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?

Nursing diagnosis Signup and view all the answers

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

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

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

Secondary data Signup and view all the answers

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. Signup and view all the answers

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

To understand how personal choices may impact health Signup and view all the answers

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

They contribute to the client's overall well-being and recovery 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?

Jackknife position Signup and view all the answers

What does the kidney position allow access and visualization of?

Retroperitoneal area Signup and view all the answers

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

Inspection Signup and view all the answers

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

Fingerpads Signup and view all the answers

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

Light palpation Signup and view all the answers

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

Ulnar/palmar surface Signup and view all the answers

What does palpation assess when checking for tenderness?

Consistency Signup and view all the answers

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

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

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

A small pillow Signup and view all the answers