Nursing Diagnosis and Assessment Final Exam
Course Introduction
This course provides an in-depth exploration of the nursing assessment process and the development of accurate nursing diagnoses. Students will learn to gather comprehensive health histories, perform physical examinations, interpret assessment findings, and apply evidence-based frameworks such as NANDA International classifications. Emphasis is placed on critical thinking, clinical judgment, and the integration of holistic assessment to identify patients health problems, risks, and strengths. By mastering these foundational skills, students will be prepared to formulate accurate nursing diagnoses that guide effective care planning and improve patient outcomes.
Recommended Textbook
Physical Examination and Health Assessment 5th Edition by Carolyn Jarvis
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30 Chapters
966 Verified Questions
966 Flashcards
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Page 2
Chapter 1: Critical Thinking in Health Assessment
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34 Verified Questions
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Sample Questions
Q1) The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the:
A)nursing diagnosis.
B)medical diagnosis.
C)admission diagnosis.
D)collaborative diagnosis.
Answer: A
Q2) Critical thinking in the expert nurse is greatly enhanced by opportunities to:
A)apply theory in real situations.
B)work with physicians to provide patient care.
C)follow physician orders in providing patient care.
D)develop nursing diagnoses for commonly occurring illnesses.
Answer: A
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Page 3
Chapter 2: Developmental Tasks and Health Promotion
Across the Life Cycle
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Sample Questions
Q1) Which of the following physical changes are appropriate for a school-age child? Select all that apply.
A)Primary teeth are lost.
B)Body fat increases.
C)Bone replaces cartilage.
D)Appearance is slimmer than in younger children.
E)Lordosis is common.
Answer: A,C,D
Q2) An 18-month-old who makes the statement,"All done," is using what form of speech?
A)Telegraphic speech
B)Holophrastic speech
C)Preoperational speech
D)Complex-interactive speech
Answer: A
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Chapter 3: Cultural Competence: Cultural Care
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Sample Questions
Q1) One aspect of society's value orientation concerns the dimension of time.An example of a person with "present" time value orientation would be:
A)a patient with a total hip replacement who has not been able to plan for discharge.
B)a patient with leukemia who continually seeks the latest medication and treatments.
C)a patient who feels loss after an amputation but is looking forward to finding out about prosthetic limbs.
D)a newly diagnosed diabetic who seeks a consultation with a medicine man who can contact ancestral spirits for guidance.
Answer: A
Q2) Which of the following examples illustrates the concept of a cultural taboo?
A)Belief that illness is a punishment of sin
B)Trying prayer before seeking medical help
C)Refusing to accept blood products as part of treatment
D)Stating that a child's birth defect is the result of the parents' sins
Answer: C
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Chapter 4: The Interview
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Sample
Questions
Q1) Because the physical environment in which an interview takes place is an important consideration for the success of an interview,the interviewer should:
A)reduce noise by turning off televisions and radios.
B)place the distance between the interviewer and the patient about 2 feet or closer.
C)provide a dim light that makes a room cozier and will help the patient relax.
D)arrange seating across a desk or table to allow the patient some personal space.
Q2) Which of the following is appropriate for the nurse to say near the end of the interview?
A)"Did we forget something?"
B)"Is there anything else you would like to mention?"
C)"I need to go on to the next patient.I'll be back."
D)"While I'm here,let's talk about your upcoming surgery."
Q3) The interview portion of data collection collects:
A)physical data.
B)historical data.
C)objective data.
D)subjective data.
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Chapter 5: The Complete Health History
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Sample Questions
Q1) The nurse is taking a family history.Important diseases or problems to ask the patient about include:
A)emphysema.
B)head trauma.
C)mental illness.
D)fractured bones.
Q2) During an assessment,the nurse uses the CAGE test.The patient answers "yes" to two of the questions.What could this be indicating?
A)The patient is an alcoholic.
B)The patient is annoyed at the questions.
C)The patient should be examined thoroughly for possible alcohol withdrawal symptoms.
