When teaching students how to perform an assessment, the nurse informs the students that the reason this information needs to be accurate and complete is:

To allow for the client to focus on the illness

To allow for the client to spend more time with the nurse

To allow the nurse more time to know the client

To develop a plan with interventions that promote health

Answer and Explanation

The Correct Answer is D

A. To allow for the client to focus on the illness: Accurate and complete information is crucial for developing a proper care plan but not directly related to the client’s focus on their illness.

B. To allow for the client to spend more time with the nurse: Accurate information helps in forming a plan but does not necessarily impact the amount of time spent with the nurse.

C. To allow the nurse more time to know the client: While knowing the client is important, the primary reason for accurate information is to develop effective interventions.

D. To develop a plan with interventions that promote health: Accurate and complete assessment information is essential for developing a comprehensive care plan and interventions that address the client’s health needs.

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Correct Answer is B

Explanation

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.

A. History of present illness B. Initial Information C. Review of Systems D. Health Patterns

Correct Answer is A

Explanation

A. History of present illness: The OLD CART mnemonic is used to evaluate the characteristics of a symptom, which is documented under the history of present illness.

B. Initial Information: This section includes basic demographic and background information rather than detailed symptom analysis.

C. Review of Systems: This section includes a systematic review of body systems and their functions, not the detailed attributes of a specific symptom.

D. Health Patterns: This section covers the client’s overall health patterns and lifestyle but not the detailed attributes of a specific symptom.

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When teaching students how to perform an assessment, the nurse informs the students that the reason this information needs to be accurate and complete is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

The nurse is assessing the seven attributes of a client's symptom using the mnemonic OLD CART. In which section of the comprehensive health history will the nurse document this information?

Correct Answer is A

Explanation

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A positive Murphy's sign is indicative of?

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