What data are necessary to compile an effective end-of-shift report? (Select all that apply.)

Patients mental status

All pertinent nursing care

Visitors the patient had during the shift

Status of lung sounds

The patients favorite TV shows

Answer and Explanation

Correct Answer : A,B,D

A.   The patient's mental status is crucial for understanding their current cognitive and emotional condition. This information helps the incoming nurse assess whether there have been any changes or concerns regarding the patient's orientation, mood, or cognitive function.
B.   Documenting all pertinent nursing care provides a comprehensive overview of what has been done for the patient during the shift, including any treatments, medications administered, and changes in the patient's condition.
C.   While knowing who visited the patient might be relevant in some contexts, it is generally not a core component of clinical shift reports unless the visitors' presence impacted patient care or the patient’s condition. This information is usually not necessary for the shift report unless it directly affects the
patient’s care or treatment, such as if a visitor brought important information or had a significant impact on the patient.

D.   The status of lung sounds is a specific aspect of the patient's physical assessment and can indicate respiratory issues or improvements. This data is necessary if the patient has a respiratory condition or if there have been recent changes in their respiratory status. It helps the incoming nurse evaluate the effectiveness of treatments and ongoing respiratory care.
E.   Information about the patient's favorite TV shows is not relevant to clinical care and does not impact
the patient’s health status or the nursing interventions required. This information is not necessary for
the shift report as it does not contribute to the patient’s medical or care needs.

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Correct Answer is C

Explanation

A. This question can provide some subjective data, but it is somewhat vague and open-ended. It may not elicit detailed information about specific changes or issues related to bowel health. The term "normal" can be interpreted differently by different individuals, leading to potentially ambiguous responses.
B.A This question is direct and focused on a specific issue—constipation. It is useful for identifying if the patient is experiencing problems with bowel movements, but it may not capture the full range of bowel health issues or provide insight into other aspects of bowel function such as frequency, consistency, or recent changes.
C. This question is effective in obtaining subjective data because it prompts the patient to consider and describe any recent changes in their bowel habits. Changes in bowel movements can be indicative of underlying health issues, and this question encourages the patient to provide specific information about any deviations from their usual pattern, such as increased or decreased frequency, consistency changes, or the presence of pain.
D. This question directly addresses the frequency of bowel movements, which is a key component of bowel health. It helps establish a baseline for normal bowel patterns for the individual. However, it does not address other aspects of bowel health such as consistency, difficulty, or recent changes.

A. age B. functional status C. gender D. financial status

Correct Answer is B

Explanation

A. While age can influence health and care needs, it is not the primary criterion for assessing a patient's ability to maintain independence. The impact of age varies greatly among individuals, and functional status is a more direct measure of a person's ability to perform daily activities and manage their health.
B. Functional status refers to the patient's ability to perform daily activities and manage self-care. For someone with rheumatoid arthritis, functional status is crucial because the disease can significantly affect physical abilities due to joint pain, stiffness, and deformities. Assessing and optimizing functional status helps ensure that the patient can maintain independence by adapting their environment, using assistive devices, and implementing strategies to manage symptoms effectively.
C. Gender itself does not directly determine a patient's ability to maintain independence. While certain conditions may have different prevalence rates or impacts based on gender, independence is more closely related to functional abilities and health management rather than gender.
D. Financial status can influence access to resources, healthcare, and support services, but it is not the primary determinant of a patient's functional ability or independence. While financial resources are important for accessing necessary treatments and support, they do not directly impact the patient's functional capacity.

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What data are necessary to compile an effective end-of-shift report? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing the older adult for bowel health, the nurse is most effective in obtaining subjective data when asking:

Correct Answer is C

Explanation

The nurse planning care for an older adult who has recently been diagnosed with rheumatoid arthritis views the priority criterion for continued Independence to be the patients:

Correct Answer is B

Explanation

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An older adult patient is being assessed for possible alcohol abuse. To best assess the patient's risk potential, the nurse asks:

The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications. The nurses initial intervention is to:

The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:

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