And 100% Correct Answers Graded
A+.
When a client first enters the hospital for an elective surgical procedure, the nurse should
perform an assessment termed
a) entry.
b) comprehensive.
c) focused.
d) exploratory - Answer B
What are nurses able to detect through the health assessment?
a) Areas that need referral to a specialist
b) Areas that need in-hospital care
c) Areas in need of health adjustments
d) Areas that need continuous care - Answer C
A nurse is conducting a health assessment. How will the information collected from the patient
be used?
a) as one component of medical care
b) to facilitate nurse-patient caring
c) to illustrate nursing competence
d) as a basis for the nursing process - Answer D
A nurse provides care for a client with impaired respiratory function. The nurse frequently
assesses the client's skin color and the temperature of the extremities. What is the purpose of
this ongoing or partial assessment?
a) Perform a rapid assessment for prompt treatment
b) Determine any changes from the baseline data
c) Collect subjective data related to the client's overall health
d) Evaluate whether outcomes of treatment are met - Answer B
,A medical examination differs from a comprehensive nursing examination in that the medical
examination focuses primarily on the client's
a) physiologic status.
b) holistic wellness status.
c) level of functioning.
d) developmental history. - Answer A
A nurse has documented the findings of a comprehensive assessment of a new client. What is
the primary rationale that the nurse should identify for accurate and thorough documentation?
a) Guaranteeing a continual assessment process
b) Assuring valid conclusions from analyzed data
c) Allowing for drawing inferences and identifying problems
d) Identifying abnormal data - Answer B
After assessment and documentation of the information obtained from the client, the nurse
needs to analyze the data collected. Which nursing actions depend on accurate analysis of data
during this phase of the nursing process? Select all that apply.
a) Identification of the need for referrals
b) Formulation of nursing diagnosis/es
c) Identification of collaborative problems
d) Assessment of the outcome of the care plan
e) Development of a nursing care plan - Answer ABC
A nurse is working with an obese man who has type II diabetes mellitus. After interviewing this
client, the nurse has established that he is aware of the seriousness and risks of his conditions,
is motivated to make lifestyle changes to improve his health, and believes that following the diet
and exercise plan that the nurse has helped him create is feasible and would be effective in
helping him meet his health goals. The nurse is using which of the following tools or resources
in assessment of this client?
a) Healthy People 2020
b) U.S. Preventive Services Task Force
c) Pender Health Promotion Model
d) Health Belief Model - Answer D
, A student nurse is conducting her first patient interview. The student suddenly draws a blank on
what to ask the patient next. What is a useful interview technique for the student to use at this
point?
a) Termination
b) Transition
c) Summarization
d) Reassurance - Answer C
A client scheduled for surgery tells the nurse that he is very anxious about the surgery. What is
an appropriate action by the nurse when interacting with this client?
a) Refer the client to a spiritual guide.
b) Approach the client in an in-control manner.
c) Provide simple and organized information.
d) Mirror the client's feelings. - Answer C
A comprehensive health history includes which components? Select all that apply.
a) Employment history
b) Past health history
c) History of present illness
d) Reason for seeking care
e) Income - Answer BCD
Which of the following describes how the health history interview differs from a social
conversation?
a) The interview allows more time for the client to demonstrate self-awareness.
b) The interview permits the clinician to express his or her needs and interests.
c) The interview focuses on the client's needs to improve health and well-being.
d) The interview is restricted to actual or potential illnesses. - Answer A
The nurse is preparing to assess the mental status of a 90-year-old client who is being admitted
to the hospital from a long-term care facility. Which of the following should the nurse assess
first?