D)The nurse should suspect alcohol abuse and continue with a more thorough substance abuse assessment.
Q3) Which of the following is an example of a symptom?
A)Chest pain
B)Clammy skin
C)Serum potassium level 4.2 mEq/L
D)A temperature of 100S1U1P1\(\circ\)S1S1P0 F
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Page 7
Chapter 6: Mental Status Assessment
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Sample Questions
Q1) A 45-year-old woman is at the clinic for a mental status assessment.In giving her the Four Unrelated Words Test,the nurse would be concerned if:
A)she could not invent four unrelated words within 5 minutes.
B)she could not invent four unrelated words within 30 seconds.
C)she could not recall four unrelated words after a 30-minute delay.
D)she could not recall four unrelated words after a 60-minute delay.
Q2) A patient describes feeling an unreasonable,irrational fear of snakes.It is so persistent that he can no longer comfortably even look at pictures of snakes and has made an effort to identify all the places he might encounter a snake and avoids them.The nurse recognizes that:
A)he has a snake phobia.
B)he is a hypochondriac.Snakes are usually harmless.
C)He has an obsession.In this case,it is with snakes.
D)He has a delusion that snakes are harmful.It must stem from an early traumatic incident involving snakes.
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8
Chapter 7: Domestic Violence Assessment
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Sample Questions
Q1) The nurse is using the danger assessment (DA)tool to evaluate the risk of homicide.Which of the following statements best describes its use?
A)The DA tool is to be administered by law enforcement personnel.
B)The DA tool should be used in every assessment of suspected abuse.
C)The number of yes answers indicates the woman's understanding of her situation.
D)The more yes answers there are,the more serious the danger of the woman's situation.
Q2) As a mandatory reporter of elder abuse,which of the following must be present before a nurse notifies the authorities?
A)Statements from the victim
B)Statements from witnesses
C)Proof of abuse and/or neglect
D)Suspicion of elder abuse and/or neglect
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9
Chapter 8: Assessment Techniques and the Clinical Setting
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Sample Questions
Q1) The nurse is preparing to percuss to assess the underlying:
A)tissue turgor.
B)tissue texture.
C)tissue density.
D)tissue consistency.
Q2) A 6-month-old infant has been brought to the well-child clinic for a check-up.She is currently sleeping.What should the examiner do first?
A)Auscultate the lungs and heart while the infant is still sleeping.
B)Examine the infant's hips because this procedure is uncomfortable.
C)Begin with the assessment of the eye and continue with the remainder of the examination in a head-to-toe approach.
D)Wake the infant before beginning any portion of the examination to obtain the most accurate assessment of body systems.
Q3) The nurse would use bimanual palpation technique in which situation?
A)Palpating the thorax of an infant
B)Palpating the kidneys and uterus
C)Assessing pulsations and vibrations
D)Assessing the presence of tenderness and pain
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Chapter 9: General Survey, measurement, vital Signs
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Sample Questions
Q1) Cellular metabolism requires a stable core temperature.This requires a balance between heat production and heat loss.Which of the following is a mechanism of heat loss in the body?
A)Exercise
B)Radiation
C)Metabolism
D)Food digestion
Q2) When assessing the radial pulse of a patient,the nurse should count the:
A)pulse for 1 minute if the rhythm is irregular.
B)pulse for 15 seconds and multiply by four,if the rhythm is regular.
C)initial pulse for a full 2 minutes to detect any variation in amplitude.
D)pulse for 10 seconds and multiply by six,if the patient has no history of cardiac abnormalities.
Q3) A 1-month-old infant has a head measurement of 34 cm and has a chest circumference of 32 cm.The nurse would:
A)refer the infant to a physician for further evaluation.
B)consider this a normal finding for a 1-month-old infant.
C)expect the chest circumference to be greater than the head circumference.
D)ask the parent to return in 2 weeks to re-evaluate the head and chest circumferences.
