Anursepractitionersassessmentofanewpatientincludeseachofthefourbasicassessmenttechniques. g Whenusingpercussion,whichofthefollowingisthenurseabletoassess?

Correct Answer: C

Rationale: The correct answer is C: Borders of the patient's liver. When using percussion, the nurse can assess the density and size of organs by listening to the sounds produced. The liver has a distinct border that can be identified through percussion. Option A is incorrect as the borders of the heart are typically assessed through palpation and auscultation. Option B is incorrect because diaphragmatic movement is typically observed during respiration, not percussion. Option D is incorrect as rectal distension is assessed through palpation and inspection, not percussion. In summary, percussion is a technique used to assess the density and size of organs by listening to the sounds produced, making option C the correct choice in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Lifelong eating habits are acquired. During the teen years, individuals are more likely to establish and solidify their eating habits, which can have long-lasting effects on their health. This period is crucial for developing a healthy relationship with food and making informed choices. Choice B is incorrect because it is incomplete. Choice C is incorrect because peer pressure can influence behaviors, but it is not the most common occurrence during the teen years in terms of nutritional assessment and intervention. Choice D is incorrect because BMI (Body Mass Index) can fluctuate during the teen years due to growth and development, but it is not the most common occurrence related to addressing nutritional needs in teenagers.

Correct Answer: B

Rationale: The correct answer is B: Increased incidence of falls. A low BMI in community-dwelling elderly individuals is associated with decreased muscle mass and strength, which can lead to reduced balance and increased risk of falls. Falls are a significant concern among the elderly population, often resulting in serious injuries and complications. The other choices are incorrect because: A: High risk of diabetes - Low BMI is not typically associated with a high risk of diabetes; in fact, it is more commonly linked to a higher risk of malnutrition-related problems. C: Higher mortality rate - While low BMI can be a risk factor for mortality in older adults, the question specifically asks about associations with low BMI in the elderly, not mortality rates. D: Low risk of chronic disease - A low BMI is not indicative of a low risk of chronic diseases; in fact, it can be a risk factor for various health issues due to malnutrition and decreased muscle mass.

Correct Answer: B

Rationale: The correct answer is B: What resources are available to the patient. This is important because it helps in determining the support systems and services that can be utilized to assist the patient in her home setting. Knowing the available resources can help in providing appropriate care and assistance tailored to the patient's specific needs. A: Where the closest relative lives is not as critical as knowing the available resources that can provide immediate support and care for the patient. C: The patient's financial status may be important for long-term planning but is not essential for immediate care in the home setting. D: The number of children the patient has is not as relevant as knowing the resources that can be accessed to provide care and support for the patient.

Correct Answer: B

Rationale: The correct answer is B because evaluations measure the effectiveness of a program by assessing the outcomes and impact it has achieved. This includes evaluating whether the program's goals were met, the extent of its success, and the changes it has brought about. Evaluations go beyond just monitoring the timeliness of activities (choice A) or budget adherence (choice C). Evaluations focus on the overall effectiveness and success of the program in delivering the intended results.