Chapter 25: Assessing the Patient’s Environment

Chapter 25: Assessing the Patient’s Environment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which is an example of a patient who would receive a primary-level home visit?

1)	A postpartum visit to a new mother and newborn after discharge from the hospital.
2)	A patient newly diagnosed with diabetes mellitus requiring medication teaching after discharge from the hospital.
3)	A patient discharged from the hospital with a new diagnosis of congestive heart failure.
4)	A patient discharged from the hospital after an exacerbation of chronic obstructive pulmonary disease.

 

 

____     2.   Which is the priority assessment during the first home care visit for a new patient?

1)	Activities of daily living (ADLs)
2)	Basic needs
3)	Safety
4)	Support systems

 

 

____     3.   The nurse is assessing a patient’s physical needs. Which question is appropriate when assessing nutrition?

1)	“Who prepares your meals?”
2)	“Are you able to properly care for your teeth?”
3)	“Do you take any over-the-counter medications?”
4)	“Do you ever feel like skipping meals during the day?”

 

 

____     4.   The nurse is conducting a home care assessment for a patient who was recently discharged from the hospital. Which question will assess safety needs regarding elimination?

1)	“Is your bathroom accessible?”
2)	“Do you have grab bars installed by the toilet?”
3)	“Do you get up often in the middle of the night to use the toilet?”
4)	“Do you require help with hygiene after using the toilet?”

 

 

____     5.   The nurse is conducting a home care assessment for a patient who was recently discharged from the hospital after being treated for pneumonia. Which question is asked to assess the patient’s risk for impaired skin integrity?

1)	“Do you have clean clothes to wear?”
2)	“Who is responsible for doing the laundry?”
3)	“Do your clothes properly fit?”
4)	“Do you require assistance when dressing?”

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  1

Chapter number and title: 25, Assessing the Patient’s Environment

Chapter learning objective: N/A

Chapter page reference: 580

Integrated Processes: Nursing Process: Planning

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Pregnancy, Promoting Health

Difficulty: Easy

	Feedback
1	The postpartum patient and newborn receiving a home visit is an example of a primary-level home visit.
2	A home visit to a patient recently discharged from the hospital after being diagnosed with diabetes mellitus is an example of a tertiary-level visit.
3	A home visit to a patient recently discharged from the hospital after receiving a new diagnosis of congestive heart failure is an example of a tertiary-level visit.
4	A home visit to a patient recently discharged from the hospital after an exacerbation of chronic obstructive pulmonary disease is an example of a tertiary-level visit.

 

 

PTS:   1                    CON:  Pregnancy | Promoting Health

 

2. ANS:  1

Chapter number and title: 25, Assessing the Patient’s Environment

Chapter learning objective: N/A

Chapter page reference: 580

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Basic Care and Comfort

Cognitive level: Analysis [Analyzing]

Concept: Promoting Health, Assessment

Difficulty: Difficult

	Feedback
1	The priority assessment during the first home care visit is to assess the patient’s ability to perform ADLs.
2	Although a basic needs assessment is important, this is not the priority during the first home care visit.
3	Although a safety assessment is important, this is not the priority during the first home care visit.
4	Although a support systems assessment is important, this is not the priority during the first home care visit.

 

 

PTS:   1                    CON:  Promoting Health | Assessment

 

3. ANS:  1

Chapter number and title: 25, Assessing the Patient’s Environment

Chapter learning objective: N/A

Chapter page reference: 581

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Basic Care and Comfort

Cognitive level: Application [Applying]

Concept: Assessment, Promoting Health

Difficulty: Moderate

	Feedback
1	When assessing the patient’s nutrition during a home visit, it is appropriate for the nurse to ask the patient who prepares the meals.
2	Although it is important to assess the patient’s ability to properly care for teeth, this is not an appropriate question when assessing the patient’s nutrition.
3	Although this is important to assess the use of over-the-counter medications, this is not an appropriate question when assessing the patient’s nutrition.
4	Although it may be necessary to ask the patient whether he or she is skipping meals, this is not a question that is typically asked during the nutrition assessment.

 

 

PTS:   1                    CON:  Assessment | Promoting Health

 

4. ANS:  2

Chapter number and title: 25, Assessing the Patient’s Environment

Chapter learning objective: N/A

Chapter page reference: 581

Integrated Processes: Nursing Process: Assessment

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Elimination, Safety

Difficulty: Moderate

	Feedback
1	Asking the patient whether the toilet is accessible is assessing the need for assistive devices and not directly related to safety.
2	Asking the patient whether there are grab bars installed near the toilet is a question that is directly related to the patient’s safety.
3	Asking the patient whether there is a need to get up in the middle of the night to use the toilet is a question to assess the need for assistive devices and is not directly related to the patient’s safety.
4	Asking the patient whether he or she requires assistance with hygiene after using the bathroom is assessing for a self-care deficit and is not directly related to the patient’s safety.

 

 

PTS:   1                    CON:  Elimination | Safety

 

5. ANS:  3

Chapter number and title: 25, Assessing the Patient’s Environment

Chapter learning objective: N/A

Chapter page reference: 581

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Basic Care and Comfort

Cognitive level: Application [Applying]

Concept: Assessment, Promoting Health, Skin Integrity

Difficulty: Moderate

	Feedback
1	Asking the patient whether he or she has clean clothes is not a question used to assess the patient’s risk for impaired skin integrity.
2	Asking the patient who is responsible for doing the laundry is not a question used to assess the patient’s risk for impaired skin integrity.
3	Asking the patient whether his or her clothes properly fit is a question that is used to determine if the patient is at risk for impaired skin integrity. Clothes that do not fit can rub the skin and increased the risk for pressure ulcers.
4	Asking the patient whether he or she requires assistance when bathing is not a question used to assess the patient’s risk for impaired skin integrity.

 

 

PTS:   1                    CON:  Assessment | Promoting Health | Skin Integrity