health assessment week 1

Which questions might the health examiner ask to gather data about the reason a person is seeking care? Select all that apply.​ "Is there something you are not telling me?" "What do you think caused this to happen?" "How can I help you?"​ "When did you first notice the swelling in your legs?"​ "Is the pain constant, or does it come and go?"

"How can I help you?"​ "When did you first notice the swelling in your legs?"​ "Is the pain constant, or does it come and go?"

Margaret Hard is a 79-year-old in the hospital following a total hip replacement three days ago. At midnight the nurse enters to complete a focused assessment and finds Mrs. Hard sitting in bed crying and talking on the phone. When she ends that call she says to the nurse, "My grandson broke into my home and stole things. I have to go home now so he does not come back with his friends and ruin the place." ​ What is the best response by the nurse? "I am sorry to hear about this. How can I help you right now?"​ "You need to focus on yourself and getting better." "Let me check your dressing and vital signs, then I'll give you something to help you sleep." "Don't worry, I am sure who ever called you just now can take care of things."

"I am sorry to hear about this. How can I help you right now?"​

When Mei's daughter arrives she is in stable condition and breathing on her own with the breathing tube in place. Mei's daughter is upset to see her mother has been intubated since Mei specifically said she did not want that. What is the best way for the nurse to begin the health history assessment? "I know this is difficult for you to deal with on your own. Is there someone I can call for you?" "I am sorry. We did not know. Can you share more about your mom's health?" "Do you know if you mom is allergic to any medications?" "It is unfortunate that she was not able to tell us that when she arrived."

"I am sorry. We did not know. Can you share more about your mom's health?"

The nurse enters a patient's room and finds them looking at the packet of papers that are given to all patients at the time of admission. As the patient sets the folder aside they ask, "Why do they give me this stuff every time I come to the hospital? Do they not realize I've seen it all before?" What is the best response by the nurse? "We are required by law to remind you that you have rights as a patient." "I know you are familiar with the information, but not everyone is. By providing the packets to each patient, we are sure everyone has access to information about the hospital and their rights as a patient." "Did you get the free pen, too? People seem to like these better than the key chain we were giving everyone." "Let me have that. I'll send it back to admitting so they can use it for someone else."

"I know you are familiar with the information, but not everyone is. By providing the packets to each patient, we are sure everyone has access to information about the hospital and their rights as a patient."

Grace returns to the university clinic two weeks after her initial visit for a follow-up assessment. Which statements, if made by Grace, indicate to the health examiner that she is adhering to her diabetes management plan? (Select all that apply.) "I must have been stressed to let my diabetes get out of control like that. I've asked my roommate to let me know if she thinks it is happening again." "My blood sugar has been lower since I started incorporating more fresh produce in my diet." "I increased the amount of refined flour and sugar in my diet." "I still eat the snacks from the vending machine late at night while studying." "I appreciate the amount of time you took to help me during finals week."

"I must have been stressed to let my diabetes get out of control like that. I've asked my roommate to let me know if she thinks it is happening again." "My blood sugar has been lower since I started incorporating more fresh produce in my diet." "I increased the amount of refined flour and sugar in my diet."

Match the term to its definition. 1. What the health examiner learns using the assessment techniques of inspection, palpation, percussion, and auscultation. __________ 2. What the person shares about themselves. __________

1. Objective data 2. Subjective data

What distance is appropriate for an interview? 10 feet​ 3 feet 6 feet 4 feet​

4 feet

When listening to a patient's breath sounds, the examiner is unsure of a sound that is heard. Which action is of highest priority for the examiner? Ask a coworker to listen Wait a few minutes and listen again Document the sound exactly as it was heard Immediately notify the patient's physician

Ask a coworker to listen

During the health assessment the examiner observes that the individual avoids answering questions related to the cause of the rectal bleeding they are experiencing. Which actions will the examiner take to obtain a complete history of the bleeding? (Select all that apply.) Ask the individual if the bleeding is a result of abuse or rape Assure the person that any information shared will remain confidential Acknowledge the intimate nature of the conversation and tell them to take their time Respect the person's privacy and move to the next body system Offer reasons why rectal bleeding occurs so the individual can shake their head yes or no

