A nurse is completing a basic health assessment. Which of the following questions should be asked by an environmentally aware nurse?
a. "Is anyone else in your family having these symptoms?"
b. "Can you tell me about your house or apartment?"
c. "What jobs have you held longest?"
d. "Where do you live?"
ANS: C
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Which statement BEST explains how a framework can be helpful for collecting assessment data?
a. The framework lists every question to ask the client so that the nurse will not forget. b. The framework allows the nurse to organize the data and helps determine the priority focus. c. Each nurse creates his or her own framework so that all of the assessments are the same. d. The framework will provide the nurse with the appropriate interventions to implement.
The wife of a client who has delusions of infidelity asks the nurse if any circumstances exist under
which the treatment team is justified in violating the client's right to confidentiality. The nurse must reply that confidentiality may be violated a. under no circumstances. b. at the discretion of the psychiatrist. c. when questions are asked by law enforcement. d. if the client threatens the life of another person.
A mother brings her 6-year-old son in for a check-up because the child is complaining of stomachaches. It is the beginning of the school year. Which of the following might the mother also mention?
A) The child cries before going to school. B) The child made friends the first day of school. C) The child fights with siblings more often. D) The child loves the crowds in the lunchroom.
While evaluating a client's electrocardiogram (ECG) before surgery, the preoperative nurse identifies large, wide Q waves. What is the nurse's best interpretation of this finding?
a. An acute myocardial infarction is occur-ring. b. The client had a myocardial infarction in the past. c. The ventricles are enlarged and failing. d. The ECG is a common variation of normal sinus rhythm.