Nokea
You are assisting the nurse practitioner (NP) with her assessment of an elderly, confused woman. You watch as the NP places her hand on the woman's back and then taps her own middle finger with her other hand. This assessment technique is called
- A. Inspection
- B. Palpation
- C. Auscultation
- D. Percussion
Correct Answer: D
Rationale: Percussion involves tapping to assess underlying structures, as described in the NP's technique.
You may also like to solve these questions
A nursing diagnosis may be a one-part, two-part, or three-part statement.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True. Nursing diagnoses can be structured as one-part (wellness), two-part (problem and etiology), or three-part (problem, etiology, and symptoms) statements.
Which step of the nursing process is concerned with identifying physical findings?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
Correct Answer: A
Rationale: Assessment is the step where nurses collect data, including physical findings, through observation, interviews, and examinations to establish a baseline for patient care.
Nursing diagnoses all contain the modifier 'risk for.'
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: False. Only potential problems use 'risk for'; actual problems and wellness diagnoses do not.
Which step of the nursing process is most associated with action?
- A. Assessment
- B. Diagnosis
- C. Planning
- D. Implementation
- E. Evaluation
Correct Answer: D
Rationale: Implementation is the action-oriented step where nurses carry out the planned interventions to address patient needs.
By using a problem statement, the cause of the problem, and the defining characteristics of the problem, nursing diagnoses help identify interventions to address the problem.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: True. Nursing diagnoses include a problem statement, etiology, and defining characteristics to guide targeted interventions.