SPCR108 LO#3

Question 1

Who is ultimately responsible for performing client assessments?

Accepted Answer

Nurses (RNs, RPNs, or LPNs)

Question 2

What is the term for the examination technique that uses touch?

Accepted Answer

Palpation

Question 3

A lower score on the Braden Scale indicates:

Accepted Answer

Higher risk for pressure ulcers

Question 4

What type of question might help assess a client’s cultural beliefs about food?

Accepted Answer

“Do you follow any food-related beliefs or traditions?”

Question 5

Why is it important for a CCA to observe and report changes in a client’s condition?

Accepted Answer

Because they spend the most time with clients and can detect changes early

Question 6

Why does inspection require practice and repetition?

Accepted Answer

Because it is a highly subjective process

Question 7

Why do older adults have trouble seeing in the dark?

Accepted Answer

Decreased lens accommodation and slower adaptation to darkness

Question 8

Why are older adults at greater risk of respiratory infections?

Accepted Answer

Reduced activity and fewer cilia result in secretion stasis

Question 9

What is the primary purpose of client assessment in the nursing process?

Accepted Answer

To identify problems and plan, implement, and evaluate care

Question 10

Which of the following areas are included in a functional assessment?

Accepted Answer

Physical health, ADLs, nutritional and psychosocial status

Question 11

Which of the following statements is true about older adults and functional ability?

Accepted Answer

Many older adults remain independent and adjust well to aging

Question 12

Orthopnea, palpitations, and edema are symptoms related to which body system?

Accepted Answer

Cardiovascular

Question 13

What should the CCA pay close attention to when hearing the client describe their chief complaint?

Accepted Answer

Facial expressions, body language, and gestures

Question 14

What is the term for the examination technique that uses observation?

Accepted Answer

Inspection

Question 15

What musculoskeletal change is especially common in post-menopausal women?

Accepted Answer

Osteoporosis

Question 16

Which system would you assess if a client complains of nausea, vomiting, or heartburn?

Accepted Answer

Gastrointestinal

Question 17

Why should the earpieces of a stethoscope point forward toward the nose when inserted?

Accepted Answer

To ensure proper fit and sound transmission

Question 18

What is a common cause of occasional confusion in older adults?

Accepted Answer

Unfamiliar environments or stress

Question 19

Which type of memory generally remains intact in older adults?

Accepted Answer

Long-term memory

Question 20

What is the term for the examination technique that uses physical taps?

Accepted Answer

Percussion

Question 21

Which system would you review if a client complains of joint pain and stiffness?

Accepted Answer

Musculoskeletal

Question 22

What body system do tremors and seizures relate to in the review of systems?

Accepted Answer

Nervous System

Question 23

What is a common oral change in older adults that may affect nutrition and communication?

Accepted Answer

Tooth loss or poorly fitting dentures

Question 24

What is a common male reproductive change with aging?

Accepted Answer

Prostatic enlargement

Question 25

Which is the best source of information for the Review of Systems?

Accepted Answer

The client or caregiver

Question 26

Which of the following statements is true about aging and health?

Accepted Answer

Normal aging does not automatically mean loss of health

Question 27

Which cardiovascular change is typical in aging adults?

Accepted Answer

Increased systolic blood pressure

Question 28

What does a functional assessment primarily evaluate?

Accepted Answer

The client’s ability to perform self-care and daily living tasks

Question 29

Why is it important to know a client’s previous experience with health care systems?

Accepted Answer

To avoid repeating negative experiences

Question 30

Why is it important to ask the client which self-care problem concerns them the most?

Accepted Answer

To help prioritize care based on what matters most to the client

Question 31

Tinnitus and otosclerosis are symptoms related to which system?

Accepted Answer

Ears

Question 32

Which of the following can be observed during inspection as a client enters the room before anything is said?

Accepted Answer

Gait and grooming

Question 33

What is the primary purpose of the Braden Scale?

Accepted Answer

To identify risk for pressure ulcers

Question 34

What kind of issues might be discussed under the psychiatric review?

Accepted Answer

Depression, anxiety, and difficulty coping

Question 35

Shear occurs when:

Accepted Answer

A client is repeatedly pulled up in bed without a slider sheet

Question 36

Why is anatomical knowledge important for palpation?

Accepted Answer

To distinguish normal from abnormal body structures

Question 37

What is the term for the examination technique that uses a stethoscope?

Accepted Answer

Auscultation

Question 38

Which of the following helps prevent infection when using a stethoscope?

Accepted Answer

Cleaning earpieces and chest piece with alcohol swabs before and after use

Question 39

Which is the best way for the CCA to learn more about a client’s background and care needs?

Accepted Answer

By reading the client’s history, and studying the care plan

Question 40

What is the main role of the CCA in the assessment process?

Accepted Answer

Being the "eyes and ears" by observing and reporting changes

SPCR108 LO#3

Questions 40

SPCR108 LO#3

Questions 40