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Page 11
Chapter 10: Pain Assessment: the Fifth Vital Sign
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Sample Questions
Q1) A patient states that the pain medication is "not working" and rates his postoperative pain at a 10 on a 1 to 10 scale.Which of the following assessment findings indicates an acute pain response to poorly controlled pain?
A)Confusion
B)Hyperventilation
C)Increased blood pressure and pulse
D)Decreased blood pressure and pulse
Q2) Nociception is the term used to describe how noxious stimuli are typically perceived as pain.During which phase of nociception does the conscious awareness of a painful sensation occur?
A)Perception
B)Modulation
C)Transduction
D)Transmission
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Chapter 11: Nutritional Assessment
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Sample Questions
Q1) In teaching a patient how to determine total body fat at home,the nurse includes instructions to obtain measurements of:
A)height and weight.
B)frame size and weight.
C)waist and hip circumferences.
D)mid upper arm circumference and arm span.
Q2) Which of the following best describes the technique for measuring frame size?
A)With the patient standing,measure the distance from the top of the head to the back of the heel.
B)With the patient in a sitting position,measure the distance from the condyle of the humerus to the clavicle.
C)With the patient's right arm extended forward and the elbow extended,measure the distance from fingertips to the condyle of the humerus.
D)With the right arm extended forward and the elbow bent,use the calipers to measure the distance between the condyles of the humerus.
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13
Chapter 12: Skin, hair, and Nails
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Sample Questions
Q1) A semiconscious woman is brought to the emergency department after she was found on the floor in her kitchen.Her face,nail beds,lips,and oral mucosa are a bright cherry-red color.The nurse suspects that this coloring is due to:
A)polycythemia.
B)carbon monoxide poisoning.
C)carotenemia.
D)uremia.
Q2) A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment.On assessment of his skin,the nurse might expect to find the following:
A)anasarca.
B)scleroderma.
C)pedal erythema.
D)clubbing of the nails.
Q3) When assessing inflammation in a dark-skinned person,the nurse may need to:
A)assess the skin for cyanosis and swelling.
B)assess the oral mucosa for generalized erythema.
C)palpate the skin for edema and increased warmth.
D)palpate for tenderness and local areas of ecchymosis.
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Page 14
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Sample Questions
Q1) A patient's thyroid is enlarged,and the nurse is preparing to auscultate the thyroid for the presence of a bruit.A bruit is a:
A)low gurgling sound best heard with the diaphragm of the stethoscope.
B)loud,whooshing,blowing sound best heard with the bell of the stethoscope.
C)soft,whooshing,pulsatile sound best heard with the bell of the stethoscope.
D)high-pitched tinkling sound best heard with the diaphragm of the stethoscope.
Q2) During an admission assessment,the nurse notices that a male patient has an enlarged and rather thick skull.The nurse suspects acromegaly and would further assess for:
A)exophthalmos.
B)bowed long bones.
C)coarse facial features.
D)an acorn-shaped cranium.
Q3) A woman comes to the clinic and states,"My eyes have gotten so puffy,and my eyebrows and hair have become coarse and dry." The nurse suspects:
A)cachexia.
B)cretinism.
C)myxedema.
D)scleroderma.
Page 15
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Chapter 14: Eyes
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Sample Questions
Q1) A patient comes into the clinic complaining of pain in her right eye.On examination,the nurse sees a pustule at the lid margin that is painful to touch,red,and swollen.The nurse recognizes that this is
A)a chalazion.
B)a hordeolum (stye).
C)dacryocystitis.
D)blepharitis.
Q2) During ocular examinations,the nurse keeps in mind that movement of the extraocular muscles is:
A)decreased in the elderly.
B)impaired in a patient with cataracts.
C)stimulated by cranial nerves I and II.
D)stimulated by cranial nerves III,IV,and VI.
Q3) When examining a patient's eyes,the nurse recalls that stimulation of the sympathetic branch of the autonomic nervous system:
A)causes pupillary constriction.
B)adjusts the eye for near vision.