Ask the individual if the bleeding is a result of abuse or rape Assure the person that any information shared will remain confidential Acknowledge the intimate nature of the conversation and tell them to take their time

Before starting the physical assessment of the patient pictured here, what priority action will the examiner take? Tell the visitors to leave the room Ask the patient if he minds them being present during the assessment Document the names and relationships of those present Remind the visitors not to sit on the bed

Ask the patient if he minds them being present during the assessment

What steps can the examiner take to assure a new patient understands their rights and responsibilities related to receiving health care? (Select all that apply.) Ask the patient if they have questions about their health care related rights Secure the Patient's Bill of Rights to wall next to the bed Require the patient to acknowledge receipt of the Patient's Bill of Rights in writing Provide a copy of the Patient's Bill of Rights written in the patient's primary language

Ask the patient if they have questions about their healthcare related rights

When identifying a patient wearing a handwritten identification armband the examiner sees that the last name on the armband is spelled differently than the last name in the electronic health record. What does the examiner do next? Ask the patient to spell their last name Change the spelling on the band with a marker No action is needed if the name is phonetically the same Notify the admitting department

Ask the patient to spell their last name

After completing an assessment the examiner leaves the room as pictured below. How would the next colleague to enter the room correct the safety hazard pictured? Place the wheelchair next to the individual Ask the person if she needs the wheelchair moved closer Replace the large blanket in the person's lap with something smaller Lock the wheels on the wheelchair

Ask the person if she needs the wheelchair moved closer

When entering the room to perform a complete health assessment on a new patient, the examiner finds the patient and family standing around an unlicensed assistive personnel (UAP) who is lying on the floor. What is the priority action for the examiner? Phone for an emergency response. Ask what happened. Move the patient to another room.​ Assess the UAP.

Assess the UAP

Prior to leaving the hospital room at the end of an assessment, what actions are completed by the examiner? (Select all that apply.) Assess the patient's level of comfort Close the window coverings Place the call light within reach of the patient Return the bed to the low position Assure the wheels on the bed are locked Put all siderails in the upright position

Assess the patient's level of comfort Place the call light within reach of the patient Return the bed to the low position Assure the wheels on the bed are locked

Which step of the nursing process includes data collection by health history, physical examination, and interview? Diagnosis Assessment Planning Evaluation

Assessment

During which steps of the nursing process is clinical judgement and critical thinking taking place? (Select all that apply.) Assessment Implementation Planning Evaluation Diagnosis

Assessment Implementation Planning Evaluation Diagnosis

When teaching an older adult with low health literacy about risks for a stroke, the health provider uses which teaching technique? Provide specific information about strokes in frequent, large amounts Speak in a high tone of voice to describe strokes Begin each teaching session with the most important information about strokes Use a pamphlet about strokes with large font in blues and greens

Begin each teaching session with the most important information about strokes

In situations like Mei's, when care is needed by an individual who is unable to express their preferences or desires, which ethical principles influence the decision to provide care based on the patient's presenting state of health? Select all that apply. Beneficence Justice Nonmaleficence Veracity Autonomy

Beneficence Nonmaleficence

The health examiner focuses the assessment on the patient's urinary system after identifying which cluster of cues? Pain in the back after lifting a sofa, unable to stand upright Shortness of breath, swelling of lower extremities, confusion Pain in the right lower abdomen described as sharp, rebound tenderness when area is lightly palpated Burning with urination, foul smelling urine, frequent urination of small amounts

Burning with urination, foul smelling urine, frequent urination of small amounts

While completing a health assessment the patient begins slurring their speech. The nurse notes that the patient, who was confused a moment ago, now has right sided facial drooping. What is the most appropriate action for the nurse to take next? Begin a focused neurological examination. Complete the health assessment. Call out for help. Ask the patient how they are feeling.

