health assessment test bank jarvis

health assessment test bank jarvis Related

Review health assessment test bank jarvis related questions and content

What does a comprehensive assessment include?

  • A. Complete health history and physical exam
  • B. Specific focus on a body system
  • C. Emergency triage
  • D. Specific assessment of client complaints
Correct Answer: A

Rationale: The correct answer is A because a comprehensive assessment involves gathering a complete health history and conducting a thorough physical examination to evaluate the client's overall health status. This includes assessing past medical history, family history, current medications, lifestyle factors, and performing a head-to-toe physical examination. This holistic approach helps in identifying any potential health issues or risk factors.

Choice B is incorrect because a specific focus on a body system is not comprehensive and may miss other important aspects of the client's health.

Choice C is incorrect as emergency triage is a rapid assessment to determine the severity of a medical condition and prioritize treatment, not a comprehensive assessment.

Choice D is incorrect because a specific assessment of client complaints is focused only on the reported issues and may not provide a comprehensive overview of the client's health.

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What is the primary concern for a nurse caring for a client who is post-operative and experiencing confusion?

  • A. Notify the healthcare provider
  • B. Reorient the client
  • C. Increase circulation
  • D. Assess the level of pain
Correct Answer: B

Rationale: The correct answer is B: Reorient the client. Reorientation helps the confused client regain awareness of their surroundings, time, and situation post-operatively. It can improve their cognition and reduce anxiety. Notifying the healthcare provider (A) may be necessary but not the primary concern. Increasing circulation (C) is important but not the first step for a confused post-op client. Assessing pain (D) is important but addressing confusion takes precedence.

What is the most appropriate intervention for a client with an obstructed airway?

  • A. Administer oxygen
  • B. Monitor respiratory rate
  • C. Apply a cold compress
  • D. Administer corticosteroids
Correct Answer: A

Rationale: The correct answer is A: Administer oxygen. This intervention is crucial for a client with an obstructed airway as it helps maintain oxygenation while efforts are made to clear the obstruction. Oxygen administration ensures the client receives adequate oxygen supply to prevent hypoxia and further complications. Monitoring respiratory rate (B) is important but not the priority when airway obstruction is present. Applying a cold compress (C) or administering corticosteroids (D) are not appropriate interventions for an obstructed airway and do not address the immediate need for adequate oxygenation.

What is the nurse's priority when caring for a client with respiratory distress?

  • A. Administer oxygen
  • B. Administer albuterol
  • C. Place the client on their back
  • D. Encourage deep breathing
Correct Answer: C

Rationale: The correct answer is C: Placing the client on their back. This is the priority because it helps optimize the client's breathing mechanics by maximizing lung expansion. By positioning the client on their back, it allows for better oxygenation and ventilation. Administering oxygen (A) and albuterol (B) can be important interventions but positioning comes first. Placing the client on their back also helps prevent aspiration and facilitates airway clearance. Encouraging deep breathing (D) is beneficial, but if the client is in respiratory distress, ensuring proper positioning takes precedence over deep breathing exercises.

A nursing diagnosis made by a critical thinker using a dynamic nursing process would identify the actual problem and would also:

  • A. continue to reassess.
  • B. predict potential problems.
  • C. check the appropriateness of goals.
  • D. modify the diagnosis if necessary.
Correct Answer: B

Rationale: The correct answer is B because critical thinking involves anticipating potential issues to provide proactive care. By predicting potential problems, nurses can prevent complications and tailor interventions accordingly. This step is essential in the nursing process to ensure comprehensive and effective care. Continuing to reassess (A) is important but not the primary focus of a nursing diagnosis. Checking the appropriateness of goals (C) is crucial but comes after identifying the problem and predicting potential issues. Modifying the diagnosis if necessary (D) is a part of critical thinking but not the immediate next step after identifying the actual problem.

Which condition is characterized by writhing, twisting movements of the face and limbs?

  • A. epilepsy
  • B. Parkinson's
  • C. muscular sclerosis
  • D. Huntington's chorea
Correct Answer: D

Rationale: The correct answer is D: Huntington's chorea. Huntington's chorea is a genetic disorder characterized by involuntary, writhing, and twisting movements of the face and limbs, known as chorea. This is due to degeneration of certain brain cells. Epilepsy (A) involves seizures, not specific movements. Parkinson's (B) is characterized by tremors and rigidity, not chorea. Multiple sclerosis (C) affects the central nervous system, causing a variety of symptoms, but not typically chorea.

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