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 A
Explanation
A. The right task, the right circumstances, the right person, the right communication, and the right supervision: These are the five rights of delegation and supervision, ensuring tasks are appropriately assigned and monitored.
B. The right competency, the right staff person, the right scope of practice, the right environment, and the right client condition: These elements are important but do not represent the five rights of supervision.
C. The right competency, the right education, the right scope of practice, the right environment, and the right client condition: These are not the standard five rights of supervision.
D. The right task, the right circumstances, the right person, the right client condition, and the right supervision: This is close but not entirely accurate. The correct elements are task, circumstances, person, communication, and supervision.
Correct Answer is C
Explanation
A. Decreased vision but the client is wearing glasses: As long as the client is wearing glasses and can see adequately, decreased vision is not a barrier to learning that would require postponing teaching.
B. Hearing loss, hearing aids are functioning well: With functioning hearing aids, the client should be able to hear and understand the discharge instructions, so this is not a barrier to learning that requires postponement.
C. Language and no access to an interpreter: Without an interpreter, the client may not understand the instructions, which is a significant barrier to learning. This requires postponing the teaching until an interpreter is available.
D. The client's culture: While cultural differences can influence learning, they do not inherently create a barrier that necessitates postponing teaching unless they directly affect comprehension or communication.
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