During a mental status assessment, which question by the nurse would best assess a person's judgment?

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Vital Signs and Pain Assessment Questions

Question 1 of 5

During a mental status assessment, which question by the nurse would best assess a person's judgment?

A. Do you feel that you are being watched, followed, or controlled? B. Tell me what you plan to do once you are discharged from the hospital C. What does the statement, 'People in glass houses shouldn't throw stones,' mean to you? D. What would you do if you found a stamped, addressed envelope lying on the sidewalk?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope?

A. Is used to listen for high-pitched sounds. B. Is used to listen for low-pitched sounds. C. Should be lightly held against the person's skin to block out low-pitched sounds. D. Should be lightly held against the person's skin to listen for extra heart sounds and murmurs.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

When assessing a patient with significant shortness of breath, the nurse should:

A. Perform a complete physical assessment immediately. B. Focus on areas related to the respiratory system first. C. Ask the patient to lie flat for accurate examination. D. Obtain a detailed history from a family member.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

To assess a rectal temperature accurately in an adult, the nurse would:

A. Use a lubricated blunt tip thermometer. B. Insert the thermometer 2 to 3 inches into the rectum. C. Leave the thermometer in place up to 8 minutes if the patient is febrile. D. Wait 2 to 3 minutes if the patient has recently smoked a cigarette.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is conducting a health fair for older adults. Which statement is true regarding vital sign measurements in aging adults?

A. The pulse is more difficult to palpate because of the stiffness of the blood vessels. B. An increased respiratory rate and a shallower inspiratory phase are expected findings. C. A decreased pulse pressure occurs from changes in the systolic and diastolic blood pressures. D. Changes in the body's temperature regulatory mechanism leave the older person more likely to develop a fever.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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