Call out for help

______________________ allows for a more succinct approach, while noting issues or abnormalities.

Charting by exception

What action does the health professional take to confirm the unique patient identifiers of a toddler? Compare the armband to the health record Have a colleague who has cared for the toddler provide an identification Ask the toddler to say their name and how old they are Check the information on the armband against the name and date of birth provided by the legal guardian

Check the information on the armband against the name and date of birth provided by the legal guardian

While documenting a physical assessment, you realize you did not check the patient's eyes. You should: Document normal findings, they did not tell you anything was wrong with them. Complete the proper assessment and then document. Just skip it, there is probably nothing wrong with them. Document something, so it does not look like you forgot it.

Complete the proper assessment and then document.

Mariah is a 17-year-old high school student who was brought to the emergency department by friends who said she passed out at a party. While the health provider and other colleagues began treating Mariah, the nurse spoke with her friends who, after providing contact information for Mariah's parents, left. What is the highest priority action for the nurse to take first? Inform the nurse manager of the presence of an unresponsive minor. Contact Mariah's parents.​ Check to see if Mariah as an electronic health record available to review. Join the team at the bedside and begin the assessment.​

Contact Mariah's parents

A client presents with the following: recent medical diagnosis of congestive heart failure, four new medications, and reduced activity levels due to shortness of breath. Based on this information, the health examiner identifies which nursing diagnosis related to educational needs? Noncompliance with medical treatment plan related to lack of energy for activity Deficient Knowledge (medication) related to inexperience with newly ordered therapy Health-Seeking Behavior (exercise and activity) related to desire to improve health status Risk for ineffective coping related to deficient knowledge

Deficient Knowledge (medication) related to inexperience with newly ordered therapy

Which questions are asked by the health examiner to obtain subjective data? (Select all that apply.) Does it hurt when a press here? Is now a good time for me to check your blood pressure? On a scale of 1-10, how badly does your knee hurt? Can you tell me about the last time your blood sugar got this high? May I lift your shirt to listen to your lungs?

Does it hurt when a press here? On a scale of 1-10, how badly does your knee hurt? Can you tell me about the last time your blood sugar got this high?

Which data collected from the patient is subjective? (Select all that apply.)​ Feelings Past medical history List of foods eaten in the past three days Sensations Record of blood sugar levels from the machine

Feelings Past medical history List of foods eaten in the past three days Sensations

Which principles of communication are appropriate for the examiner to use when providing patient education? (Select all that apply.) Save the most important information for last Focus on the key information Use simpler words for medical terms when able Focus on all information about their condition Use active voice

Focus on the key information Use simpler words for medical terms when able Use active voice

While completing a health history on a new client whose partner is present and providing information, the nurse lays the tablet computer face-up on a counter to examine a wound on the client's leg. When the nurse turns around to pick up the tablet, the client's partner is reading what is on the screen. Which legal or ethical rights did the nurse violate? (Select all that apply.​) Beneficence Non-maleficence Justice Health Insurance Privacy and Accountability Act (HIPAA) Autonomy Minimum Necessary Rule

HIPPA

Which items are part of medical documentation? (Select all that apply.)​ Health assessment Physical assessment Evaluation of therapy or care Medication administration Care plan

Health assessment Physical assessment Evaluation of therapy or care Medication administration Care plan

Which is an example of objective data? Reported left knee pain. Patient's partner shares they can't touch the knee without the person moaning. Hearing a popping sound when the left knee is extended. Person says their left knee has been swollen and hot for the past 3 days

Hearing a popping sounds when the left knee is extended

Which sections are included in the comprehensive interview? (Select all that apply)​ History of Present Illness Reason for Visit Social History Method of Payment Allergies

History of Present Illness Reason for Visit Social History Allergies

An adolescent recently diagnosed with asthma is seen in an urgent care center in an acute asthmatic state. The examiner determines that previous health education has not been retained and is putting the teen's health at risk. Which information is most important for the examiner to teach during this episode of care? The importance of maintaining a healthy diet and exercising regularly The need to avoid people who smoke to prevent asthma attacks How to use an inhaler during an asthma attack Where to purchase a medical alert bracelet that says she has asthma

How to use an inhaler during an asthma attack

During which steps of the nursing process is clinical judgement and critical thinking taking place? (Select all that apply.) Implementation Planning Diagnosis Evaluation Assessment

Implementation Planning Diagnosis Evaluation Assessment

All means of documenting the health assessment present risks and benefits. A risk that is common to both charting by exception and narrative documentation is __________.

