When assessing aging adults, the nurse knows that one of the first things that should be assessed before making judgements about their mental status is:
A. General intelligence
B. Presence of irrational thinking problems
C. Presence of phobias
D. Sensory-perceptive abilities - D.
The nurs...
Holistic Assessment Exam with Solutions
When assessing aging adults, the nurse knows that one of the first things that
should be assessed before making judgements about their mental status is:
A. General intelligence
B. Presence of irrational thinking problems
C. Presence of phobias
D. Sensory-perceptive abilities - ✅✅ D.
The nurse is performing a mental status examination. Which statement is true
regarding the assessment?
A. A mental status assessment diagnoses specific psychiatric disorders
B. Mental status functioning is inferred through the assessment of an individual's
behavior
C. Mental status can be directly assessed, similar to other systems of the body (i.e.
heart sounds, breath sounds)
D. Mental disorders occur in response to everyday life stressors - ✅✅ B.
When evaluating a patient’s pain, the nurse knows that an example of acute pain
would be:
A. Fibromyalgia
B. Low back pain
C. Kidney stones
D. Arthritic pain - ✅✅ C
Which statement indicates that the nurse understands the pain experienced by an
older adult?
A. "Pain indicates a pathologic condition or injury and is not a normal process of
aging"
B. "Older individuals perceive pain to a lesser degree than do younger individuals"
C. "Older adults must learn to tolerate pain"
D. "Pain is a normal process of aging and is to be expected" - ✅✅ A.
The nurse is assessing a patient's pain. The nurse knows that the most reliable
indicator of pain would be:
A. Patients vital signs
B. Subjective report
C. Results of a computerized axial tomographic scan
, D. Physical examination - ✅✅ B
A patient has been admitted to the hospital with vertebral fractures related to
osteoporosis. She is in extreme pain. This type of pain would be classified as:
A. Referred
B. Visceral
C. Cutaneous
D. Deep somatic - ✅✅ D
The nurse recognizes which of these persons is at greatest risk for undernutrition?
A. A 5-month old infant
B. 20-year-old college student
C. 30-year-old hospital administrator
D. 50-year-old woman - ✅✅ A
What is assessment? - ✅✅ The process of gathering information about an
individual's health status to identify concerns and needs
True/False
Physical medical assessment collects holistic subjective and objective data to
determine a client's overall level of functioning in order to make a professional
clinical judgement - ✅✅ False
Physical medical assessment is how the body looks
What are the phases of nursing process? - ✅✅ -Assessment
-Diagnosis
-Planning
-Implementation
-Evaluation
What occurs during the assessment phase of the nursing process?
A. Collect subjective and objective data
B. Determine outcome criteria and develop a plan of care
C. Carry out the plan
D. Assess whether outcome criteria have been met and revise the plan as necessary
- ✅✅ A
What is subjective data? - ✅✅ It is what a patient says about
himself/herself/themselves during history taking
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