The nurse is asking the client about the health of her parents, siblings, and grandparents. This is part of the health history and is done for what reason?

To establish personal rapport with the client

To identify diseases for which the client may be at risk

To assess the client's quality of life

To get to know the client better

Answer and Explanation

The Correct Answer is B

A. To establish personal rapport with the client: While rapport is important, the primary purpose of asking about family health history is not to build a personal connection.

B. To identify diseases for which the client may be at risk: Family health history helps identify genetic or hereditary conditions that may increase the client’s risk for certain diseases.

C. To assess the client's quality of life: Family health history does not directly assess the client’s quality of life but rather their risk for specific conditions.

D. To get to know the client better: Although understanding family history can help in getting to know the client’s health context, the primary purpose is to assess risk factors.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Identify ways to ensure client privacy: Ensuring privacy is essential for a respectful and confidential examination.

B. Turn on relaxing music of the client's choice: While this might improve the client's comfort, it is not a standard or necessary step before conducting a physical examination.

C. Wash hands: Hand hygiene is crucial before any physical examination to prevent infection.

D. Obtain and check needed equipment: Having and checking equipment ensures that all necessary tools are available and in working order for the examination.

E. Dim the lighting to promote comfort: Proper lighting can help in conducting a thorough examination and make the client feel more comfortable.

A. Stage III B. Stage II C. Stage I D. Stage IV E. Stage IV

Correct Answer is B

Explanation

A. Stage III: This stage involves full-thickness tissue loss extending through the subcutaneous layer but does not typically present as a blister-like superficial wound.

B. Stage II: This stage is characterized by partial-thickness skin loss involving the epidermis and/or dermis, often presenting as a blister or superficial ulcer.

C. Stage I: Stage I pressure ulcers involve intact skin with non-blanchable redness, not a break in the skin or blister.

D. Stage IV: This stage involves full-thickness tissue loss with extensive destruction, potentially exposing bone or muscle, not a superficial blister.

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The nurse is asking the client about the health of her parents, siblings, and grandparents. This is part of the health history and is done for what reason?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following should the nurse do before conducting a physical examination of a client? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse notes a break in the skin, which appears blister-like, it looks superficial with loss up to the dermis layer. The nurse would interpret this finding as indicating which stage of pressure ulcer?

Correct Answer is B

Explanation

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Use of tobacco products and excessive alcohol consumption are principal risk factors for oral carcinoma.

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Data collection occurs where in the nursing process?