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Holistic Assessment Final Exam Questions And Answers Rated 100%
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Clinical Tip - ANS -Before performing a complete assessment, read your state's Nurse Practice Act to determine your legal scope of practice (what you can legally assess and diagnosis) Patient Consent and Rights - ANS -respect the client's desires and requests related to the physi...

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  • October 14, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • holistic assessment final exam questions and answe

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  • Holistic Health Assessment
  • Holistic Health Assessment

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Holistic Assessment Final Exam
Questions And Answers Rated 100%


Clinical Tip - ANS -Before performing a complete assessment, read your state's Nurse
Practice Act to determine your legal scope of practice (what you can legally assess and
diagnosis)

Patient Consent and Rights - ANS -respect the client's desires and requests related to the
physical examination
- whether or not to have the examination is the client's decision
- some health care providers ask the client to sign a consent form

Assessing Client's Cognitive Abilities - ANS - use the SLUMS examination
OR assess the patient's knowing of:
- orientation to person, time, and place
- concentration, ability to focus and follow direction
- recent memory
- remote memory
- recall of unrelated information in 5, 10, and 30 minute periods
- abstract reasoning
- judgment
- visual perceptual and constructional ability

Saint Louis University Mental Status Exam (SLUMS) - ANS -a score between 27 and 30 for
clients with a high school education and a score of 20-30 for clients without high school
educations are NORMAL-a score of 20-27 for clients with a high school degree and a score of
14-19 for clients without a high school degree indicate MCI (middle cognitive impairment)-a
score of 1-19 for clients with a high school education and a score of 1-14 for clients without a
high school education indicates DEMENTIA

Equipment for general survey - ANS - assessment documentation forms
- scale with height attachment
- flexible tape measures
- skin-fold calipers
- stethoscope and blood pressure cuff
- thermometers
- watch with a second hand

, Equipment for hair, skin, and nails assessment - ANS -gloves
-mirror
-magnifying glass
-penlight
-ruler with centimeter markings
-skin marking pen

Equipment for Head and Neck Assessment - ANS -stethoscope
-small cup of water for client to drink

Equipment for Eye Assessment - ANS -cover card
-newspaper print or Rosenbaum pocket screener
-opthalmoscope
-penlight
-snellen chart

Equipment for Ear Assessment - ANS -otoscope
-tuning fork
-watch with second hand

Equipment for Thorax and Lung Assessment - ANS -client gown and draping sheet
-gloves and mask (for nurse if client is actively coughing)
-metric ruler
-skin marking pen
-stethoscope

Equipment for Mouth, Throat, and Nose Assessment - ANS - 4 x4 inch gauze pad
- penlight
-tongue depressor

Equipment for Breast Assessment - ANS - client gown
- gloves for nurse
- small pillow
- metric ruler
- breast self-examination teaching pamphlet

Equipment for Heart and Neck Vessels Assessment - ANS - client draping sheet
- metric rulers (2)
- penlight
- small pillow
- stethoscope
- watch with second hand

Equipment for Peripheral Vascular Assessment - ANS - client gown

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