During a nurse's visit to the client's home, the client states, "I have pain in my right knee." The nurse assesses the client's right knee. This is a
A) Focused assessment
B) Spiritual assessment
C) Social assessment
D) Comprehensive assessment
Ans: A
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A mother brings her 4-year-old child with a rash into the clinic. The intervention that is most clearly within the scope of nursing practice is:
1. deciding that the rash represents measles. 2. teaching the mother to protect other children from the measles. 3. recommending acetaminophen (Tylenol) for the associated fever. 4. ruling out causes other than measles for the rash.
Erickson and colleagues introduced the Adaptive Potential Assessment Model that described three states of coping potential as:
a. stress, adaptation, maladaptation b. impoverishment, nourishment, starvation c. imbalance, homeostasis, balance d. arousal, equilibrium, and impoverishment
A 20-year-old economics major became severely depressed after failing two examinations in economics. She cried for 2 hours, then called her parents who live in a neighboring state, planning to ask if she could return home
However, her parents were in Europe. When her roommate went home for the weekend, the patient gave her three expensive sweaters to keep. Later, the dormitory resident assistant returned a book to the patient's room and found her unconscious on the floor, with an empty pill bottle nearby. The patient behavior that provided a clue to the suicide attempt was: a. calling her parents. b. staying in her dorm room. c. giving away her sweaters. d. excessive crying.
You have received a patient in the emergency department exhibiting dyspnea, hypoxia, tachypnea, chest pain, and hemodynamic instability. What would you expect this patient's diagnosis to be?
A) Hyperpyrexia B) Asthma C) Blast lung D) Ruptured spleen