NURS 210 CHAPTER 1
A nursing instructor is trying to convince the class of the importance of assessment skills in nursing. In discussing the future of the nursing profession, which factors should be stressed that will promote opportunities for nurses with advanced assessment skills? SATP
-Declining numbers of medical students due to rising costs an focus on primary care -increasing complexity of acute care -growing aging population with complex comorbidities -increasing impact of children and the homeless on communities.
The nurse at a busy primary care clinic is analyzing the data obtained from the following clients. For which clients would the nurse most likely expect to facilitate a referral? a. A teenager seeking information about contraception b. An 80-year-old woman living with her daughter c. A client seeking an influenza immunization d. A 50-year-old client newly diagnosed with diabetes
A 50-year-old client newly diagnosed with diabetes.
When assisting a patient with health promotion, what must the nurse also nurture?
A healthy environment
A nurse is conducting a health assessment. How will the information collected from the patient be used?
As a basis for the nursing process.
For which of the following clients should a nurse perform a focused assessment?
Client with 4-day history of sore throat and fever with enlarged lymph nodes
An adult client is being admitted to the hospital for a cardiac catheterization related to chest pain and shortness of breath on exertion. What kind of assessment is the admitting nurse going to perform?
Emergency
During a health assessment the nurse learns that a client lives in an urban area with a high crime rate. Which category of health is affecting this client?
Environmental
A client comes to the health care provider's office for a visit. The client has been seen in this office on occasion for the past 5 years and arrives today complaining of a fever and sore throat. What type of assessment would the nurse most likely perform?
Focused assessment
The preceptor of the student nurse is explaining the assessment that is considered the most organized for gathering comprehensive physical data. What assessment is the preceptor talking about?
Head-to-toe
As a nurse becomes more proficient and comfortable in his or her role, what increases?
Knowledge base and expertise
How does a nurse decide what health-promotion activities are necessary for a particular client?
Nurses collaborate with clients to identify areas in which clients are willing to make changes.
An older client had hip replacement surgery 2 days ago. The nurse enters the client's room and encourages the client to use the incentive spirometer ten times every hour. What is this action an example of?
Nursing intervention
How do nurses facilitate the achievement of high-level wellness with a client?
Promoting health in the client
A community health nurse is planning individualized care for a community. What does the nurse use as a framework for this plan?
The Nursing process
What is the primary function of the health care team?
To decide the best overall care
Before beginning a comprehensive health assessment of an adult client, the nurse should explain to the client that the purpose of the assessment is to: a. document any physical symptoms the client may have b. arrive at conclusions about the client's health
arrive at conclusions about the client's health
When a client first enters the hospital for an elective surgical procedure, the nurse should perform an assessment termed:
comprehensive
An assessment of a client who already has a complete recorded database in the system and returns to the health care agency with a specific health concern is referred to as a(n):
focused or problem-oriented assessment
The nurse is completing a health assessment with a newly admitted client. What should the nurse do after completing the health history?
perform a physical examination
To prepare for the assessment of a client visiting a neighborhood health care clinic should first:
review the client's health care record