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

Answer and Explanation

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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Correct Answer is D

Explanation

A. "Who helps cook and clean for you? You don't do it all yourself, do you?": This question assesses support for activities of daily living but does not directly address the client’s safety in their environment.

B. "How do you get your daily exercise with your immobility limitations?": This question explores physical activity and mobility, which can impact health, but it does not fully capture environmental safety or risk for injury at home.

C. "How do you usually get your medications each day?": Understanding medication management is important for adherence and safety, but it focuses on a single aspect of safety rather than the broader home environment.

D. "Tell me about a typical day. Do you feel secure in your environment?": This question directly addresses the client’s perception of safety and allows the nurse to identify potential hazards, falls risks, or other environmental concerns. It provides comprehensive information about the client’s safety and daily functioning.

A. "It helps to determine the cost of my medications during my stay." B. "It is done to check if I have any allergies to the medications." C. "It is performed to see if I need any new medications prescribed." D. "It helps to reduce errors and promote safety during my stay."

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.

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

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Naxlex Comprehensive Predictor Exams

A home health nurse is caring for an older adult client who is immobile. What question should the nurse ask to collect information about the client's safety?

Correct Answer is D

Explanation

A nurse evaluates a client's understanding of why a medication reconciliation is performed upon admission to the hospital. Which statement made by the client indicates understanding?

Correct Answer is D

Explanation

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