Medical Surgical Test (Knowledge Corner)

Medical-Surgical B 1. 1.ID: Which method elicits the most accurate information during a physical assessment of an older client? o Ask the client to recount one's health history. o Obtain the client's information from a caregiver. o Review the past medical record for medications. o Use reliable assessment tools for older adults. Correct Specific assessment tools (D) for an older adult, such as Older Adult Resource Services Center Instrument (OARS), mini-mental assessment, fall risk, depression (Geriatric Depression Scale), or skin breakdown risk (Braden Scale), consider age-related physiologic and psychosocial changes related to aging and provide the most accurate and complete information. (A and B) are subjective and may vary in reliability based on the client's memory and caregiver's current involvement. Although (C) is a good resource to identify polypharmacy, a written record may not be available or currently accurate. Awarded 1.0 points out of 1.0 possible points. 2. 2.ID: A client who has just tested positive for human immunodeficiency virus (HIV) does not appear to hear what the nurse is saying during post-test counseling. Which information should the nurse offer to facilitate the client's adjustment to HIV infection? o Inform the client how to protect sexual and needle-sharing partners. o Teach the client about the medications that are available for treatment. o Identify the need to test others who have had risky contact with the client. o Discuss retesting to verify the results, which will ensure continuing contact. Correct Encouraging retesting (D) supports hope and gives the client time to cope with the diagnosis. Although post-test counseling should include education about (A, B, and C), retesting encourages the client to maintain medical follow-up and management. Awarded 1.0 points out of 1.0 possible point