Holistic Assessment Final Exam WITH ACTUAL
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+ 100%
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Clinical Tip - {ASNWER}--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 - {ASNWER}--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 - {ASNWER}-- 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) - {ASNWER}--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 - {ASNWER}-- 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 - {ASNWER}--gloves
-mirror
-magnifying glass
-penlight
-ruler with centimeter markings
-skin marking pen
Equipment for Head and Neck Assessment - {ASNWER}--stethoscope
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