is conducting a focused nutritional assessment for an adult patient. Which question is most appropriate for the nurse to ask?
1) Have you gained weight intentionally over the last year?
2) How much did you weigh 1 year ago?
3) How do you cope with stress in your life?
4) Do you have nausea that lasts more than 2 weeks?
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