HEALTH ASSESSMENT PRELIM EXAM

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Nursing health assessment includes:

a. Collection of data, validation of data, documentation of data b. Collection of data, develop diagnosis, prioritize identified problems c. Collection of data, developing a plan, evaluating the effectiveness of intervention d. Collection of data, analyzing data, developing diagnosis evaluating gathered data a. Collection of data, validation of data, documentation of data

When assessing the patient's spleen, you apply a pressure between 2.5-5 centimeters. This is known as:

a. Deep palpation b. Light palpation c. Moderate palpation d. Bimanual palpation a. Deep palpation

The physical examination techniques that nurses utilize in assessing the skin, hair and nails:

a. Inspection and palpation b. Palpation and percussion c. Percussion and auscultation d. Inspection and percussion a. Inspection and palpation

Before beginning a physical assessment of a client, the nurse should first:

a. Request the family members to be present b. Ask the client to remove his clothing c. Wash both hands with soap and water d. Determine whether the client is anxious c. Wash both hands with soap and water

During a thorough spiritual assessment, the nurse understands that the questions asked are designed to

a. Reveal beliefs that might affect client care b. Cause the client to question long held beliefs c. Determine if the client and nurse have similar beliefs d. Encourage the client to explore other religions a. Reveal beliefs that might affect client care


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