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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The SBAR (Situation, Background, Assessment, Recommendation) system is a standardized way of communicating critical information between healthcare professionals, particularly during patient handoffs or when escalating a concern.
The recommendation component is where the healthcare professional providing the report suggests a course of action or plan for the patient based on the situation, background, and assessment. For example, a recommendation might be, "I recommend increasing Mr. Smith's pain medication to manage his discomfort," or "I recommend a consult with the nutritionist to address Mrs. Brown's malnutrition."

Of the options provided, (a) provides the situation, (c) provides the assessment, and (d) provides a specific finding from the assessment. Option (b) is a specific recommendation or plan.
Correct Answer is A
Explanation
The role of a registered nurse in a genitalia examination is mainly inspection and palpitation.
During a genitalia examination, the nurse will visually inspect the genital area for any abnormalities, lesions, or signs of infection. This may include examining the external genitalia, such as the vulva or penis, as well as the anus and surrounding area.
The nurse may also palpate, or gently touch, the genital area to check for any tenderness, swelling, or lumps that could indicate a problem. However, auscultation (listening with a stethoscope) and percussion (tapping on the body) are not typically part of a genitalia examination.
It is important to note that a genitalia examination should always be performed in a professional and respectful manner, with clear communication between the nurse and the patient throughout the process.
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