In what patient situations would a focused assessment be best to perform?
preparing the client for discharge
On initial evaluation by the home health nurse
reassessing a client for pain after giving pain medication
checking skin assessment on a patient with a medical device in place
The Correct Answer is C
A. Preparing the client for discharge: Discharge preparation typically requires a comprehensive assessment to ensure all aspects of the client’s health and care needs are addressed.
B. On initial evaluation by the home health nurse: The initial evaluation requires a comprehensive assessment to establish a baseline for the client's overall condition and care plan.
C. Reassessing a client for pain after giving pain medication: A focused assessment targets a specific problem area, such as evaluating pain levels after an intervention.
D. Checking skin assessment on a patient with a medical device in place: This is an example of a focused assessment, concentrating on the skin integrity around the medical device.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clarification: Clarification is a technique used to ensure that the nurse understands the client’s feelings and concerns correctly. By asking if the client is feeling anxious about the results, the nurse is clarifying the client’s statement.
B. Providing information: Providing information involves giving facts or details to the client, not seeking to understand their feelings.
C. Confrontation: Confrontation involves addressing discrepancies in the client’s statements or behaviors, which is not applicable in this situation.
D. Summarizing: Summarizing involves reviewing main points of the conversation, not clarifying feelings.
Correct Answer is C
Explanation
A. "I think you should talk with your family about your anger." This response shifts the focus to action without first exploring the client's feelings, which may not be therapeutic initially.
B. "You are probably very depressed, which is understandable with such a diagnosis." This response labels the client's emotions and may not be helpful in allowing the client to explore their feelings further.
C. "Tell me more about how you are feeling." This response uses therapeutic communication by encouraging the client to express feelings and concerns, providing emotional support and validation.
D. "Why haven't you shared your feelings with your family?" This response can sound accusatory and may not encourage open communication.
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