Answers 100% Pass
A client comes to the health care provider's office for a visit. The client has been seen in
this office for the past five years and arrives today complaining of a fever and sore
throat. Which type of assessment would the nurse most likely perform? - ✔✔focused
assessment
Nurses provide both direct and indirect care. What is an example of indirect care? -
✔✔Participating in a client care conference
A nurse is completing an assessment that will involve gathering subjective and
objective data. Which of the following assessment techniques will best allow the nurse
to collect objective data? - ✔✔Inspection
When doing an overall assessment of a patient, the nurse is able to utilize findings and
do what? - ✔✔Identify in what areas the patient needs the most care
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? - ✔✔head to toe
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,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? - ✔✔Determine any changes from
the baseline data
Mrs. Williams is an 89-year-old independent woman who lives alone and has severe
arthritis in her hands. Over the last few months the arthritis has gotten worse and she is
concerned because she can no longer clean her apartment. What question by the nurse
would gain the most usable information to assist with this concern? - ✔✔"Do you have
family who visit you regularly?"
A group of nurses are reviewing information about the potential opportunities for
nurses who have advanced assessment skills. When discussing phenomena that have
contributed to these increased opportunities, what should the nurses identify? -
✔✔Expansion of health care networks
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? -
✔✔Establish a baseline for the comparison of future health changes.
The nurse is reviewing a client's health history and the results of the most recent
physical examination. Which of the following data would the nurse identify as being
subjective? Select all that apply. - ✔✔1. "I feel so tired sometimes."
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,2. Client complains of a headache
3. "My father died of a heart attack."
subjective data - ✔✔things a person tells you about that you cannot observe through
your senses; symptoms
objective data - ✔✔information that is seen, heard, felt, or smelled by an observer; signs
When discussing the nursing process with a group of students, which of the following
statements best describes it? - ✔✔It is ongoing and continuous.
A nurse provides care for a client with an elevated temperature. The client is given the
prescribed medication and the nurse checks the client's temperature at repeated
intervals. What step of the nursing process is the nurse using to determine if the client
has achieved the outcome criteria of the treatment? - ✔✔Evaluation
A nurse recognizes that a thorough and accurate assessment of a client is important to
prevent what error from occurring when utilizing the nursing process? - ✔✔Making
incorrect nursing judgments or diagnoses
The nurse discusses ear plugs for a patient with low tone deafness when working in a
noisy environment. The nurse is utilizing - ✔✔tertiary prevention
A nurse is distracted during her assessment of a client and does not take as thorough or
as accurate notes as usual. Her supervisor, who is familiar with the client, reads the
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, patient's chart and questions the nurse. The supervisor should point out to the nurse
that which of the following errors is most likely to occur due to the nurse's lapse? -
✔✔Making incorrect nursing judgments or diagnoses
A client who is new to the facility has a recent history of chronic pain that is attributed
to fibromyalgia. The nurse has reviewed the available health records and suspects that
pain management will be a major focus of nursing care. How can the nurse best validate
this assumption? - ✔✔Ask the client about the most recent experiences of pain.
The nurse is exhibiting critical thinking in which client care situation? - ✔✔Performing
a focused assessemt on a client who is complaining of shortness of breath.
This type of assessment includes a health history and physical assessment. -
✔✔Comprehensive
A student nurse is learning to document an initial assessment. What would the
instructor tell the student that accurate documentation of this specific assessment best
provides? - ✔✔A baseline for comparison with future findings
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? -
✔✔Ongoing
When performing the steps of the assessment phase of the nursing process, which of the
following would the nurse do first? - ✔✔Collect subjective data
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