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.
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Related Questions
Correct Answer is C
Explanation
A. Verbal communication is often an accurate reflection of what the client really feels: Verbal communication may not always accurately reflect true feelings, especially if the client is trying to mask their emotions.
B. Nonverbal communication accurately reflects what the client is saying: Nonverbal communication can sometimes contradict what the client is verbally expressing, providing additional context or revealing hidden emotions.
C. An example of nonverbal communication body posture: Body posture is a significant form of nonverbal communication, providing insights into a client’s comfort, confidence, and emotional state.
D. Facial expressions are an example of verbal communication: Facial expressions are a form of nonverbal communication, conveying emotions and reactions without words.
Correct Answer is C
Explanation
A. Develop short-term goals for the client in the teaching plan: Developing goals is part of the planning phase, not the assessment phase.
B. Show the client how to draw up the insulin in a syringe: This is part of the implementation phase, where the nurse provides instructions and demonstrations.
C. Assess the client’s readiness for learning: Assessing the client’s readiness to learn is part of the assessment phase, determining if the client is prepared and willing to learn the new skill.
D. Ask the client to demonstrate self-injection: This is part of the evaluation phase, where the nurse assesses the client’s ability to perform the skill taught.
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