C)elevates the eyelid and dilates the pupil.
D)causes contraction of the ciliary body.
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Page 16
Chapter 15: Ears
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Sample
Questions
Q1) The nurse is performing a middle ear assessment on a 15-year-old patient who has a history of chronic ear infections.When examining the right tympanic membrane,the nurse sees the presence of dense white patches.The tympanic membrane is otherwise unremarkable.It is pearly,with the light reflex at 5 o'clock and landmarks visible.The nurse should:
A)refer the patient for the possibility of a fungal infection.
B)know that these are scars caused from frequent ear infections.
C)consider that these findings may represent the presence of blood in the middle ear.
D)be concerned about the ability to hear because of this abnormality on the tympanic membrane.
Q2) A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing,especially in large groups.He says he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change?
A)Atrophy of the apocrine glands
B)Cilia becoming coarse and stiff
C)Nerve degeneration in the inner ear
D)Scarring of the tympanic membrane
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Chapter 16: Nose, mouth, and Throat
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Sample Questions
Q1) A 92-year-old patient has had a stroke.The right side of his face is drooping.The nurse might also suspect which of the following?
A)Epistaxis
B)Agenesis
C)Dysphagia
D)Xerostomia
Q2) The nurse is palpating the sinus areas.If the findings are normal,the patient would report which sensation?
A)No sensation
B)Firm pressure
C)Pain during palpation
D)Pain sensation behind eyes
Q3) Which of the following is true in relation to a newborn infant?
A)The sphenoid sinuses are full size at birth.
B)The maxillary sinuses reach full size after puberty.
C)The frontal sinuses are fairly well developed at birth.
D)The maxillary and ethmoid sinuses are the only ones present at birth.
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18
Chapter 17: Breasts and Regional Lymphatics
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Sample Questions
Q1) A woman is in the family planning clinic seeking birth control information.She states that her breasts "change all month long" and that she is worried that this is unusual.What is the nurse's best response?
A)Tell her that it is unusual.The breasts of nonpregnant females usually stay pretty much the same all month long.
B)Tell her that it is very common for breasts to change in response to stress and assess her life for stressful events.
C)Tell her that,because of the changing hormones during the monthly menstrual cycle,cyclic breast changes are common.
D)Tell her that breast changes normally occur only during pregnancy and that a pregnancy test is needed at this time.
Q2) During a discussion about breast self-examination with a 30-year-old woman,which of the following statements by the nurse is most appropriate?
A)"The best time to examine your breasts is during ovulation."
B)"Examine your breasts every month on the same day of the month."
C)"Examine your breasts shortly after your menstrual cycle each month."
D)"The best time to examine your breasts is immediately before menstruation."
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Page 19
Chapter 18: Thorax and Lungs
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Sample Questions
Q1) The nurse knows that a normal finding when assessing the respiratory system of an elderly adult is:
A)increased thoracic expansion.
B)decreased mobility of the thorax.
C)a decreased anteroposterior diameter.
D)bronchovesicular breath sounds throughout the lungs.
Q2) W = Whispered pectoriloquy
A)The normal response is faint,muffled,and almost inaudible when the patient says "one,two,three" in a very soft voice.
B)Ask the person to say "ninety-nine" repeatedly while auscultating the chest wall.Normally,a sound will be heard but the examiner will not be able to distinguish exactly what is being said.
C)Listen to the chest while the patient says a long "ee-ee-ee" sound;hearing a long "aaaaaa" sound may be noted over areas of consolidation.
Q3) When assessing a patient's lungs,the nurse recalls that the left lung:
A)consists of two lobes.
B)is divided by the horizontal fissure.
C)consists primarily of an upper lobe on the posterior chest.
D)is shorter than the right lung because of the underlying stomach.
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Page 20
Chapter 19: Heart and Neck Vessels
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Sample Questions
Q1) The mother of a 10-month-old tells the nurse that she has noticed that her son becomes blue when he is crying and that the frequency of this is increasing.He is also not crawling yet.During the examination the nurse palpates a thrill at the left lower sternal border and auscultates a loud systolic murmur in the same area.What would be the most likely cause of these findings?
