jarvis health assessment test bank

Correct Answer: D

Rationale: The correct answer is D because it provides a thorough list of specific childhood illnesses and confirms the patient's denial of having had them. This approach ensures comprehensive documentation and accuracy. Choice A is vague and lacks specificity, potentially leading to misunderstandings. Choice B focuses on the patient's perception of their health rather than actual illnesses. Choice C mentions the patient's sister and measles, which is irrelevant to the patient's own medical history. Overall, choice D is the most accurate and relevant option for documenting the patient's childhood illnesses.

Correct Answer: A

Rationale: The correct answer is A because asking the client to describe the voices can help the nurse assess the situation and understand the client's experience better. This can provide valuable information for the nurse to determine the appropriate intervention or treatment. Leaving the client alone (B) may not address the underlying issue and could potentially worsen the situation. Encouraging the client to talk about the voices (C) is helpful, but asking for a description first allows for a more systematic assessment. Telling the client there are no voices (D) is dismissive and denies the client's reality, which can be harmful and ineffective in providing appropriate care.

Correct Answer: D

Rationale: The correct answer is D: Assessment. Assessment is the first step in the nursing process where data is collected through health history, physical examination, and interview. This step helps in identifying the patient's needs and health problems. Planning (A) comes after assessment and involves setting goals and creating a care plan. Diagnosis (B) is the step where nursing diagnoses are formulated based on the assessment data. Evaluation (C) is the final step where the effectiveness of the care plan is assessed. In summary, Assessment is the initial step focused on data collection, making it the correct choice.

Correct Answer: A

Rationale: The correct answer is A: Administer IV fluids. The priority nursing action for a client with severe dehydration is to restore fluid volume to maintain vital organ function. Administering IV fluids is crucial in rapidly replenishing lost fluids and electrolytes. Corticosteroids (choice B) are not indicated for dehydration. Re-administering IV fluids (choice C) is redundant. Administering analgesics (choice D) is not a priority in the management of severe dehydration.

Correct Answer: A

Rationale: The correct answer is A: Increasing physical activity and managing weight. This is important for stroke prevention as exercise can improve cardiovascular health and help maintain a healthy weight, reducing the risk of another stroke. Increasing sodium intake (B) can actually elevate blood pressure, increasing stroke risk. Avoiding physical activity (C) can lead to a sedentary lifestyle, which is detrimental to stroke prevention. Consuming high-calorie, high-fat foods (D) can contribute to obesity and other risk factors for stroke. Prioritizing physical activity and weight management aligns with evidence-based guidelines for stroke prevention.