Exam 1: Health Assessment

The community health nurse is preparing to conduct a program for a group of nursing students concerning health and wellness.Which of the following statements by a participant indicates the most comprehensive and accurate understanding of health?

The nurse is preparing a teaching plan for a client diagnosed with type 1 diabetes mellitus.When developing the teaching plan the nurse addresses objectives in the psychomotor domain.Which of the following objectives best meets this criteria?

The charge nurse is discussing with the new graduate nurse the care planning process for clients admitted to the unit.The graduate nurse correctly identifies the order of the steps of the nursing process as:

A client is hospitalized with end stage liver failure secondary to many years of alcoholism.The nurse begins collection of information by first:

The nurse is developing a plan of care for a recently admitted client.The nurse recognizes that the basis for the plan and implementation of care is (are):

The nurse is presenting a workshop on wellness and health promotion and the initiatives of Healthy People 2020 as a resource for this topic.After the session,which of the following statements by a participant indicates an understanding concerning the initiatives proposed?

The nurse is caring for a client who is recovering from abdominal surgery.When determining the best goal statement for the client concerning level of pain,which of the following is most appropriate?

The community health nurse is preparing a program about health maintenance.The nurse has decided to use the Leavall and Clark model as the framework for the programming.Which of the following program objectives best explain the concepts presented by this model?

The nurse is evaluating the plan of care and notes that none of the goals have been met for the client with impaired gas exchange.What should the nurse do next in this situation?

The nurse is reviewing a client's medical records and notes various forms of information.The nurse understands that which of the following are subjective data?

The nurse is preparing the care plan for a client who has undergone an abdominal hysterectomy to manage endometriosis.When reviewing goal statements,which of the following reflect the need for further development?

While the nurse assesses a client who is hospitalized for an acute exacerbation of chronic obstructive pulmonary disease (COPD),the client becomes very short of breath.The nurse recognizes the need to stop the assessment to initiate respiratory support interventions.This is an example of which phase of critical thinking?

The recent graduate nurse is orienting to the medical surgical care unit.The graduate nurse has prepared a nursing care plan for a client admitted for exacerbation of ulcerative colitis.The goal statement is,"The client will resume normal bowel elimination patterns." The graduate nurse has asked the charge nurse to review the care plan.What action by the charge nurse is indicated?

The nursing instructor is discussing Healthy People 2020 with a group of nursing students.One of the students questions the instructor how this work will impact hospitalization.The best response by the nursing instructor would be:

The nurse is developing the plan of care for a client who is recovering from abdominal surgery.When planning interventions the nurse recognizes which of the following will best meet the needs of the client experiencing pain?

The nurse is completing an admission assessment.The assessment form allows for the separation of subjective and objective data.Distinguish which of the following are examples of subjective data utilized by the nurse.

The nurse educator is discussing the charting used in the facility with a group of recently hired nurses.The facility uses the APIE method of charting.Which of the following responses by one of the newly hired nurses indicates understanding of the charting method?

The student nurse is preparing a care plan for an assigned client.The student correctly recognizes that the nursing diagnosis is composed of which of the following elements?

The nurse is obtaining a health history from a client who reports that he is healthy and has no health concerns.As part of the health history,the nurse documents that the client reported that he has high blood pressure and suffers from a leg ulcer that remains unhealed after 6 months.Which of the following statements would be the best choice for the nurse to use at this point in the interview?

The nurse is reviewing a client's medical records and notes various information.The nurse understands that which of the following is an example of objective data?