ATI Health Assessment Exam 1, 2 and Final. Complete Solution. Latest 2020/21. A nurse is introducing herself to a client as the first step of a
... [Show More] comprehensive physical examination. Which of the following strategies should the nurse use with this client? (select all that apply)
A. Address the client with the appropriate title and her last name.
B. Use a mix of open- and close-ended questions.
C. Reduce environmental noise.
D. Have the client complete a health history form.
E. Perform the general survey before the examination.
B, C, E
Rationale:
B. Open ended questions help the client tell her story in her own way. Closed ended questions are useful for clarifying and verifying information the nurse gathers from the client's story
C. quiet, comfortable environment eliminates distractions and helps the client focus on the important aspects of the interview.
E. The general survey is noninvasive and, along with the health history and vital sign measurement, can help put the client at ease before the more sensitive parts of the process, such as the examination
A nurse in a provider's office is documenting his findings following an examination he performed for a client new to the practice. Which of the following parameters should he include as part of the general survey? (Select all that apply.)
A. Posture
B. Skin lesions
C. Speech
D. Allergies.
E. immunization status
A, B, C
Rationale:
A. Posture is part of the body structure or general appearance portion of the general survey.
B. Skin lesions are part of the body structure or general appearance portion of the general survey.
C. Speech is part of the behavior portion of the general survey
A nurse is collecting data for a client's comprehensive physical examination. after the nurse inspects the client's abdomen, which of the following skills of the physical examination process should she perform next?
A.olfaction
B.auscultation
C.Palpation
D.Percussion
B
Rationale:
B. Because palpation and percussion can alter the frequency and intensity of bowel sounds, the nurse should auscultate the abdomen next and before using those two techniques
A nurse is performing a comprehensive physical examination of an older adult client. Which of the following interventions should the nurse use in consideration of the client's age? (Select all that apply.)
a.Collect the data in one continuous session.
B.Plan to allow plenty of time for position changes.
C.Make sure the client has any essential sensory aids in place.
D. tell the client to take her time answering questions.
E. invite the client to use the bathroom before beginning the examination
B, C, D, E
Rationale:
B. Because many older adults have mobility challenges, the nurse should plan to allow extra time for position changes.
C. the nurse should make sure clients who use sensory aids have them available for use. the client has to be able to hear the nurse and see well enough to avoid injury.
D. Some older clients need more time to collect their thoughts and answer questions, but most are reliable historians. Feeling rushed can hinder communication.
E. This is a courtesy for all clients, to avoid discomfort during palpation of the lower abdomen for example, but this is especially important for older clients who have a smaller bladder capacity.
A nurse in a family practice clinic is performing a physical examination of an adult client. Which part of her hands should she use during palpation for optimal assessment of skin temperature?
A.Palmar surface
B.Fingertips
C.Dorsal surface [Show Less]