Important information may not be charted

The health examiner volunteering at a clinic determines that an individual with low health literacy has a new medical diagnosis of chronic obstructive pulmonary disease (COPD) and requires additional teaching about prescribed medications. Which technique is most appropriate for the examiner to use when providing education? Use medical terms exclusively Include the most important information at the beginning of the session Offer pamphlets about COPD written at the eighth-grade level with large type Ask for feedback to assess understanding of COPD at the end of the session

Include the most important information at the beginning of the session

What is subjective data? Information provided by the patient or family. Data that may not be true. Concrete, measurable information. Facts and figures.

Information provided by the patient or family.

Expert health examiners learn to attend to a pattern of assessment data and act without consciously labeling it. What is the term used to describe these responses? Intuition The nursing process Clinical knowledge Diagnostic reasoning

Intuition

The nurse was unable to contact Mariah's parents, and sees that she is now awake, but drowsy. While the nurse conducts a focused neurological assessment, Mariah shares that she had been drinking alcohol and took a couple pills a friend gave to help her headache. She is remorseful and worries that she has let her parents down with her behavior. This is the first time she attended a party with this new group of friends, and she wishes she had never agreed to go.​ What assessment priority information should the nurse collect now that Mariah is awake? (Select all that apply.) Known allergies Immunization record Medication list Family medical history Thoughts of hurting herself Medical and surgical history

Known allergies Medication list Thoughts of hurting herself Medical and surgical history

What are barriers to good communication? (Select all that apply.) Lack of attention or distractions Non verbal Active listening Written communication Language differences Cultural differences Different expectations Bias or prejudices Jargon or unfamiliar terms

Lack of attention or distractions Language differences Cultural differences Different expectations Bias or prejudices Jargon or unfamiliar terms

After completing the assessment of the patient pictured here, what safety related patient and family education will the examiner deliver to decrease the chance of a nosocomial infection. Wear a gown and gloves when touching the patient Take all personal items and clothing home Maintain a social distance by not sitting on the bed Limit visitors to one person daily

Maintain a social distance by not sitting on the bed

How might shadows from poor lighting impact the physical assessment? Highlight pulsations Mimic bruising Mask body contours Alter skin temperature

Mask body contours

In what ways can low health literacy impact the health of an individual? (Select all that apply.) More trips to the emergency department Increased cost of care Decreased adherence to prescribed medications Lower rate of hospital readmission Higher recall of information shared at a clinic visit

More trips to the emergency department Increased cost of care Decreased adherence to prescribed medications

After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. This is __________ type of data.

Objective

The nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered related cues that would be clustered together during data analysis? (Select all that apply.) Edema, +2, noted on left hand Patient reports dyspnea upon exertion Hypoactive bowel sounds Nonproductive cough Inspiratory wheezes noted in left lower lobes Rate of respirations 16 breaths per minute

Patient reports dyspnea upon exertion Nonproductive cough Inspiratory wheezes noted in left lower lobes Rate of respirations 16 breaths per minute

The nurse is reviewing data collected during the assessment of an adolescent who was involved in a skate boarding accident. Which cues relate back to the accident? Select all that apply. Blood pressure 106/70 Patient reports pain is 8/10 Scraped knees, bilaterally. Swollen left ankle. Ice pack on left shoulder.

Patient reports pain is 8/10 Scraped knees, bilaterally. Swollen left ankle. Ice pack on left shoulder.

What skill is used in active listening? Repeating what the client/patient says verbatim Paying attention to the client/patient's body language Taking notes Formulating answers while the client/patient is talking

Paying attention to the client/patient's body language

Before starting a health assessment of a new client, the nurse leaves their phone with a colleague and asks that nurse to help other clients should they need something. Which active listening skill is the nurse demonstrating? (Select all that apply.​) Preparing to focus Acknowledging hearing Summarizing Reducing noise Clarifying

Preparing to focus Reducing noise

Your patient asks to see their medical chart. What is the appropriate response? Tell them they are not allowed to see the chart. Give them the chart, it is their personal information. Refer them to the records department. Email them the record.

