Complete Solutions
A client admitted with reports of nausea and vomiting has not
reported any vomiting in the last 6 hours. What initial response
should the nurse have regarding this assessment information and
its effect on the client's nursing plan of care? Correct Answers
Recognize the need to reevaluate the client's plan of care.
A client is being admitted to the medical unit after being seen in
the emergency department. Which statement by the nurse
indicates an understanding of the importance of the appropriate
timing of a health assessment? Correct Answers "I'm going to
assess the client now so that I can begin formulating the care
plan."
A client is being admitted to the medical unit after being seen in
the emergency department. Which statement by the nurse
indicates an understanding of the importance of the appropriate
timing of a health assessment? Correct Answers "I'm going to
assess the client now so that I can begin formulating the care
plan."
A client presents to the health care facility with reports of new
onset of chest pain of three days duration. Vital signs are stable
and the chest pain has subsided since the client entered the exam
room. Which type of assessment is most appropriate for a nurse
perform for this client? Correct Answers Comprehensive
A few nursing students revealed to a faculty advisor that they
were concerned about the effects of their program demands on
, their personal health practices. Follow-up with other students
indicated that this was a common concern among the student
group. Further assessment showed that the students expressed
their belief in the importance of maintaining good health
practices, but that most students had discontinued weekday
efforts because of their focus on school-related stress and
limited economic resources. Faculty members supported the
concept of integrated health programs and were prepared to
develop a program as a project. To assess the need for health
promotion among the group of students, which of the following
assessment methods would be most useful? Correct Answers
Individual student interview and questionnaire
A nurse is assessing the cognitive function of a 13-year-old boy
who is in the hospital following a head injury sustained while
playing football. The boy acts annoyed with the assessment
questions and asks how often he will have to answer them. The
nurse should respond with which of the following? Correct
Answers "I'm sorry, but assessment is ongoing and continuous."
A nurse is caring for three clients whose care involves complex
situations and multiple responsibilities. What is the key to
resolving problems for this nurse? Correct Answers Critical
thinking
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 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