Health Assessment PREP U Levels 5-8 On Chapters 1-9
The nurse is performing a follow-up assessment and interview of a 72-year-old woman with a history of congestive heart failure. The nurse asks the client, "Have you been experiencing any activity intolerance since I last saw you?" What would be a more appropriate way for the nurse to elicit this information?
"Has this been having an effect on your ability to carry out your routines and get around your home?"
The nurse is determining a priority problem that would be appropriate for a client with heart failure. Which problem would have the highest priority for the client?
Weight gain of 3 pounds (1.5 kilograms) over 1-2 days
To enhance personal health practices, the most fundamental and effective approach to individual client assessment would be:
Using reputable health-education strategies to reduce risk behaviors
The nurse performs a comprehensive assessment on a new client. What is the next action of the nurse?
Validate problems and determine client's goals.
An assessment that concentrates on patterns of role performance that all humans share is called what?
Functional
A nurse is performing a general survey on a new client who is reporting new onset headaches and blurred vision. Which of the following statements by the client would require further follow-up?PRIORITY URGENT ASSESSMENT
"My father had a stroke due to uncontrolled hypertension."
A nurse is taking a rectal temperature on an unconscious client. What reading would reflect temperature within the normal range?
99°F
The nurse collects biographical data on a client. What is the purpose of asking where a client has lived?
Affects values, beliefs, and patterns of behavior
During an assessment, the nurse determines that a client sees more than one primary care provider and has obtained prescriptions from each provider. Which method would be most appropriate to determine a client's current medication regimen
Ask the client to bring all the medications and supplements to an interview.
The nurse is beginning examination of the client. All the following areas are important to observe as part of the general survey except:
Blood pressure
A nurse is teaching a class on hypertension in a community setting. What risk factor would the nurse be sure to address to the class?
Family history
A 12-year-old child is working on algebra problems in order to solve the calculation for "x." Which stage of Piaget's development is this child demonstrating?
Formal operational
Body temperature is not impacted by which of the following factors?
Diet
When interviewing, the nurse should logically move from specific to open-ended questions.
False
Which of the following statements best conveys the rationale for health promotion in a school setting?
Healthy child development is a critical health determinant because of its implications for lifelong health.
A nurse has identified the personal goal of developing critical thinking skills. In order to facilitate this goal, what action should the nurse prioritize?
Maintaining an open mind
A nurse is administering prescribed medicine to a client who experienced acute pain in the lower back after a motor vehicle accident. The client tells the nurse that compared to the previous week, his pain had reduced considerably. Which phase of pain is the client experiencing?
Modulation
After completing a health history and physical assessment the nurse prepared to analyze the collected data. In which phase of the nursing process is the nurse focusing?
Nursing diagnosis
For which assessment would the nurse plan to use light palpation?
Papular rash
When assessing a client, the nurse notes that he is delusional. The nurse would know that delusional thinking can lead to what?
Suicide
The nurse is caring for a young child. The child draws a picture of their home and gives it to the nurse. Which is the correct documentation?
The child is in the preoperational stage according to Piaget.
A nurse is caring for a client whose injured cells are releasing chemicals such as substance P, prostaglandins, bradykinin, histamine, and glutamate. Which phase of pain is the client experiencing?
Transduction
The nurse notes that a client hesitates when responding to questions. With which part of the mental health assessment is this client having difficulty?
attention
Which nursing intervention does a client who is in the obtunded level of consciousness require most?
frequent reorientation
The person who has attained Kohlberg's Conventional level of moral development is best described as
desiring to avoid disapproval from others and be considered a respectful, helpful person.
During the review of systems a client states that at times both hands feel numb. In which category should the nurse document this information?
neurologic
A nurse assigns an unlicensed assistive personnel (UAP) to take vital signs on a client. The nurse intervenes when which of the following is observed?
taking blood pressure with the client's arm elevated above the heart
