STUDY GUIDE GRADED A+
◉A nurse will complete an initial comprehensive assessment of a
60-year-old client who is new to the clinic. What goal should the
nurse identify for this type of assessment?
a) Identify the most appropriate forms of medical intervention for
the client.
b) Determine the most likely prognosis for the client's health
problem.
c) Identify the status of the client's airway, breathing, and
circulation.
d) Establish a baseline for the comparison of future health changes..
Answer: d) Establish a baseline for the comparison of future health
changes.
◉Revising the plan as needed occurs in what part of the nursing
process?
a) Assessment
b) Diagnosis
c) Planning
d) Evaluation. Answer: d) Evaluation
, ◉The result of a nursing assessment is the...
a) Prescription of treatment
b) Documentation of the need for a referral
c) Client's physiologic status
d) Formulation of nursing diagnoses. Answer: d) Formulation of
nursing diagnoses
◉Consider the nurse's role in the health assessment of a client. What
action will the nurse perform initially when admitting a client to a
long-term care facility?
a) Collecting information regarding the client's health status.
b) Stabilizing the client's physical condition.
c) Developing an effective, respectful nurse-client relationship.
d) Creating an environment that encourages client autonomy..
Answer: a) Collecting information regarding the client's health
status.
◉After receiving morning report the nurse prepares to assess a
client who was admitted the day before. Which type of assessment
will the nurse complete at this time?
a) Initial
b) Focused
c) Ongoing
d) Emergency. Answer: c) Ongoing