The client admitted to the hospital for an arm fracture requiring ...

[Lisaclaire]

The client admitted to the hospital for an arm fracture requiring surgery appears disheveled and has a body odor.
 
  The nurse expresses surprise at the client's appearance and reports that this is not the normal appearance of the client, who is usually clean and meticulously groomed. Based on this information, which assessments are priority to plan this client's care?
  Select all that apply.
  1. Food preferences.
  2. Psychosocial assessment.
  3. Memory assessment and orientation.
  4. Spiritual assessment.
  5. Body systems examination.

Question 2

The nurse is conducting a class on health promotion and uses the following definition:
 
  The ability to perform daily tasks vigorously and alertly, with energy left over for enjoying leisure-time activities and meeting emergency demands. Which area is the nurse stressing?
  1. Physical fitness.
  2. Emotional health.
  3. Physical health.
  4. Psychologic well-being.

[parshano]

Answer to Question 1

Correct Answer: 2, 3, 5

The client's appearance indicates there has been some change in mental outlook or condition. These changes may be the result of psychosocial issues and they must be investigated. The client's memory and level of orientation will provide information relating to potential causes. This assessment will also provide an indication as to the seriousness of the problems being noted. The assessment of the client's body systems will yield clues as to the cause of the changes being noted in behavior. Collection of dietary preferences is completed on clients when they are admitted to a facility, however, this information will not provide an explanation for the changes being noted in the client's behaviors. A spiritual assessment is not a priority given the current assessment findings.

Answer to Question 2

Correct Answer: 1
Physical fitness is the ability to perform daily tasks vigorously and alertly, with energy left over for enjoying leisure-time activities and meeting emergency demands. Physical fitness is an important component of physical and emotional health. Physical fitness influences mental alertness and emotional stability, as well as a general feeling of well-being, which some may call psychologic fitness.