Advanced Assessment: Unit 1 Study Guide Exam with Actual Answers.

Following completion of the comprehensive health assessment, the nurse periodically performs a partial assessment primarily for which reason? - Answer Reassess previously detected problems Explanation: A periodic partial assessment consists of a mini-overview of the client's body systems and holistic health patterns as a follow-up on his or her health status. Any problems that were initially detected in the client's body system or holistic health patterns are reassessed in less depth to determine any major changes from the baseline data. In addition, a brief reassessment of the client's normal body system or holistic health patterns is performed whenever the nurse or another health care professional has an encounter with the client. What is the primary purpose of health assessment? - Answer To gather information about the health status of the client Explanation: Health assessment is "gathering information about the health status of the client, analyzing and synthesizing those data, making judgments about nursing interventions based on the findings, and evaluating client care outcomes" (AACN, 2011). Health assessment is not making judgments about a client's lifestyle; it does not involve care based on the nurse's views and beliefs, nor does it help the physician diagnose illness without further testing. How does a nurse decide what health-promotion activities are necessary for a particular client? - Answer Nurses collaborate with clients to identify areas in which clients are willing to make changes Explanation: Rather than addressing all areas associated with healthy behaviors and overwhelming clients, nurses collaborate with them to identify areas in which clients are willing to make changes. When caring for a client, a nurse does not address healthy behaviors only; nurses do not address only areas where clients are willing to make changes, nor do they construct their own theories to identify perceptions, barriers, and positive outcomes. During a health assessment, the nurse learns that an adolescent is sexually active. What information can the nurse provide the client in order to support the Healthy People 2020 indicator of responsible sexual behavior? - Answer The importance of using a condom when engaging in sexual activity Explanation: An objective to support the Healthy People 2020 indicator of responsible sexual behavior is to increase the proportion of sexually active persons who use condoms. The nurse should instruct the patient about condom use with sexual activity. The objectives of Healthy People 2020 do not include promoting sexual abstinence. While diagnostic testing and reducing the percentage