A nurse is caring for a newly admitted client. Which should the nurse include in the assessment phase of the nursing process?

Identify the needed nursing actions to address the client's health problem.

Interview the client about current and past health history.

Measure the success of the care goals.

Develop the expected outcome with the client.

Answer and Explanation

The Correct Answer is B

A. Identify the needed nursing actions to address the client's health problem: Planning and determining interventions occur in the planning phase, not during assessment. Assessment focuses on data collection rather than action implementation.

B. Interview the client about current and past health history: Collecting subjective and objective information through interviews, observation, and examination is the core of the assessment phase. This information forms the foundation for identifying problems and planning care.

C. Measure the success of the care goals: Evaluating whether goals have been met is part of the evaluation phase. It occurs after interventions have been implemented and outcomes are assessed.

D. Develop the expected outcome with the client: Establishing expected outcomes is part of the planning phase. It follows assessment and involves collaboration with the client to determine realistic and measurable goals.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Asking closed-ended questions to direct the conversation: Closed-ended questions limit responses and can restrict the flow of information. Active listening involves open-ended questions that encourage the client to share more detailed thoughts and feelings.

B. Focus on typing notes while the client is speaking: Diverting attention to note-taking can signal disinterest and reduce the nurse’s ability to interpret verbal and nonverbal cues. Active listening requires full attention to the client.

C. Provide advice before the client has finished speaking: Interrupting with advice prevents the nurse from fully understanding the client’s perspective. Active listening involves allowing the client to express themselves completely before responding or offering guidance.

D. Maintain eye contact and nod to indicate understanding: Nonverbal cues such as eye contact, nodding, and facial expressions demonstrate attentiveness and understanding. These behaviors encourage the client to communicate openly and confirm that the nurse is actively listening.

A. Ask about the client's ability to perform daily tasks B. Perform a physical assessment C. Talk about the laboratory test results for each system D. Review each body part to ask the client about experiences or issues

Correct Answer is D

Explanation

A. Ask about the client's ability to perform daily tasks: Assessing daily living activities evaluates functional status rather than providing a systematic review of organ systems. It is an important component of the health history but not the main purpose of the review of systems.

B. Perform a physical assessment: A physical assessment involves direct observation and examination, whereas the review of systems is a verbal inquiry about the client’s experiences or symptoms across body systems.

C. Talk about the laboratory test results for each system: Laboratory results are interpreted after tests are performed; the review of systems focuses on eliciting subjective information from the client about symptoms or issues, not discussing test results.

D. Review each body part to ask the client about experiences or issues: The review of systems systematically examines each body system through client-reported information. This helps identify current or past health problems and guides further assessment or interventions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a newly admitted client. Which should the nurse include in the assessment phase of the nursing process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a client interview, which is an example of an active listening technique a nurse can use to improve communication?

Correct Answer is D

Explanation

A nurse is collecting a complete health history of a client. What is the purpose of the review of systems?

Correct Answer is D

Explanation

The nurse completes training in administering chemotherapy before transferring to an oncology unit to ensure they can care for those clients safely. Which ethical principle has the nurse demonstrated?

The nurse is triaging a group of clients in the emergency department. Which client should be assessed first?

The nurse is caring for a group of clients. Which client should the nurse plan to complete an emergency assessment on?

A nurse educates a client with limited English-speaking skills about their disease. What action should the nurse take to ensure the client is able to understand the teaching?

Which information documented by the nurse is considered objective data?

45. Complete the sentence by selecting from the drop-down lists. A nurse is assessing the gastrointestinal system of a client. The nurse should document dropdown as objective data anddropdown as subjective data.

A nurse is taking care of a client with a cultural background different from the nurse. Which step should the nurse take first to provide culturally competent care?

A nurse is conducting several health assessments. Which action(s) should the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.