What is the purpose of the general survey?

Provides an opportunity for the client to relax before the exam

Allows for vital signs to be taken prior to starting the exam

States an introduction and general plan of care

Yields information to guide the physical assessment

Answer and Explanation

The Correct Answer is D

A. Provides an opportunity for the client to relax before the exam: While the general survey may help the client feel more at ease, its primary purpose is not relaxation but to gather initial observational data.

B. Allows for vital signs to be taken prior to starting the exam: Vital signs are part of the assessment process, but the general survey encompasses a broader observation of the client’s overall appearance, behavior, and physical status.

C. States an introduction and general plan of care: Introducing the exam and outlining the plan is important for communication and rapport, but it is separate from the general survey, which focuses on observational data.

D. Yields information to guide the physical assessment: The general survey provides baseline information about the client’s overall appearance, behavior, and functional status. Observations from the survey help prioritize and direct subsequent detailed physical assessments.

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Correct Answer is C

Explanation

A. A client with a burn on their forearm sustained from boiling water: While burns require assessment and care, a forearm burn without signs of systemic compromise is not immediately life-threatening and can wait after more urgent cases.

B. A client with a right ankle fracture unable to place any weight on it: An isolated fracture causes pain and limited mobility but is not life-threatening, making it lower priority in triage compared to clients with potential systemic compromise.

C. A client with severe abdominal pain who is pale and diaphoretic: Pallor and diaphoresis indicate possible shock or serious internal pathology. This client is at highest risk for rapid deterioration and requires immediate assessment and intervention.

D. A client with a head laceration being controlled with pressure: If bleeding is controlled and the client is stable, this is urgent but not immediately life-threatening, so the client can be assessed after those showing signs of shock or systemic compromise.

A. Asking closed-ended questions to direct the conversation. B. Focus on typing notes while the client is speaking. C. Provide advice before the client has finished speaking. D. Maintain eye contact and nod to indicate understanding.

Correct Answer is D

Explanation

A. Asking closed-ended questions to direct the conversation: Closed-ended questions limit responses and can restrict the flow of information. Active listening involves open-ended questions that encourage the client to share more detailed thoughts and feelings.

B. Focus on typing notes while the client is speaking: Diverting attention to note-taking can signal disinterest and reduce the nurse’s ability to interpret verbal and nonverbal cues. Active listening requires full attention to the client.

C. Provide advice before the client has finished speaking: Interrupting with advice prevents the nurse from fully understanding the client’s perspective. Active listening involves allowing the client to express themselves completely before responding or offering guidance.

D. Maintain eye contact and nod to indicate understanding: Nonverbal cues such as eye contact, nodding, and facial expressions demonstrate attentiveness and understanding. These behaviors encourage the client to communicate openly and confirm that the nurse is actively listening.

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What is the purpose of the general survey?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is triaging a group of clients in the emergency department. Which client should be assessed first?

Correct Answer is C

Explanation

During a client interview, which is an example of an active listening technique a nurse can use to improve communication?

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?

The nurse is caring for a group of clients. Which client should the nurse identify as a third-level priority?

The nurse is planning a health promotion program for a group of clients. What action should the nurse plan to take first when implementing this health promotion plan?

A nurse is preparing to perform palpation during an abdominal assessment of a client. Which describes the purpose of using light palpation?

Which information obtained during a history and physical examination should the nurse document as subjective data?

A nurse is educating staff nurses about the goals of timely and accurate documentation of health assessments. Which statement by a staff nurse indicates additional education is needed?

A nurse is educating an older adult client about safe medication practices. Which instruction should the nurse include in the education?

Complete the sentence using the drop-down lists. A nurse is completing a physical assessment of a client's respiratory system. The nurse should first use the dropdown technique and end with the dropdown technique.