Quiz 1

The purpose of a health assessment includes what? (Select all that apply.) Identifying the client's major disease process Collecting information about the health status of the client Clarifying the client's ability to pay for health care Evaluating client outcomes Synthesizing collected data

Collecting information about the health status of the client Evaluating client outcomes Synthesizing collected data

What is the most common use of SBAR?

Contacting a provider regarding a client issue

A nurse is teaching a class on hypertension in a community setting. What risk factor would the nurse be sure to address to the class?

Family history

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

Focused is more in-depth

What does the nurse knows about normal blood pressure?

Follows diurnal rhythm

The medical record serves many purposes. What are they? (Select all that apply.) Framework for medical information Means for financial reimbursement Research Care planning Information for the family

Framework for medical information Means for financial reimbursement Research Care planning

What do nursing activities that promote health and prevent disease accomplish? (Select all that apply.) Reduce the risk of disease Maintain optimal functioning Reinforce good habits Optimize self-care abilities Create home care safety

Reduce the risk of disease maintain optimal functioning reinforce good habits

Nursing students are learning about different methods of charting in the clinical laboratory. What method would they learn that is a shared mental model for improving communication between and among clinicians?

SBAR

While assessing respirations and heart rate in a school aged client, the nurse finds that the client's heart rate increases during inspiration and decreases during expiration. What would be the most correct way to document this finding?

The client has a sinus arrythmia

A nurse has assessed that a client's condition is worsening. The nurse is telephoning the primary care provider and providing an SBAR report about the client's condition. What would be important for the nurse to document? (Select all the apply) The time Information from the previous shift The information received Specialists to whom the patient is referred The name of the provider

The time, the info received, name of provider

To make a legal entry into the medical record, the nurse must document what?

Time of the assessment

What is the importance of assessing vital signs? (Select all that apply.) To carry out orders from the healthcare provider To plan how to improve a client's condition To establish a baseline To monitor risks for alterations in health To evaluate the client's responses to treatment

To establish a baseline To monitor risks for alterations in health To evaluate the client's responses to treatment

A clinical instructor is discussing with students the care provided to a client. The instructor asks the student why it is important to make timely entries into the medical record. What would be the student's best answer? To have up-to-date information on which to base clinical decisions To be able to verify what care has been given To communicate with other health care providers To be able to update the plan of care

To have up-to-date information on which to base clinical decisions

What are the three types of nursing assessments?

focused, emergency, comprehensive

When assessing a client, the first skill used is inspection. What purpose does inspection serve?

gathering info

When caring for clients in any health care environment, what is the most important technique for preventing infection?

hand hygiene

For what is light palpation appropriate? (Select all that apply.) Inflamed areas of skin Internal organs Skin texture Deep pain. Surface lesions

inflamed areas of skin skin texture surface lesions

The nurse aide reports to the nurse that an older adult client has abnormal vital signs. What is important to remember in this type of situation?

normal readings vary with age

When auscultating the client's lungs, how should the nurse position the earpieces of the stethoscope?

pointed toward the nose

What tool does the nurse use to auscultate the client's abdomen?

stethoscope