Which is included in the general survey?

Measuring the client's vital signs

Observing the client's body stature

Auscultating lung sounds

Prioritizing client's needs

Answer and Explanation

The Correct Answer is B

A. Measuring the client's vital signs: Vital signs are part of the physical assessment, not the general survey. They provide objective data but are collected separately from the initial observational overview.

B. Observing the client's body stature: The general survey involves an overall observation of the client’s physical appearance, including body stature, posture, gait, and apparent age. These observations help the nurse form a baseline impression of the client’s health.

C. Auscultating lung sounds: Auscultation is a specific component of the focused physical assessment, not part of the general survey. It requires using a stethoscope and detailed evaluation of specific body systems.

D. Prioritizing client's needs: Prioritization occurs after assessment and data collection. While essential for care planning, it is not a component of the general survey, which is primarily observational.

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Correct Answer is C

Explanation

A. The client's learning needs: While understanding learning needs is important for education and long-term management, it is not an immediate priority in an emergency situation where safety and urgent interventions are critical.

B. The client's age and sex: Age and sex are relevant for assessment and risk stratification, but they do not directly address immediate safety concerns or guide urgent care decisions in an emergency.

C. The client's allergies: Allergies are critical to identify immediately because they can cause life-threatening reactions if the client is exposed to certain medications, foods, or substances during emergency treatment. This information directly impacts safe and effective care.

D. The client's medical history: Knowing medical history is valuable for understanding the client’s overall health, but in an emergency, information that prevents immediate harm, such as allergies, takes precedence over detailed historical data.

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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Which is included in the general survey?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse interviews a client during an emergency. What information should the nurse prioritize?

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

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