Health assessment exam 1

Health assessment exam 1 What are the primary frameworks used in conducting a health assessment? Select all that apply. a. Analytical b. Gordon's c.Functional systems d. Head to toe e. Body systems - ANSWER c.Functional systems d. Head to toe e. Body systems What are the components of the SBAR? Select all that apply. a. Assessment b. Situation c. Recommendation d. Biophysical test results e. Referral - ANSWER a. Assessment b. Situation c. Recommendation Why is it important for a new nurse, working on a step-down unit, to know the standards of care for the facility in which the nurse is working? a. Standards of care tell the nurse how to get a good evaluation b.Standards of care dictate how to handle clients who have experienced trauma c. Standards of care often set the time frame for assessing the clients on the unit d. Standards of care instruct the nurse how to assess for a cardiac event - ANSWER c. Standards of care often set the time frame for assessing the clients on the unit An adult client is brought to the ED by ambulance and is anxious and very short of breath. While the nurse is completing the emergency assessment, the client stops breathing. What is the first action of the nurse? a. Ensure that the client is safe b. Open the client's airway c. Begin CPR d. If the client is injured protect the cervical spine - ANSWER b. Open the client's airway While assessing a patient, the nurse notes that the patient is more quiet and subdued after a visit from her sister. The nurse would note this under what facet of the assessment process? a. social b. emotional c. mental d. spiritual - ANSWER b. emotional Before beginning a health assessment with a patient, the nurse reviews Healthy People 2020 because: a. It lists specific interventions to address most patient health problems. b. It helps determine the patient's plan of care. c. It serves as a guide for the health assessment. d. It identifies risk factors, health issues, and diseases. - ANSWER d. It identifies risk factors, health issues, and diseases. Which of the following statements best conveys the rationale for health promotion in a school setting? a. Children younger than 13 years are some of the most common consumers of acute health care services. b. Healthy child development is a critical health determinant because of its implications for lifelong health. c. Health promotion in a school setting can yield improved health outcomes for the student's siblings and parents. d. Children contract numerous communicable diseases in the school environment. - ANSWER b. Healthy child development is a critical health determinant because of its implications for lifelong health. Which of the following is an example of a recent trend in nursing roles? a. Using auscultation to examine heart sounds b. Using palpation to assess the abdomen of a pregnant woman c.Performing visual inspection of a client's eyes to detect illness d.Gathering forensic evidence for a legal proceeding - ANSWER d.Gathering forensic evidence for a legal proceeding