Using Evidence in Health Promotion
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Why is it important for a nurse to look beyond the individual client when performing a health assessment?

  • To focus solely on the client's immediate health concerns
  • To make quick decisions and interventions
  • To consider the impact of culture, family, and community on the client's health (correct)
  • To avoid involving the primary care provider unnecessarily
  • Which of the following is considered a type of collaborative problem in health assessment?

  • Pneumonia (correct)
  • Self-care deficit dressing
  • Disturbed body image
  • Risk for unstable blood glucose
  • What is the source of primary data in a health assessment?

  • Client or patient (correct)
  • Medical records
  • Community resources
  • Family members
  • What is the basis for the selection of nursing interventions in a health assessment?

    <p>Nursing diagnosis</p> Signup and view all the answers

    In a health assessment, what does a nursing diagnosis refer to?

    <p>Clinical judgment about client's responses by a nurse</p> Signup and view all the answers

    Which type of data collection method involves obtaining information from patient records?

    <p>Secondary data</p> Signup and view all the answers

    What distinguishes collaborative problems from nursing diagnoses in health assessment?

    <p>Collaborative problems involve complications arising from medical conditions, while nursing diagnoses are a nurse's clinical judgment.</p> Signup and view all the answers

    What is the purpose of assessing lifestyle in a health assessment?

    <p>To understand how personal choices may impact health</p> Signup and view all the answers

    Why is it important to consider social support systems in a health assessment?

    <p>They contribute to the client's overall well-being and recovery</p> Signup and view all the answers

    Which position might lead to decreased venous return to the heart and an increased risk for deep vein thrombosis?

    <p>Jackknife position</p> Signup and view all the answers

    What does the kidney position allow access and visualization of?

    <p>Retroperitoneal area</p> Signup and view all the answers

    Which physical examination technique involves observing and detecting normal or abnormal findings using vision, smell, and hearing?

    <p>Inspection</p> Signup and view all the answers

    During palpation, which part of the hand is used to feel for texture, temperature, moisture, and mobility?

    <p>Fingerpads</p> Signup and view all the answers

    Which type of palpation should result in very little or no depression?

    <p>Light palpation</p> Signup and view all the answers

    Which part of the hand is used during palpation to assess the strength of pulses?

    <p>Ulnar/palmar surface</p> Signup and view all the answers

    What does palpation assess when checking for tenderness?

    <p>Consistency</p> Signup and view all the answers

    How many different parts of the hand are typically utilized during palpation?

    <p>3 - Fingerpads, Ulnar/palmar surface, Dorsal surface</p> Signup and view all the answers

    What is placed under the patient at the location of the lift in the kidney position?

    <p>A small pillow</p> Signup and view all the answers

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