Refer them to the records department

Prior to leaving the hospital room at the end of an assessment, what actions are completed by the examiner? (Select all that apply.) Return the bed to the low position. Assure the wheels on the bed are locked. Place the call light within reach of the patient. Close the window coverings. Put all siderails in the upright position. Assess the patient's level of comfort.

Return the bed to the low position. Assure the wheels on the bed are locked. Place the call light within reach of the patient. Assess the patient's level of comfort.

Which is the correct interpretation of the Minimum Necessary Rule?​ You can review the records of your friends if they say so. Review the minimum necessary medical record as required. You can access your own medical records. Review the entire medical record any time you want to.

Review the minimum necessary medical record as required.

Sarah is being assessed after getting her right hand caught in a mail-sorting machine at work. Which data obtained during a problem-focused assessment cluster to support the hypothesis that the patient is in pain? Select all that apply. Temperature below normal. Right arm cradled in left arm against mid-abdomen. Pain score: 10/10. Age: 48. Increased blood pressure, pulse, and respirations.

Right arm cradled in left arm against mid-abdomen. Pain score: 10/10. Increased blood pressure, pulse, and respirations.

What is the first action an examiner would take after using shared equipment during an assessment? Sanitize per facility protocol Inform the unlicensed assistive personnel it is ready for use Return to the proper storage area Leave at the patient's bedside for future use

Sanitize per facility protocol

How do health professionals protect the client's private information when using a hard copy medical record? (Select all that apply.) Shield identifying information from view by visitors. Return the medical record to the designated storage area.​ Close the medical record when entering the client's room.​ Lock records in your desk drawer when not in use. Allow the patient's children to review the medical record.

Shield identifying information from view by visitors. Return the medical record to the designated storage area.​ Close the medical record when entering the client's room.​ Lock records in your desk drawer when not in use.

Which factors increase the need for patient education to be incorporated into every encounter with health care professionals? (Select all that apply.) Shorter hospital stays Understanding steps to be healthy promotes healthy behaviors in many individuals People want to be more informed Individuals are living longer with chronic illness Increased reputable information available on the internet

Shorter hospital stays Understanding steps to be healthy promotes healthy behaviors in many individuals People want to be more informed Individuals are living longer with chronic illness

A patient is brought by ambulance to the emergency department with multiple traumas received in an automobile crash. He is alert and cooperative, but his injuries are quite severe. How would the examiner proceed with data collection? Collect history information first, then perform the physical examination, followed by providing care Simultaneously ask history questions while performing the examination and initiating treatment Collect all information on the history form, including social support patterns, strengths, and coping patterns before proceeding Perform life-saving measures and delay asking any history questions until the patient is transferred to the intensive care unit

Simultaneously ask history questions while performing the examination and initiating treatment

Which of the following excerpts from the health care provider's admission assessment document objective data? Select all that apply. Patient admits to have suicidal thoughts that are increasing in frequency over the last few weeks.​ Source of information: 17-year-old patient and their mother.​ Chief complaint: "I need my depression medications changed."​ Mother frequently interrupts patient to contradict what he is saying. Patient's clothes are wrinkled and dirty.​

Source of information: 17-year-old patient and their mother.​ Mother frequently interrupts patient to contradict what he is saying. Patient's clothes are wrinkled and dirty.​

A patient tells the nurse that he is very nervous, is nauseated, and "feels hot." What type of data is this? Objective Reflective Introspective Subjective

Subjective

__________________ in the S section of your SOAP notes

Subjective information from the patient, family, or medical record

SOAP note stands for: ______________

Subjective, Objective, Assessment, Plan

Which data is an example of objective information obtained during the health assessment of the patient who fell down the steps and hurt their ankle? Patient's history of allergies. Patient's use of medications at home. Swelling and bruising of the left ankle. Last menstrual period 1 month ago.

