18 Questions
Why is it important for a nurse to look beyond the individual client when performing a health assessment?
To consider the impact of culture, family, and community on the client's health
Which of the following is considered a type of collaborative problem in health assessment?
Pneumonia
What is the source of primary data in a health assessment?
Client or patient
What is the basis for the selection of nursing interventions in a health assessment?
Nursing diagnosis
In a health assessment, what does a nursing diagnosis refer to?
Clinical judgment about client's responses by a nurse
Which type of data collection method involves obtaining information from patient records?
Secondary data
What distinguishes collaborative problems from nursing diagnoses in health assessment?
Collaborative problems involve complications arising from medical conditions, while nursing diagnoses are a nurse's clinical judgment.
What is the purpose of assessing lifestyle in a health assessment?
To understand how personal choices may impact health
Why is it important to consider social support systems in a health assessment?
They contribute to the client's overall well-being and recovery
Which position might lead to decreased venous return to the heart and an increased risk for deep vein thrombosis?
Jackknife position
What does the kidney position allow access and visualization of?
Retroperitoneal area
Which physical examination technique involves observing and detecting normal or abnormal findings using vision, smell, and hearing?
Inspection
During palpation, which part of the hand is used to feel for texture, temperature, moisture, and mobility?
Fingerpads
Which type of palpation should result in very little or no depression?
Light palpation
Which part of the hand is used during palpation to assess the strength of pulses?
Ulnar/palmar surface
What does palpation assess when checking for tenderness?
Consistency
How many different parts of the hand are typically utilized during palpation?
3 - Fingerpads, Ulnar/palmar surface, Dorsal surface
What is placed under the patient at the location of the lift in the kidney position?
A small pillow
This quiz covers how nurses use evidence to promote health and prevent disease, including knowledge of physiology, factors affecting disease risk, and client behavior. It also discusses the four basic types of nursing assessment, with a focus on the Initial Comprehensive Assessment.
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