In what patient situations would a comprehensive a

Question 1 of 5

In what patient situations would a comprehensive assessment be performed (select all that apply)?

A. Complaints of chest pain B. On initial admission to the telemetry unit C. On initial evaluation by the home health nurse D. The patient is found lying on the floor and is unresponsive

Correct Answer: B

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

Question 2 of 5

When selecting audiovisual and written materials as teaching strategies, what is important for the nurse to do?

A. Provide the patient with these materials before the planned learning experience. B. Ensure that the materials include all the information the patient will need to learn. C. Review the materials before use for accuracy and appropriateness to learning needs and goals. D. Assess the patient’s auditory and visual ability because these functions are necessary for these strategies to be effective.

Correct Answer: C

Rationale: The correct answer is 'Review the materials before use for accuracy and appropriateness to learning needs and goals.' Ensuring the materials are accurate and appropriate is critical to effective teaching. Providing materials beforehand or ensuring they cover all needed information may not always be feasible or necessary.

Question 3 of 5

After listening to her, which statement would be included as part of a motivational interview?

A. Why not? B. If you go to therapy, I’ll give you a back rub when you get back. C. I know you are tired but look how much easier walking was today than it was last week. D. Well, with that attitude, you will have trouble. The doctor ordered therapy because he thought it would help.

Correct Answer: C

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

Question 4 of 5

For each of the nursing diagnoses listed, identify at least two normal expected physiologic changes related to aging that could be etiologic factors of the diagnosis.

A. Imbalanced nutrition: less than body requirements B. Activity intolerance C. Risk for injury D. Urge urinary incontinence

Correct Answer: A

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

Question 5 of 5

An 88-year-old woman is brought to the health clinic for the first time by her 64-year-old daughter. During the initial comprehensive nursing assessment of the patient, what should the nurse do?

A. Ask the daughter whether the patient has any urgent needs or problems. B. Interview the patient and daughter together so that pertinent information can be confirmed. C. Obtain a health history using a functional health pattern and assess activities of daily living (ADLs) and mental status. D. Refer the patient for an interdisciplinary comprehensive geriatric assessment because at her age she will have multiple needs.

Correct Answer: C

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

In what patient situations would a comprehensive assessment be performed (select all that apply)?

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