A nurse is collecting a complete health history of a client. What is the purpose of the review of systems?
Ask about the client's ability to perform daily tasks
Perform a physical assessment
Talk about the laboratory test results for each system
Review each body part to ask the client about experiences or issues
The Correct Answer is D
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.
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Related Questions
Correct Answer is D
Explanation
A. "It helps to determine the cost of my medications during my stay.": Medication reconciliation is not intended to evaluate cost; its purpose is focused on safety and accuracy of medication administration, not financial considerations.
B. "It is done to check if I have any allergies to the medications.": While checking for allergies is part of safe medication management, the primary goal of reconciliation is to verify all medications and prevent errors, not solely to identify allergies.
C. "It is performed to see if I need any new medications prescribed.": Although reconciliation may reveal gaps in therapy, the main purpose is to ensure consistency between pre-admission and hospital medications and to prevent errors, rather than to determine new prescriptions.
D. "It helps to reduce errors and promote safety during my stay.": This statement reflects the client’s understanding that medication reconciliation is a safety measure aimed at preventing omissions, duplications, dosing errors, or interactions, which aligns with the primary goal of the process.
Correct Answer is B
Explanation
A. Measuring the client's vital signs: Vital signs are part of the physical assessment, not the general survey. They provide objective data but are collected separately from the initial observational overview.
B. Observing the client's body stature: The general survey involves an overall observation of the client’s physical appearance, including body stature, posture, gait, and apparent age. These observations help the nurse form a baseline impression of the client’s health.
C. Auscultating lung sounds: Auscultation is a specific component of the focused physical assessment, not part of the general survey. It requires using a stethoscope and detailed evaluation of specific body systems.
D. Prioritizing client's needs: Prioritization occurs after assessment and data collection. While essential for care planning, it is not a component of the general survey, which is primarily observational.
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