Author Question: Which situation is most appropriate during which the nurse performs a focused or problem-centered ... (Read 91 times)

ts19998 · **on:** Jun 25, 2018

Which situation is most appropriate during which the nurse performs a focused or problem-centered history?

a. Patient is admitted to a long-term care facility.
b. Patient has a sudden and severe shortness of breath.
c. Patient is admitted to the hospital for surgery the following day.
d. Patient in an outpatient clinic has cold and influenza-like symptoms.

Question 2

A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of data base is most appropriate to collect in this setting?

a. A follow-up data base to evaluate changes at appropriate intervals
b. An episodic data base because of the continuing, complex medical problems of this patient
c. A complete health data base because of the nurse's primary responsibility for monitoring the patient's health
d. An emergency data base because of the need to collect information and make accurate diagnoses rapidly

macybarnes · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
In a focused or problem-centered data base, the nurse collects a mini data base, which is smaller in scope than the completed data base. This mini data base primarily concerns one problem, one cue complex, or one body system.

Answer to Question 2

ANS: C
The complete data base is collected in a primary care setting, such as a pediatric or family practice clinic, independent or group private practice, college health service, women's health care agency, visiting nurse agency, or community health agency. In these settings, the nurse is the first health professional to see the patient and has the primary responsibility for monitoring the person's health care.