Exam 1

The purpose of a health assessment includes what? (Select all that apply.)

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

A clinical instructor is teaching a nursing student group about organizing data when documenting and communicating assessment findings. The clinical instructor knows that the method being taught promotes critical thinking and clustering of similar data. The instructor is teaching about which type of assessment?

Body systems

A nurse conducts an initial comprehensive assessment for a client admitted with a fever of unknown origin. Which area of assessment is primarily the nurse's responsibility?

Collect subjective and objective data related to overall function

The nursing instructor is teaching about health assessment and explains to students how to assess the roles and relationships of the client. The students know that this type of information is assessed in what type of assessment?

Functional

The client has a headache. What type of data is this?

subjective

During a health assessment, a client shares, "I get a little dizzy when I get up from my chair too quickly." Which question will the nurse ask the client first when attempting to identify client needs and potential health risks?

"What do you mean by a little dizzy?"

What are the types of nursing assessments? (Select all that apply.)

-focused -emergency -comprehensive

When making rounds, the RN should prioritize follow-up care for which client?

An oncology client with a cough but no fever.

A nurse is writing a care plan for a newly admitted client. When formulating the diagnostic statements in the care plan, what would the nurse use?

Diagostic reasoning

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

The nurse is conducting a physical assessment. The data the nurse would collect vary depending on what?

The client's acuity

To arrive at a nursing diagnosis or a collaborative problem, the nurse goes through the steps of analysis of data. After proposing possible nursing diagnoses, the nurse should next

check for the presence of defining characteristics

What are the types of nursing assessments? (Select all that apply.)

1. Comprehensive 2. Focused 3. Emergency

The nurse prepares to analyze a list of a client's health problems. In which order will the nurse complete critical thinking of these problems? Drag statements into the proper order.

1. Identify abnormal data and strengths 2. Cluster the data 3. Draw inferences and identify problems 4. Propose possible nursing diagnoses 5. Check for defining characteristics of the diagnoses 6. Confirm or rule out nursing diagnoses

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 stressed that will promote opportunities for nurses with advanced assessment skills? Select all that apply.

-Declining numbers of medical students due to rising costs and focus on primary care - Increasing complexity of acute care - Growing aging population with complex comorbidities - Increasing impact of children and the homeless on communities

A nurse has completed assessment of a patient with Alzheimer's disease and documentation of the information obtained from the client and now needs to analyze the data collected. Which nursing actions should be included in this phase of the nursing process? Select all that apply.

-Identification of collaborative problems - Identification of the need for referrals -Formulation of nursing diagnosis

Which actions should a nurse perform before beginning the initial shift assessment of a client? Select all that apply.

-Review the client's record before meeting the client - Revise nursing care plans to reflect improvements in the clients condition -Check the client's status with the nurse of the previous shift

What are the areas of independent nursing practice? Select all that apply.

1. Deciding when physical procedures should be performed on a client 2. Deciding what client teaching is necessary 3. Deciding when a client needs to be turned

A client on the orthopedic unit is being discharged home. The client is elderly and has a broken right humerus; the client is right handed. The client's closest family member lives 50 miles away. What should the nurse consider before discharging the client? Select all the apply. (select all that apply.)

1. Who will be there to help the client with ADLs? 2. How will the client get home from the hospital? 3. How will the client cook and eat?

The nurse recognizes the value of the Healthy People 2020 guidelines when creating a plan of care that addresses which client-centered goals? Select all that apply

1. living a healthy lifestyle 2. disease prevention 3. improving one's quality of life 4. increasing the longevity of one's life

The nurse reviews information obtained from the admission's department about a client seeking medical care for a chronic problem. What should the nurse expect to complete when assessing this client? Select all that apply.

1. validate data 2. document data 3. collect objective data 4. collect subjective data

The nurse is completing an admission database entry and must include priority nursing diagnoses for the plan of care. Which statement describes a nursing diagnosis?

A clinical judgment about client responses to health difficulties

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

A client presents to the health care facility with reports of new onset of chest pain of three days duration. Vital signs are stable and the chest pain has subsided since the client entered the exam room. Which type of assessment is most appropriate for a nurse perform for this client?

Comprehensive

Why is the nurse always reassessing the patient for changes?

To achieve the best results

what is paramount in health promotion?

Working with the individual patient Developing the nursing care plan

As a nurse becomes more proficient and comfortable in his or her role, what increases?

knowledge base and expertise