The nurse is entering the room to assess a newly admitted client. Which best describes the purpose for a general survey that is conducted prior to beginning the physical assessment?
1. Allows for vital signs prior to starting exam.
2. Provides an opportunity for the client to relax before the exam.
3. Yields information to guide the physical assessment.
4. Provides the information necessary for the diagnosis.
Correct Answer: 3
The general survey allows the nurse to observe the client and gain clues to guide the remainder of the assessment. Vital signs are not part of the general survey. The purpose of the general survey is to allow the nurse the opportunity to gather clues to guide the rest of the assessment; the purpose is not to give the client an opportunity to relax. The general survey consists of four major observations: physical appearance, mental status, mobility, and behavior. The general survey does not provide the necessary information to identify client problems or nursing diagnosis, but rather serves as a guide for a more detailed assessment.
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The nurse is working on a committee tasked with making a major organizational change
Which comments by the nurse would help to advance the work of this committee? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "I would like to focus on completing this process so we can move on." 2. "Have we looked at all available data in order to make an informed decision?" 3. "What are the obstacles to implementing this change within the organization?" 4. "Are we including the opinions of all stakeholders in this decision?" 5. "I think it does not really matter when we institute this change, as long as it is over quickly."
Native Americans who are wearing their tribal dress are demonstrating their native dance to a community group. This is an example of which of the following?
A) Acculturation B) Ethnicity C) Race D) Ethnocentrism
A patient with Crohn's disease is recovering from a bowel resection. What information should the nurse provide?
1. "Surgery has ensured that you will never have another recurrence of the disease.". 2. "You need close follow-up because there is a possibility of recurrence in another portion of the bowel.". 3. "You may develop ulcerative colitis now that your Crohn's is cured.". 4. "The surgery increases your risk of developing an intestinal stricture.".
What is the most likely client outcome when care is being driven by the nurse's ethnocentric beliefs?
A) There is a failure to incorporate a client's personal belief and value system into the plan of care. B) Physical health issues are given priority over psychosocial health issues regardless of severity. C) A client's ethic culture and its resulting values and attitudes are values with respect. D) The nurse places the client's wishes above all other considerations.