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A nurse interviewing a client asks her the following 2 questions: 1. “Have you lost interest in things you formerly found pleasurable?” 2. “In the past month, have you experienced any feelings of hopelessness?”The nurse is assessing the client for which of the following?

The client pictured above is 26 years old.  Which one of the following could account for her appearance?

A client presents to her doctor’s office reporting a lump in her left breast.The nurse asks her, “Is the lump in your left breast hard or soft?”The RN will document the client’s answer under which one of the following COLDPHARTS categories?

A nurse working on a surgical unit is documenting her findings of the general inspection segment of a comprehensive examination on a newly admitted client.  She will include which of the following topics in her documentation of her general inspection?

Which one of the following statements would be appropriately included in an RN’s initial documentation about this client?

According to your assessment instructor, the accuracy of the nurse’s assessment is most likely to be influenced by which one of the following factors?

A 16-year-old female client presents to the CVS Minute Clinic doctor’s office complaining of an unremitting (will not go away) headache.The nurse practitioner asks the client, “Is the headache less painful when you lie down?”The SCC graduate knows that the answer to this COLDPHARTS question should be documented under which of the following categories?

The nurse is assessing a 67-year-old female client who has been admitted to the psychiatric unit.  When performing the patient history, the RN learns that the client’s chief complaint is “feelings of depression.”The nurse should ask the client which of the following COLDPHARTS questions when obtaining the history of present illness (HPI)?Please choose all that apply.  There may be more than one correct answer.

Please calculate the Glasgow Coma score for the client described in the scenario below:A 17-year-old client presents to the Emergency Department after being tackled and knocked to the ground while participating in a high school football game.The client finally opens his eyes when the nurse shakes him and loudly calls his name.  When asked where he is, currently, the client answers, “I’m in my bedroom.”  When the phlebotomist (healthcare professional who draws blood) asks the client to straighten his arm, he doesn’t not respond.  However, when she sticks a needle in the client’s left arm, the client uses his right arm to push the phlebotomist away.The nurse will assign a Glasgow Coma Score (GCS) of:

An RN who works in the Emergency Department (ED) admits a homeless man with frostbite.  While performing her general inspection, the nurse identifies a strong body odor.The nurse will document this under which one of the following general inspection categories?