PrepU - Module 1 Quiz

When entering a client's room, what is the nurse's first action?

Ask the client's name and birthdate

A nurse is preparing to perform a physical examination on a young man who appears anxious about the procedure. Which of the following should the nurse do to ease this client's anxiety?

Before performing each procedure, explain what it involves and its purpose

As a nurse is assessing a client and asking her questions, the nurse notices that the client stops talking and looks up anxiously each time someone passes by in the hallway outside her hospital room. Which nursing intervention would most likely address the client's concern and promote enhanced communication in this situation?

Close the door to the client's room

What is one way nurses use critical thinking in regard to the nursing process?

Critical thinking helps nurses work through the analysis, develop alternatives, and implement the best interventions

A nurse is conscientious in adhering to the requirements of the Health Insurance Portability and Accountability Act (HIPAA) when providing care for clients. What action best meets these legal requirements for care?

Maintaining the privacy and confidentiality of clients' medical records

Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment?

Nurse

A nurse is documenting the intensity of a client's pain. What would be the most accurate entry?

Patient states pain is a 9 on a scale of 1 to 10.

A nurse is interviewing a client who has recently been diagnosed with terminal disease. In covering the lifestyle and health practices profile, the nurse asks the client, "Are you close to any extended family members in the area?" The client objects to the question and asks why the nurse needs to know that. Which is the best rationale for the nurse posing this question?

"I just wanted to see what kind of social support you might have to help care for you during your illness."

The nurse is admitting a client to the clinic and performs a focused assessment. What makes a focused assessment different from a comprehensive assessment?

A focused assessment is more in-depth on specific issues, unlike a comprehensive assessment

The nursing student has learned that to correctly analyze data and make a proper diagnosis, the nurse must develop which of the following?

critical thinking

The nurse is beginning the review of systems with a client. Which approach would ensure that all major body systems are included in this assessment?

head to toe

During an interview, the nurse collects both subjective and objective data from an adult client. Subjective data would include the client's

perception of pain