Author Question: While bathing the client, the nurse observes the client grimacing. The nurse asks if the client is ... (Read 336 times)

craiczarry · **on:** Jul 23, 2018

While bathing the client, the nurse observes the client grimacing. The nurse asks if the client is experiencing pain. The client nods yes and refuses to continue the bath.

The nurse removes the wash basin, makes the client comfortable, and documents the event in the client's chart. Which of the following actions clearly demonstrates assessing?

A) The nurse bathing the client
B) The nurse documenting the incident
C) The nurse asking if the client is having pain
D) The nurse removing the wash basin

Question 2

Which of the following are examples of common factors in a client that may influence assessment priorities? Select all that apply.

A) Diet and exercise program
B) Standing in the community
C) Ability to pay for services
D) Developmental stage
E) Need for nursing

durant1234 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C

The nurse asking if the client is having pain clearly demonstrates assessing. Bathing the client and removing the wash basin demonstrate implementation. Documentation is part of every step of nursing process.

Answer to Question 2

Ans: A, D, E

The purpose for which the assessment is being performed offers the best guideline about what type and how much data to collect. Assessment priorities are influenced by the client's health orientation, developmental stage, culture, and need for nursing. After the comprehensive nursing assessment has been completed, client health problems dictate assessment priorities for future nurseclient interactions.