Which of the following is the most appropriate open-ended question to begin a nursing assessment?
"Is this your first time experiencing these symptoms?"
"Do you have any allergies?"
"Can you describe what brought you to the hospital today?"
"Are you feeling any pain right now?"
The Correct Answer is C
A. This is a closed-ended question that leads to a simple "yes" or "no" response, limiting the amount of information the nurse gathers.
B. While this is important information, it is not an appropriate opening question for a full nursing assessment, as it does not encourage the patient to share their primary concern.
C. This open-ended question allows the patient to provide a detailed narrative, helping the nurse gather a comprehensive history.
D. This is a closed-ended question that focuses only on pain rather than encouraging the patient to share their full reason for seeking care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. Teaching about medications. This is correct because providing education to a patient is a direct care intervention, as it involves interaction with the patient to improve their health outcomes.
B. Performing resuscitation. This is correct because resuscitation is a hands-on, immediate intervention aimed at stabilizing a patient, making it a direct care intervention.
C. Inserting a feeding tube. This is correct because placing a feeding tube is a direct intervention that involves a hands-on nursing procedure.
D. Documenting wound care. This is incorrect because documentation is an indirect care intervention. While it is essential for communication and continuity of care, it does not directly affect the patient's condition.
E. Ambulating a patient. This is correct because physically assisting a patient with walking is a direct care intervention that helps prevent complications such as deep vein thrombosis and pneumonia.
Correct Answer is C
Explanation
A. While delegation is important, it occurs after the nurse establishes patient-centered goals and a care plan.
B. Evaluating the effectiveness occurs later in the nursing process. The nurse must first set goals and interventions before assessing their outcomes.
C. After analyzing data, the next step in the nursing process is planning, which includes setting measurable, individualized goals for the patient.
D. Discharge planning is important but comes later. The nurse must first establish patient goals and care priorities before involving other healthcare team members.
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