In what patient situations would a partial ongoing assessment be best performed?
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.
Preparing the client for discharge.
The Correct Answer is B
Choice A rationale
On initial evaluation by the home health nurse, a comprehensive assessment is typically performed to gather baseline data. This initial assessment is thorough and includes a detailed history and physical examination to understand the patient’s overall health status. It is not a partial ongoing assessment, which is more focused and conducted after the initial comprehensive assessment to monitor specific issues or changes in the patient’s condition.
Choice B rationale
Reassessing a client for pain after giving pain medication is an example of a partial ongoing assessment. This type of assessment is focused on evaluating the effectiveness of an intervention, such as pain medication, and determining if further action is needed. It involves collecting specific data related to the patient’s pain levels and response to treatment, rather than a comprehensive evaluation of their overall health.
Choice C rationale
Checking skin assessment on a patient with a medical device in place is also an example of a partial ongoing assessment. This focused assessment is conducted to monitor the condition of the skin around the medical device, looking for signs of pressure ulcers, infection, or other complications. It is not a comprehensive assessment but rather a targeted evaluation of a specific area of concern.
Choice D rationale
Preparing the client for discharge involves a comprehensive assessment to ensure that the patient is ready to leave the healthcare facility and can manage their care at home. This assessment includes evaluating the patient’s physical, psychological, and social needs, as well as their ability to perform activities of daily living. It is not a partial ongoing assessment, which is more focused and conducted during the course of care to monitor specific issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Assessing the client’s readiness for learning is important, but it is not the priority action when teaching a client to administer insulin. The priority is to ensure the client can perform the task correctly to manage their condition effectively.
Choice B rationale
Asking the client to demonstrate the injection technique is the correct answer. This action ensures that the client has understood the instructions and can perform the task correctly, which is crucial for their safety and effective management of their diabetes.
Choice C rationale
Showing the client how to draw up the insulin in a syringe is an important step in the teaching process, but it is not the priority action. The priority is to ensure the client can perform the injection technique correctly.
Choice D rationale
Developing short-term goals for the client in the teaching plan is important for overall education and management, but it is not the priority action when teaching a client to administer insulin. The priority is to ensure the client can perform the injection technique correctly.
Correct Answer is C
Explanation
Choice A rationale
Providing all information at once to ensure understanding is not an effective teaching strategy, especially for clients newly diagnosed with diabetes. This approach can overwhelm the client and make it difficult for them to retain and comprehend the information. Effective teaching involves breaking down the information into manageable segments and reinforcing key concepts over time.
Choice B rationale
Avoiding repetition to prevent boredom is not an effective teaching strategy. Repetition is essential for reinforcing important concepts and ensuring that the client fully understands the information. Repetition helps to reinforce learning and improve retention, especially for complex topics such as diabetes management.
Choice C rationale
Tailoring teaching strategies to the client’s learning style is the most effective approach for teaching clients newly diagnosed with diabetes. Each client has a unique learning style, and adapting the teaching methods to match their preferences can enhance understanding and retention. This personalized approach ensures that the client receives the information in a way that is most meaningful and effective for them.
Choice D rationale
Using medical terminology to enhance credibility is not an effective teaching strategy for clients newly diagnosed with diabetes. Medical jargon can be confusing and intimidating for clients, making it difficult for them to understand the information. It is important to use clear, simple language that the client can easily comprehend.
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