During an admission assessment, which approach should the nurse use to assess a client's speech patterns?

Ask the client to complete a common proverb or saying.

Have the client repeat a phrase containing alliteration.

Note the client's responses during the initial interview.

Listen while the client reads items listed on the menu.

Answer and Explanation

The Correct Answer is C

A) Ask the client to complete a common proverb or saying:
While completing a common proverb or saying can provide some insight into speech patterns, it may not offer a comprehensive assessment of the client's speech abilities. Additionally, the client's familiarity with specific proverbs or sayings could influence their performance.

B) Have the client repeat a phrase containing alliteration:
Having the client repeat a phrase containing alliteration can assess specific aspects of speech, such as articulation and fluency. However, it may not provide a holistic assessment of speech patterns and may not be suitable for all clients.

C) Note the client's responses during the initial interview:
This approach allows the nurse to observe the client's spontaneous speech patterns, including articulation, fluency, rate, and coherence, during the natural flow of conversation. It provides a comprehensive assessment of speech abilities in various contexts.

D) Listen while the client reads items listed on the menu:
While listening to the client read items on a menu can assess reading ability and pronunciation, it may not fully capture speech patterns in spontaneous conversation or communication. Additionally, it may not be relevant to clients who may have difficulty reading or have limited literacy skills.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A) Hypogastric region:
The hypogastric region, also known as the suprapubic region, is located below the umbilical region and above the pubic area. Pain in the hypogastric region would be lower in the abdomen than described.

B) Epigastric region:
The epigastric region is located in the upper central part of the abdomen, just below the xiphoid process. Pain localized in the middle section of the abdomen below the xiphoid process is described as occurring in the epigastric region.

C) Umbilical region:
The umbilical region is located around the navel (belly button). Pain in this area would be centered around the umbilicus and not higher up near the xiphoid process.

D) Hypochondriac region:
The hypochondriac regions are located on either side of the epigastric region and below the ribcage. Pain in the hypochondriac region would be more lateral and not centrally located below the xiphoid process.

A. Cardiac atrophy. B. Cardiac enlargement. C. Benign variation. D. Expected finding. E. None F. None

Correct Answer is B

Explanation

Answer: B. Cardiac enlargement.

Rationale:

A) Cardiac atrophy:
Cardiac atrophy refers to the reduction in the size of the heart muscles and is not typically detected through percussion. It would present differently, likely through imaging or echocardiography, rather than an increase in the area of dullness during percussion.

B) Cardiac enlargement:
Percussion revealing dullness extending from the 5th left intercostal space upward to the 2nd left intercostal space suggests an increase in the size of the heart. This pattern indicates cardiac enlargement, as the heart’s borders have extended beyond their typical boundaries, which are usually confined to the 5th left intercostal space along the midclavicular line.

C) Benign variation:
A benign variation would not typically cause such a significant change in the area of cardiac dullness. This finding is more concerning for pathology, such as cardiomegaly, than a harmless variation.

D) Expected finding:
The normal borders of the heart should not extend upward to the 2nd left intercostal space during percussion. This finding is not within normal limits and suggests an abnormal enlargement of the heart, rather than an expected physiological outcome.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

During an admission assessment, which approach should the nurse use to assess a client's speech patterns?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client reports experiencing stomach pain and it is localized in the middle section of the abdomen below the xiphoid process. The nurse should describe the pain as occurring in which region of the abdomen?

Correct Answer is B

Explanation

While percussing the borders of the heart, the nurse picks up an area of dullness beginning at the 5th left intercostal space and moving upward to the 2nd left intercostal space at the sternal border. What do these findings indicate?

Correct Answer is B

Explanation

Rationale:

To objectively confirm the presence of fever, before taking the client's temperature, which action should the nurse take?

The nurse observes that a client is experiencing melena. Which serum laboratory test should the nurse monitor in response to this finding?

The nurse assesses a client who comes to the clinic with neck stiffness and discomfort. Which finding of the cervical spine should the nurse inquire further about lifestyle habits?

The nurse is examining an older female client and suspects that she has a dysfunction in her hip region. Which procedure should the nurse perform to further assess for hip dysfunction?

A client is being evaluated for environmental allergies. While examining the client's nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?

During an abdominal assessment, a client with a temperature of 103° F (39.4° C) experiences pain and abruptly stops inhaling during deep palpation. Which prescription is most important for the nurse to implement?

During the admission assessment, a client admitted with chest pain reports having no breathing problems and no trouble sleeping at night. To obtain further data regarding possible orthopnea, which action should the nurse take?

The nurse completes palpation of the thoracic region on an adult client. Which finding is considered normal for this client?