The nurse is meeting a patient for the first time. The initial step in initiating a nurse-patient relationship is for the nurse to:

introduce her/himself

communicate trust

provide support

appear interested

Answer and Explanation

The Correct Answer is A

A. Introduce her/himself. – Introducing oneself establishes a professional relationship, sets the tone for communication, and makes the patient feel acknowledged and comfortable.

B. Communicate trust. – While trust is essential, it is built over time through consistent and reliable care rather than being the first step in the interaction.

C. Provide support. – Providing support is part of therapeutic communication, but it is not the initial step in forming a nurse-patient relationship.

D. Appear interested. – While showing interest is important, the first step is to introduce oneself to establish identity and professional presence.

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Correct Answer is C

Explanation

A. Opening of the AV valves – The AV (atrioventricular) valves open silently during diastole; they do not create the "lub" sound.

B. Closing of the semilunar valves – The closing of the semilunar valves (aortic and pulmonary) produces the "dupp" sound, not the "lub."

C. Closing of the AV valves – The first heart sound (S1), or "lub," occurs when the mitral and tricuspid (AV) valves close at the beginning of systole.

D. Opening of the semilunar valves – The semilunar valves open silently during ventricular contraction; they do not produce the "lub" sound.

A. the nursing health history B. a body systems review C. the present illness D. a focused review

Correct Answer is A

Explanation

A. The nursing health history – The nursing health history is the first step after collecting biographical data. It includes the chief complaint, past medical history, and social factors affecting health.

B. A body systems review – A body systems review (ROS) is done later in the assessment to gather additional information on each organ system.

C. The present illness – The present illness is part of the nursing health history but is not the first step after verifying biographical data.

D. A focused review – A focused review targets specific concerns rather than serving as the initial step in a comprehensive assessment.

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The nurse is meeting a patient for the first time. The initial step in initiating a nurse-patient relationship is for the nurse to:

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Naxlex Comprehensive Predictor Exams

Auscultation of the heart sounds will result in a lubb-dupp sound when using the bell and the diaphragm of the stethoscope. The lub part of the sound is caused by the:

Correct Answer is C

Explanation

While conducting an assessment of the patient, the nurse recognizes that after verifying biographical data, the initial step is:

Correct Answer is A

Explanation

As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

An abnormally rapid heart rate above 100 beats per minute is called:

When the patient asked the nurse how long it would take to "get over" the diabetes, the nurse explained that she will have this disease throughout her life. Diabetes mellitus is considered a/an:

The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is:

An abnormal accumulation of fluid in the interstitial spaces is described as:

Fluid, cells or other substances that have been slowly discharged from body cells or blood vessels, through small pores or breaks in the cell membrane are called:

The nurse is collecting data during an initial assessment. The patient tells the nurse, "i have a tremendous headache and my stomach is upset." These findings are called: