Anuursewhoprovidescareinacampusmedicalclinicisperforminganassessmentofa21-year-old

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Question 1 of 5

Anuursewhoprovidescareinacampusmedicalclinicisperforminganassessmentofa21-year-old

Correct Answer: B

Rationale: The correct answer is B because the question states that the nurse is performing an assessment, not determining a specific BMI value. The nurse would assess various factors to determine the patient's weight status, not just the BMI. Choice A is incorrect because it assumes the nurse has already determined the BMI, which is not specified in the question. Choice C is incorrect as it provides an extreme and definitive judgment without proper assessment. Choice D is incomplete. In summary, the correct answer is B as it aligns with the process of assessment and avoids making assumptions or extreme judgments.

Question 2 of 5

Youareperformingadietaryassessmentwithapatientwhohasbeenadmittedtothemedicalunitwith

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the importance of cultural and religious practices in dietary guidelines. By addressing cultural considerations, healthcare providers can provide more personalized and respectful care. Choice A is incorrect as it does not directly address the patient's concerns and may come off as dismissive. Choice B is incorrect as it focuses solely on foreign-born patients, neglecting the broader cultural diversity of patients. Choice C is incomplete and irrelevant. In summary, choice D is the best response as it demonstrates cultural competence and respect for the patient's beliefs and practices.

Question 3 of 5

In the course of performing an admission assessment, the nurse has asked questions about the patients first- and second-order relatives. What is the primary rationale for the nurses line of questioning? s

Correct Answer: C

Rationale: The primary rationale for the nurse's line of questioning about the patient's first- and second-order relatives is to identify potential sources of social support. This is crucial for understanding the patient's support system and planning appropriate care interventions. Other choices are incorrect because: A (living relatives quantity) is not as relevant for care planning, B (family health literacy) may be important but not the primary focus of this assessment, and D (genetic diseases) is not the primary purpose of this line of questioning in an admission assessment.

Question 4 of 5

The admitting nurse has just met a new patient who has been admitted from the emergency departrment. As the nurse introduces himself, he begins the process of inspection. What nursing action should the A nurse include during this phase of assessment?

Correct Answer: C

Rationale: The correct answer is C because during the inspection phase of the assessment, the nurse should pay attention to details while observing the patient's physical appearance, behavior, and overall condition. This helps the nurse gather important data for further assessment and plan of care. Option A is incorrect as psychosocial details are usually gathered during the interview phase. Option B is incomplete. Option D is incorrect as writing down details during observation may distract the nurse from accurately assessing the patient.

Question 5 of 5

During a health assessment of an older adult with multiple chronic health problems, the nurse practitioner is utilizing multiple assessment techniques, including percussion. What is the essential principle of percussion? t

Correct Answer: A

Rationale: The correct answer is A: To assess the sound created by the body. Percussion is a technique used to assess the density of underlying tissues by producing sounds. By tapping on the body surface, the nurse can evaluate the resonance, dullness, or flatness of different body parts. This helps in identifying abnormalities or fluid-filled areas within the body. Choice B is incorrect because percussion involves tapping, not striking, the body with a soft object. Choice C is incorrect because percussion is used to assess tissue density, not to create sound over dead spaces. Choice D is incorrect as percussion aims to produce sound, not vibration in a body wall.

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