EXAM 1 HA

Who has a greater risk for suicide?

You are performing a mental status exam on a patient. The patient keeps saying made up words, this is known as?

Which assessment finding should the nurse document as objective data?

Which question should the nurse ask to assess the judgement ability in the client?

The nurse is preparing to assess the peripheral pulses of a client. The nurse should place the client in which position?

A hallucination includes?

A patient presents to the clinic with spooned nails. This is indicates the patient is having what type of deficiency?

Which religion does not accept blood products?

A nurse prepares to assess their pt's body temp. What time of the day would the nurse expect to obtain the lowest temp?

The nurse suspects that a client may have an alcohol problem. Which of the following assessments tool is useful?

Is memory loss a normal part of aging?

A patient is laughing when you enter the room therefore they are not in any pain

After assessing a pt the nurse interprets & makes inferences from the data. Which phase of the nursing process is this?

During a mental health assessment, how can the nurse obtain subjective data? SATA

Which question is appropriate for a nurse to ask a client to assess the client's recent memory?

The nurse is obtaining info about a pt's past health history. Which statement best reflects this part of the assessment?

A patient with a Glasgow Coma Scale score of 3 is A&OX4?

How can a nurse best assess a client's dietary habits?

The nurse is applying the nursing process to plan the pt's care. What principle should the nurse apply?

A client comes into the hospital w/ back pain. When using COLDSPA, which question should the nurse use to evaluate "P"?

What action is appropriate for a nurse to perform when an irregular radial pulse is palpated on a client?

A pt w/ injuries from an accident recieves the diagnosis of impaired nutrition. What type of nursing diagnosis is this?

When assessing level of consciousness, what should a nurse do if a client does not respond to verbal stimuli?

The nurse reads that the patient's radial pulse was 2+. How should the nurse interpret this assessment finding?

The nurse assesses the amplitude of the pt's radial pulse and finds it weak and diminished. How should it be recorded?

Depression is the most common mental health problem in the general population

Universal tendency of humans to think their ways of thinking and believing are the only right, proper, and natural ways?

A BMI of >30 would be classified as?

Which of the following patient situations would the nurse interpret as requiring an emergency assessment?

What term is: an oversimplified conception, opinion, or belief about some aspect of an individual or group

Which assessment is used to measure SQ fat?

What item is included in a mini-cog exam?

In which situation should a nurse perform an emergency assesssment of a client?

Dementia/Alzheimers is a medical emergency

What type of aphasia is the person able to form speech but can't understand it? (characterized by word salad)

Level of consiousness falls into what component of the mental status exam?

Which body type is describe as naturally athletic physique?

Pain is what the patient tells you?

For which client should a nurse perform a focused assessment?

A nurse obtains a pulse rate on an adult client at 56 beats per minute. How should the nurse document this finding?