You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?
head-to-toe assessment
focused assessment
complete assessment
system-by-system assessment
The Correct Answer is B
A. Head-to-toe assessment – A head-to-toe assessment is a comprehensive evaluation of all body systems and is not appropriate for an urgent complaint.
B. Focused assessment – A focused assessment is used for specific complaints, such as severe abdominal pain, to quickly gather relevant information.
C. Complete assessment –. A complete assessment includes a full health history and physical examination, which is unnecessary in an acute situation.
D. System-by-system assessment – A system-by-system assessment is detailed and comprehensive but may be too broad for addressing an immediate concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Introduce her/himself. – Introducing oneself establishes a professional relationship, sets the tone for communication, and makes the patient feel acknowledged and comfortable.
B. Communicate trust. – While trust is essential, it is built over time through consistent and reliable care rather than being the first step in the interaction.
C. Provide support. – Providing support is part of therapeutic communication, but it is not the initial step in forming a nurse-patient relationship.
D. Appear interested. – While showing interest is important, the first step is to introduce oneself to establish identity and professional presence.
Correct Answer is D
Explanation
A. Systemic – A systemic assessment is a head-to-toe examination that evaluates all body systems. The patient’s condition change requires a more targeted approach.
B. Specialized – A specialized assessment refers to an in-depth evaluation of a specific condition, usually performed by a specialist.
C. Individualized – While all assessments should be individualized, this term does not specifically describe the type of assessment needed in response to a sudden change in condition.
D. Focused – A focused assessment is performed when there is a specific change in the patient’s condition, such as new-onset dyspnea. It concentrates on the affected system (e.g., respiratory system) to determine the underlying cause.
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