The nurse wants to assess the client's self-esteem and emotional ...

[bobthebuilder]

The nurse wants to assess the client's self-esteem and emotional state. Which question is most appropriate for the nurse to ask this client?
 
  1. Can you describe the image that you see when looking in the mirror?
  2. Tell me about your financial status?
  3. How often do you have a bowel movement?
  4. Have you ever contracted a sexually transmitted infection?

Question 2

Which documentation is appropriate after assessing head, neck, and lymphatics?
 
  1. Occasional headaches relieved by acetaminophen. No history of injury, seizure, tremor, dizziness. No neck swelling.
  2. Denies hearing problems, never had specific exam. Nose patent, no injury, sense of smell intact, clear drainage with cold. No trouble eating or swallowing. Dental exam annually, last exam one month ago. Brushes and flosses twice daily.
  3. Denies problems. My bowels move every day with no problem. I get diarrhea when I'm nervous sometimes. Active bowel sounds present in all quadrants. Abdomen soft and non-tender to palpation.
  4. Denies problems. No history of UTI. I pass urine five or six times a day and more if I drink more.

[alvinum]

Answer to Question 1

Correct Answer: 1

The nurse should be prepared to address areas concerned with the client's self-esteem and emotional state. For example, clients may be asked to describe their image in a mirror. While the other questions are appropriate for the health history, they are not appropriate when assessing self-esteem or emotional state.

Answer to Question 2

Correct Answer: 1

Occasional headaches relieved by acetaminophen. No history of injury, seizure, tremor, dizziness. No neck swelling. is appropriate documentation when assessing head, neck and lymphatics. The other pieces of documentation are appropriate for other body systems.