The nurse is conducting a psychosocial assessment. Which of the following would be included in this assessment? (Select all that apply)

CAGE assessment

Heinrich Fall Scale

Mini-Mental Status Exam

Activities of Daily Living Tool

Answer and Explanation

Correct Answer : C,D

The Mini-Mental Status Exam assesses cognitive function, which is often included in the psychosocial assessment, and the Activities of Daily Living Tool assesses the patient's ability to perform daily tasks, which is also important to understand the patient's level of functioning.

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Correct Answer is C

Explanation

Standard precautions refer to the basic infection prevention measures that should be taken with all patients, regardless of their known or suspected infection status. This includes hand hygiene, the use of personal protective equipment (such as gloves), and the proper handling and disposal of contaminated items.

If there is a concern for an infection, additional precautions may be necessary based on the suspected or confirmed pathogen. In such cases, the nurse should follow transmission-based precautions, which are specific measures designed to prevent the spread of certain types of infections. For example, if there is a concern for a respiratory infection such as inﬂuenza, the nurse may need to use droplet precautions, which would include wearing a mask in addition to standard precautions.

It's important for the nurse to assess the patient's medical history and current condition to determine what precautions are necessary. The nurse should also be aware of and follow the infection control policies and procedures of their healthcare facility.

A. You can read the chart perfectly with both eyes. B. You can read 25 feet what most people can read at 20 feet. C. You can read at 20 feet what most people can read at 25 feet. D. Your left eye can see the chart at 20 feet while your right eye can see it at 25 feet.

Correct Answer is C

Explanation

A visual acuity of 20/25 means that the patient can read letters on an eye chart at 20 feet away, which is the same as what someone with normal vision can read at 25 feet away. This indicates that the patient's visual acuity is slightly below average, but still within the normal range.

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The nurse is conducting a psychosocial assessment. Which of the following would be included in this assessment? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should utilize what type of precaution when palpating the lips in a healthy adult?

Correct Answer is C

Explanation

The nurse assesses the patient's visual acuity to be 20/25 using an eye chart. The patient asks what that means. Which of the following is the nurse’s best response?

Correct Answer is C

Explanation

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