Physical Assessment Chapter 1: Introduction to Health Assessment 2022 The nurse is completing an assessment on a new client at the community health clinic and would like to screen the client's co ... gnitive ability. There are many resources that provide screening tools for nurses. Which agency would be most helpful in directing the nurse to a screening tool to assess the client's cognitive ability? - Correct Answer- the American Heart Association (AHA) The nurse is analyzing the data obtained from the following clients. Which client would the nurse expect to facilitate a referral? - Correct Answer- A 50-year-old client newly diagnosed with diabetes The nurse is working in an ambulatory care clinic that is located in a busy, inner-city neighborhood. Which client would the nurse determine to be in most need of an emergency assessment? - Correct Answer- A 45-year-old man with chest pain and diaphoresis for 1 hour During a health class, the nurse is emphasizing exercise and healthy eating. The level of prevention being utilized by the nurse is - Correct Answer- primary prevention 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? - Correct Answer- Ongoing An assessment of a client who already has a complete recorded database in the system and returns to the health care agency with a specific health concern is referred to as a(n) - Correct Answer- focused or problem-oriented assessment. During a health assessment the nurse learns that a client lives in an urban area with a high crime rate. Which category of health is affecting this client? - Correct Answerenvironmental The nurse has completed the comprehensive health assessment of a client who has been admitted for the treatment of community-acquired pneumonia. Following the completion of this assessment, the nurse periodically performs a partial assessment primarily for which reason? - Correct Answer- Reassess previously detected problems A nurse is conducting a health assessment. How will the information collected from the client be used? - Correct Answer- as a basis for the nursing process Staff are talking to the hospital educator and ask about "a government project that is meant to improve the health of people in the United States." The educator bases her response on the knowledge of - Correct Answer- Healthy People 2020 The nurse notes that an intervention provided to a client for a specific health problem was not effective. The nurse continues to monitor and care for the client. Which type of assessment is the nurse performing? - Correct Answer- ongoing or partial assessment 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? - Correct Answer- Establish a baseline for the comparison of future health changes. A client comes to the health care provider's office for a visit. The client has been seen in this office on occasion for the past 5 years and arrives today complaining of a fever and sore throat. Which type of assessment would the nurse most likely perform? - Correct Answer- Focused assessment An older adult client had hip replacement surgery 2 days ago. The nurse enters the client's room and encourages the client to use the incentive spirometer ten times every hour. What is this action an example of? - Correct Answer- Nursing intervention The nurse is reviewing the medical record of a newly admitted client to the rehabilitation center. Which subjective question should the nurse confirm with the client? - Correct Answer- "Are you aware of any allergies that you may have?" The preceptor of the student nurse is explaining the assessment that is considered the most organized for gathering comprehensive physical data. What assessment is the preceptor talking about? - Correct Answer- Head-to-toe...... [Show More]
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