A visiting nurse is making a routine home visit for a client who has hypertension, diabetes mellitus, and chronic kidney disease to understand how treatment has been going. Which type of assessment should the nurse use in this situation?
A follow-up assessment
A complete assessment
An episodic assessment
An emergency assessment
The Correct Answer is A
A. A follow-up assessment: This type of assessment is used to evaluate a client’s progress after initial treatment or previous visits. It focuses on monitoring chronic conditions, adherence to treatment plans, and identifying changes that may require intervention, making it appropriate for this routine home visit.
B. A complete assessment: A complete assessment is comprehensive and includes detailed health history and physical examination. It is typically performed at the first encounter rather than during routine follow-up visits.
C. An episodic assessment: Episodic assessments address specific problems or concerns that arise between regular visits. Since this visit is routine and not prompted by a new problem, an episodic assessment is less appropriate.
D. An emergency assessment: Emergency assessments are performed when a client presents with acute, life-threatening conditions requiring immediate attention. This type of assessment is not applicable for a routine home visit for chronic disease monitoring.
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Related Questions
Correct Answer is A
Explanation
A. Focused assessment: A focused assessment targets a specific problem or area of concern, in this case, numbness and tingling in the left foot after femur surgery. It allows the nurse to quickly identify complications such as nerve injury, compartment syndrome, or impaired circulation.
B. Cultural assessment: Cultural assessments explore a client’s beliefs, values, and practices, which are important for holistic care but do not address acute postoperative neurological or vascular concerns.
C. Spiritual assessment: Spiritual assessments focus on the client’s religious or spiritual needs and coping mechanisms. While important for overall well-being, it does not provide information about acute physical complications.
D. Complete health assessment: A complete assessment is comprehensive, covering all body systems and health history. While thorough, it is unnecessary and time-consuming when the client presents with a specific postoperative concern requiring immediate attention.
Correct Answer is D
Explanation
A. Allergy assessment: This is part of the client’s medical history and does not fall under the general survey, which focuses on observable, overall physical and behavioral characteristics.
B. Skin temperature and color: While skin assessment is important, detailed measurements of temperature and specific color changes are usually part of the physical examination, not the initial general survey.
C. Reason for seeking care: This is subjective information provided by the client and is part of the health history, rather than the general survey, which emphasizes observable characteristics.
D. Posture and speech: Posture, gait, speech, and overall appearance are key elements of the general survey. These observations provide an immediate impression of the client’s general health, functional status, and level of comfort.
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