Physical Assessment Chapter 2: Critical Thinking in Health Assessment

A home health nurse has completed an assessment on a 78-year-old widower who lives alone and is dependent on a volunteer from the local community center to bring the client one meal every day. The client states they have no appetite and "fruits and vegetables are too difficult to chew." Before identifying a client concern, what would be next best step for the nurse to take?

Check for supporting data to support a client concern.

A nurse provides care for a client with an elevated temperature. The client is given the prescribed medication and the nurse checks the client's temperature at repeated intervals. What step of the nursing process is the nurse using to determine whether the client has achieved the outcome criteria of the treatment?

Evaluation

A client has been diagnosed with diabetes mellitus, and the nurse knows that the client requires education on the dietary restrictions. What would be an appropriate intervention by the nurse?

Make a referral to the dietician.

The nurse is exhibiting critical thinking in which client care situation?

Performing a focused assessment on a client who is complaining of shortness of breath.

The result of a nursing assessment is the

formulation of nursing diagnoses.