Swelling and bruising of the left ankle.

When the health examiner enters the room of a newly admitted patient, the individual is on the phone laughing and joking. After ending the call, the patient grimaces and asks when they can get something for their pain. The examiner is confused by the abrupt change in behavior and begins to assess the patient, starting with pain. What is the best question for the examiner to ask first? I have a few questions to ask first. What brought you here today? You seemed to be relaxed when you were on the phone. Who were you talking to? Tell me more about your pain. Where is it and when did it start? How bad can the pain be? You were just laughing and joking when I walked in.

Tell me more about your pain. Where is it and when did it start?

A novice health examiner working in an urgent care center is preparing to assess a patient when a more experienced colleague approaches and says, "Let me take this one. I know what they want and it is not going to happen." What is the best response by the novice examiner to prevent bias in the patient's health assessment? I'm good. Thanks, but I can use the experience. Perhaps after I am done you can review my documentation and discuss with me how the patient's health may have changed. That sounds like you have something against this person and believe they don't deserve your full attention. That is not right. I am scheduled for lunch soon, so if the patient can be in and out that quickly you won't need to take over while I eat.

Thanks, but I can use the experience. Perhaps after I am done you can review my documentation and discuss with me how the patient's health may have changed.

Which factors make including health teaching in the health assessment appealing? (Select all that apply.) The health care needs of the patient may change during the episode of care, requiring further teaching The focus is on the person's health status and needs The setting is private It may be the only opportunity to correct misperceptions

The focus is on the person's health status and needs The setting is private It may be the only opportunity to correct misperceptions

How does an understanding of various developmental theories promote healthy interactions between individuals and health professionals? (Select all that apply.) The knowledge allows the provider to assess and understand the individual's responses. Knowing a person's developmental stage helps the provider select information that is understandable to each patient. Developmental theory allows the provider to predict which patients will fail to comply with lifestyle modifications that promote health. The professional who understands human development theory is better prepared to assist a client experiencing a developmental crisis.

The knowledge allows the provider to assess and understand the individual's responses. Knowing a person's developmental stage helps the provider select information that is understandable to each patient. The professional who understands human development theory is better prepared to assist a client experiencing a developmental crisis.

Which cues observed during a health assessment alert the examiner that education is needed? (Select all that apply.) The person is unable to recall the reason they are taking two of their prescribed medications When asked how long they have had high blood pressure, the individual says they don't have that The person accurately lists the symptoms of asthma that indicate use of the rescue inhaler is needed The individual requests information about their illness A person with diabetes shares that they are following a plant-based diet to help with glucose control

The person is unable to recall the reason they are taking two of their prescribed medications When asked how long they have had high blood pressure, the individual says they don't have that The individual requests information about their illness

Which cues observed during a health assessment alert the examiner that education is needed? (Select all that apply) A person with diabetes shares that they are following a plant-based diet to help with glucose control. The person is unable to recall the reason they are taking two of their prescribed medications. The individual requests information about their illness. When asked how long they have had high blood pressure, the individual says they don't have that. The person accurately lists the symptoms of asthma that indicate use of the rescue inhaler is needed.

The person is unable to recall the reason they are taking two of their prescribed medications. The individual requests information about their illness. When asked how long they have had high blood pressure, the individual says they don't have that.

The statement, "I've worked with that person before and there is nothing wrong with them. They are just looking for a meal and narcotics." violates which item from the Patient's Bill of Rights? The right to respectful care. The right to reasonable accommodations. The right to privacy. The right to understand facility policies.

The right to respectful care

What unspoken message is being sent by a healthcare professional who says to a colleague planning a health screening event for a group of homeless individuals, "Why bother to teach people like that? Nothing ever changes." (Select all that apply.) Healthcare facilities are not responsible for the homeless. The local homeless shelters provide all the health information this group needs. The homeless do not care about their health, so you should not care about them. The challenges homeless people face are insurmountable. The speaker has an implicit bias towards people without a permanent address.

The speaker has an implicit bias towards people without a permanent address.

