Answer to Question 1
A
Feedback
A The client is the primary source of information. The client who is conscious and alert, and able to answer questions correctly can provide the most accurate information about his or her own health care needs, lifestyle patterns, present and past illnesses, perception of symptoms, and changes in activities of daily living.
B The physician may have knowledge of the client's medical problem, but the client is the primary source of information for completing an assessment.
C Family members can be interviewed as primary sources of information about infants or children and critically ill, mentally handicapped, disoriented, or unconscious clients. Usually, however, they are secondary sources of information and can confirm findings provided by the client. The client in this situation is capable of being the primary source of information.
D An experienced nurse on the unit may offer insight into a client's health care needs and care but is not the primary source of information for a client assessment.
Answer to Question 2
A
Feedback
A Idiopathic pain is a subtype of breakthrough pain where the cause is not readily identifiable.
B End-of-dose pain occurs before a scheduled dose of around-the-clock analgesic.
C Predictable incident pain is something identifiable that predictably causes pain.
D Unpredictable incident pain is unpredictable and spontaneous occurrence of pain (such as a bladder spasm).
A medical assistant helps a patient walk with a gait belt.
Positioning the client
Testing motor function of cranial nerve VII - Smile
Testing coordination by using the finger-to-finger test
Testing the triceps reflex