Fundamentals Exam 1

When you observe the patient for general characteristics including age, gender, and level of alertness, what aspect of assessment are you performing?

Inspecting

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?

Diagnostic reasoning

The nurse asks a client "is there any time when you feel unsafe?" On which part of the comprehensive health history is the nurse focusing with this question?

Family violence

An assessment that concentrates on patterns of role performance that all humans share is called what?

Functional

Which of the following statements is true of the role of inspection in the physical examination?

It is often the source of the most physical signs.

During the physical examination of your patient you auscultate the sound of the patient's breathing. What area of the patient are you assessing?

Lungs

What is the purpose of a comprehensive health assessment?

To arrive at conclusions about the client's health

Which statement made by the nurse demonstrates an understanding of the termination phase of the interviewing process?

"Let me stress the importance of being medication adherent."

A nurse, new to the hospital, is attending orientation with the nurse educator. The educator is discussing the use of deep palpation when assessing a patient. The nurse should be aware of what risk when using this assessment technique?

Risk for injury

During an interview with an adult client, the nurse can keep the interview from going off course by

Using close-ended questions

A nurse is examining a client suspected of having a fungal infection of the skin. Which piece of equipment should the nurse use to confirm the presence of fungus?

Wood's light

A medical examination differs from a comprehensive nursing examination in that the medical examination focuses primarily on the client's

physiologic status

During the interview of an adult client, the nurse should

provide the client with information as questions arise.

The nurse is conducting a physical examination of a patient who is lying down. Which is the most appropriate for the nurse to assess while the client is in this position?

Dorsiflexion of the foot

Which of the following is a general procedural rule when performing a complete physical examination?

Examine the right then the left side of the body.

Equipment used in conducting a physical examination includes a 2 × 2 gauze pad. What is this used for?

Examining the tongue

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?

Identify abnormal data and strengths Cluster the data Draw inferences and identify problems Propose possible nursing diagnoses Check for defining characteristics of the diagnoses Confirm or rule out nursing diagnoses

During an interview between a nurse and a client, the nurse and the client collaborate to identify problems and goals. This occurs during the phase of the interview termed

Working

The nurse is preparing to conduct an interview with a hospitalized patient. What nursing intervention can best ensure a confidential and comfortable environment for the patient?

Asking permission to draw the client's privacy curtain.

The nurse is admitting a client to the surgical unit. The nurse should begin the general survey at which point in the admission process?

Upon meeting the client and family members