A psychiatric nurse performs an admission assessment for a newly admitted client. The nurse understands that gathering assessment information is considered:
A) Secondary in importance to diagnostic or laboratory studies.
B) The cornerstone of diagnosis and treatment planning.
C) Useful only for building rapport.
D) Helpful but not necessary for accurate diagnosis and treatment.
B
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A child may have a deficiency in production of prothrombin and fibrinogen. The nurse anticipates diagnostic testing related to which organ?
A. Duodenum B. Gallbladder C. Liver D. Pancreas
The nurse is assessing an older client who is having an annual assessment. In order to assess age-related changes of the musculoskeletal system, the nurse should assess:
1. the client's weight. 2. vital signs 3. the client's height. 4. the client's normal urine output.
The nurse preparing to palpate a patient would begin by
a. not wearing gloves because they can interfere with the ability to accurately feel. b. avoiding to tell the patient where the nurse will touch so the muscles will not tense up. c. ensuring that the nurse's fingernails are short to prevent discomfort or injury. d. telling the patient to hold his breath during the palpation.
The nurse in an acute care facility is caring for a patient recovering from a cerebral vascular accident that has resulted in a mild loss of muscle function in his right arm and leg
The nurse is best addressing the patient's need via the functional model of care when: a. assessing the patient's right-sided muscle strength daily. b. reaffirming to the patient that physical therapy will improve his muscle strength. c. instructing the patient's family on how to properly assist the patient in walking. d. placing the telephone where the patient can reach it with his left hand.