All of the following are examples of focused questions EXCEPT
a. "Explain how the accident happened."
b. "Are you in pain?"
c. "What is it about this headache that differs from others you have had?"
d. "What did your brother say to you before he passed out?"
B
A focused assessment is an assessment that is limited in scope in order to focus on a particular need or health care problem or potential health care risks. Focused assessments are not as detailed as comprehensive assessments and are often used in health care agencies in which short stays are anticipated, in specialty areas such as labor and delivery, and in mental health settings or for purposes of screening for specific problems or risk factors.
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Following a CT scan, the nurse will encourage the spinal cord–injured patient to:
1. sit up at a 30-degree angle. 2. prevent chilling. 3. drink plenty of water. 4. avoid bearing down.
The client asks the nurse how taking an aspirin each day may help prevent colorectal cancer. What is the nurse's best response?
A. "Aspirin is an antioxidant that can prevent the formation of carcinogens during metabolism of food." B. "Aspirin has been found to suppress the activity of known carcinogens that are ingested as food." C. "The area of the gastrointestinal tract that absorbs aspirin is the same place car-cinogens are absorbed. Aspirin displaces carcinogens from the absorption site." D. "Aspirin increases the rate that foods move through the intestinal tract, so there is less time for carcinogens to come into contact with body organs."
The medical-surgical acute care patient has received a nursing diagnosis of Impaired skin integrity. The nurse consults a
a. Respiratory therapist. b. Registered dietitian. c. Chaplain. d. Case manager.
A community health nurse integrates the concept of causality when working with clients in the community to identify negative health occurrences. Which of the following would the nurse be evaluating?
A) All the possible influences on health/illness processes B) The host's ability to resist infectious disease–causing agents C) The relationship between a condition or event and its effect D) The chances that a disease or health problem will occur