Before completing the physical examination, the nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?
Apparent state of health
Facial expression
Level of consciousness
Posture, gait, motor activity, and speech
The Correct Answer is C
A. Apparent state of health: This generally reflects overall health rather than specific mental or cognitive status.
B. Facial expression: Facial expression provides insight into mood and emotional state but does not specifically assess consciousness or orientation.
C. Level of consciousness: Being awake, alert, and oriented is directly related to the level of consciousness, which is a key aspect of assessing cognitive and mental function.
D. Posture, gait, motor activity, and speech: These aspects are relevant for physical activity and motor skills, not specifically for consciousness or cognitive orientation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Identify ways to ensure client privacy: Ensuring privacy is essential for a respectful and confidential examination.
B. Turn on relaxing music of the client's choice: While this might improve the client's comfort, it is not a standard or necessary step before conducting a physical examination.
C. Wash hands: Hand hygiene is crucial before any physical examination to prevent infection.
D. Obtain and check needed equipment: Having and checking equipment ensures that all necessary tools are available and in working order for the examination.
E. Dim the lighting to promote comfort: Proper lighting can help in conducting a thorough examination and make the client feel more comfortable.
Correct Answer is B
Explanation
A. To establish personal rapport with the client: While rapport is important, the primary purpose of asking about family health history is not to build a personal connection.
B. To identify diseases for which the client may be at risk: Family health history helps identify genetic or hereditary conditions that may increase the client’s risk for certain diseases.
C. To assess the client's quality of life: Family health history does not directly assess the client’s quality of life but rather their risk for specific conditions.
D. To get to know the client better: Although understanding family history can help in getting to know the client’s health context, the primary purpose is to assess risk factors.
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