jarvis health assessment test bank -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Critical thinking. Critical thinking involves analyzing information, evaluating options, and making sound decisions. When caring for multiple clients with complex care, critical thinking enables nurses to prioritize tasks, anticipate complications, and adapt care plans accordingly. Diagnostic reasoning (
A) is important but focuses on identifying specific health issues. Physical assessment (
B) is crucial but only addresses one aspect of care. Nursing care plans (
D) are essential tools but rely on critical thinking for effective implementation. In conclusion, critical thinking is the key as it encompasses all aspects of problem-solving in complex care situations.

Correct Answer: C

Rationale: The correct answer is C: Functional. Functional assessment focuses on roles and relationships of the client by evaluating how well they can perform daily activities and interact with others. This type of assessment provides valuable insights into a client's overall well-being and ability to function independently.

Incorrect choices:
A: Body systems - This type of assessment focuses on the physical structures and functions of the body, not on the client's roles and relationships.
B: Head to toe - This refers to a comprehensive physical examination from head to toe, which does not specifically address the client's roles and relationships.
D: Focused - This type of assessment targets a specific issue or concern, but it may not necessarily delve into the client's roles and relationships.

Correct Answer: A

Rationale: The correct answer is A because a functional assessment primarily focuses on evaluating an individual's health patterns, including their roles and relationships in daily life. This comprehensive approach helps healthcare professionals understand the impact of health on a person's overall well-being and quality of life.


Choice B is incorrect because a functional assessment does not specifically cover life-threatening conditions; it is more holistic in nature.
Choice C is incorrect as a functional assessment does not prioritize a single health issue but considers multiple aspects of a person's functioning.
Choice D is incorrect because although vital sign abnormalities may be part of the assessment, they are not the primary purpose of a functional assessment.

Correct Answer: B

Rationale: The correct answer is B because a functional health assessment evaluates various health patterns such as roles, relationships, coping mechanisms, stress tolerance, and lifestyle choices, providing a holistic view of the individual's well-being. Vital signs and circulation (
A) are typically included in a physical assessment, not a functional health assessment. Assessing specific organ abnormalities (
C) would be part of a focused physical examination or diagnostic testing. Acute symptoms (
D) are important to address but do not encompass the comprehensive evaluation of health patterns that a functional health assessment covers.

Correct Answer: B

Rationale: The correct answer is B: not pulling to a standing position. At 11-12 months, a child should be able to pull themselves to a standing position. Inability to do so suggests possible hip joint instability, a key risk factor for developmental dysplasia of the hip. Refusal to walk (
A) is not specific to hip dysplasia. Negative Trendelenburg sign (
C) indicates good hip abductor strength, which is not a risk factor. Negative Ortolani sign (
D) is a maneuver used for hip joint assessment in infants and is not indicative of hip dysplasia risk at this age.