Which statement best describes the importance of timely and accurate documentation of the health assessment? (Select all that apply.) To provide information to the healthcare team. To prevent legal action. To provide a comprehensive database of a person's current state of health and wellness. To establish goals for care collaboratively with the individual seeking care. To fulfill the expectations of your professional role.

To provide information to the healthcare team. To provide a comprehensive database of a person's current state of health and wellness. To establish goals for care collaboratively with the individual seeking care.

Which are aspects of active listening? Use facial expressions to indicate understanding Asking clarifying questions Forming an answer while the person is talking Paying attention to body language Saying "I agree" occasionally

Use facial expressions to indicate understanding Asking clarifying questions Paying attention to body language

A colleague completes the health history portion of a complete physical assessment and prepares to measure the client's blood pressure using their personal stethoscope. What action will the colleague take to prevent a nosocomial infection? Place a plastic bag over the part of the stethoscope that will contact the patient Put on gloves before touching the patient Wipe the stethoscope with alcohol and allow it to air dry Ask the patient about any recent travel to a foreign country

Wipe the stethoscope with alcohol and allow it to air dry

When documenting assessment of the eyes, you forget the appropriate abbreviation for normal reaction of the pupils. Which options are appropriate at this time? (Select all that apply.) Just use something close, most medical professionals will know what it is Write the whole word instead of an abbreviation Use the first three letters of the word as the abbreviation Look up the appropriate abbreviation and use it

Write the whole word instead of an abbreviation Look up the appropriate abbreviation and use it

Which critical thinking skill helps the examiner see relationships among the data? Identifying gaps in data Clustering related cues Validation Distinguishing relevant from irrelevant

clustering related cues

Select the words/phrases that best complete this sentence.​ Documentation of the __________ assessment should be completed ___________the examination to increase____________ of the _________database.

complete, concurrently with, accuracy, patient

While Grace is receiving care for her hyperglycemia, the health examiner determines that she would benefit from additional information about which aspect of managing her diabetes? None, Grace knows what she is doing and will be better when finals are over The long-term complications associated with hyperglycemia Programming her insulin pump Eating healthy during times of stress

eating healthy during times of stress

What is the purpose of the American Hospital Association's Patient's Bill of Rights? Establish equality in the provision of health care Regulate how health care is provided Demonstrate that race, gender identity, sexual expression, and religion are not factors impacting access to quality healthcare Encourage healthcare professionals and organizations to treat individuals fairly

encourage healthcare professionals and organizations to treat individuals fairly

What is the single most important action to protect patients from becoming infected while receiving health care? Handwashing Wearing a mask Housekeeping practices Isolating infected patients

handwashing

In which section of your SOAP notes do you document pertinent physical assessment findings? Subjective Objective Assessment Plan

objective

___________information is being recorded when the examiner documents a person's temperature is 102.1° F and heart rate is 126 beats per minute. Including that the person said they have felt sick for the last two days is an example of documenting __________ data.

objective, subjective

The primary purpose of the Health Information Privacy and Accountability Act (HIPAA) is to _________________________.

protect the security of personal health data collected while providing care

A client presents with the following: recent medical diagnosis of heart failure, four new medications, and reduced activity levels due to shortness of breath. Based on this information, the nurse determines that which presenting problem needs to be more thoroughly assessed first? Lack of knowledge about the new medications Shortness of breath New medical diagnosis of heart failure Reduced activity levels

shortness of breath

The dietician working with Grace uses which teaching methods to keep Grace engaged in learning while evaluating how much she understands? (Select all that apply.) Presentation slides Teach-back Videotapes Return demonstration Posters

teach-back return demonstration

When entering the client's room to perform a follow-up assessment, the examiner identifies _________. This safety risk requires immediate action.

the patient is sliding off the side of the bed

What action will the colleague applying the armband take next? Verify the DOB Cancel the procedure Apply the armband Update the medical record

verify the DOB

While completing a physical assessment in a private room, the examiner is called out of the room by a colleague. Upon returning to the room, what is the first action the examiner will take before completing the assessment? Reintroduce themselves Wash their hands Identify the client Change their gloves

wash their hands