A)Tetralogy of Fallot
B)Atrial septal defect
C)Patent ductus arteriosus
D)Ventricular septal defect
Q2) In percussing the left cardiac border,the nurse would expect to hear dullness at the: A)third left intercostal space midclavicular line and fifth left intercostal space left sternal border.
B)fourth left intercostal space medial to midclavicular line and second left intercostal space midclavicular line.
C)fifth left intercostal space midclavicular line and second left intercostal space sternal border.
D)fifth left intercostal space sternal border and second right intercostal space midclavicular line.
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Chapter 20: Peripheral Vascular System and Lymphatic System
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Sample Questions
Q1) A patient has a positive Homan's sign.The nurse knows that a positive Homan's sign:
A)occurs with venous insufficiency.
B)is indicative of possible thrombophlebitis.
C)is seen in the presence of severe edema.
D)indicates problems with arterial circulation.
Q2) Which of the following statements is true regarding the arterial system?
A)Arteries are large-diameter vessels.
B)The arterial system is a high-pressure system.
C)The walls of arteries are thinner than those of veins.
D)Arteries can expand greatly to accommodate a large blood volume increase.
Q3) When assessing a patient the nurse documents the left femoral pulse as 0/0-4+.Which of the following findings would the nurse expect at the dorsalis pedis pulse?
A)0/0-4+
B)1+/0-4+
C)2+/0-4+
D)3+/0-4+
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Page 22
Chapter 21: Abdomen
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Sample Questions
Q1) The nurse is listening to bowel sounds.Which of the following is true of bowel sounds?
A)They are usually loud,high-pitched,rushing,tinkling sounds.
B)They are usually high-pitched,gurgling,irregular sounds.
C)They sound like "two pieces of leather being rubbed together."
D)They originate from the movement of air and fluid through the large intestine.
Q2) Which structure is located in the left lower quadrant of the abdomen?
A)Liver
B)Duodenum
C)Gallbladder
D)Sigmoid colon
Q3) Which sound is normal to elicit when percussing in the seventh right intercostal space at the midclavicular line over the liver?
A)Dullness
B)Tympany
C)Resonance
D)Hyperresonance
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23
Chapter 22: Musculoskeletal System
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Sample Questions
Q1) The nurse is assessing a 1-week-old infant and testing his muscle strength.The nurse lifts the infant with hands under the axillae and notes that the infant starts to "slip" between the hands.The nurse should:
A)suspect a fractured clavicle.
B)consider that the infant may have a deformity of the spine.
C)suspect that the infant may have weakness of the shoulder muscles.
D)consider this a normal finding because the musculature of an infant this age is undeveloped.
Q2) The nurse should use which test to check for large amounts of fluid around the patella?
A)Ballottement
B)Tinel's sign
C)Phalen's test
D)McMurray's test
Q3) Of the 33 vertebrae in the spinal column,there are:
A)5 lumbar.
B)5 thoracic.
C)7 sacral.
D)12 cervical.
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Page 24
Chapter 23: Neurologic System
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Sample Questions
Q1) Which of the following would the nurse use to test the motor coordination of an 11-month old infant?
A)Denver II
B)Stereognosis
C)Deep tendon reflexes
D)Rapid alternating movements
Q2) In a person with an upper motor neuron lesion such as a cerebrovascular accident,which of the following physical assessment findings would the nurse expect to see?
A)Hyperreflexia
B)Fasciculations
C)Loss of muscle tone and flaccidity
D)Atrophy and wasting of the muscles
Q3) A patient is not able to perform rapid alternating movements such as patting her knees rapidly.The nurse would document this as:
A)ataxia.
B)astereognosis.
C)the presence of dysdiadochokinesia.
D)a probable abnormality in the cerebellum.
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Page 25
Chapter 24: Male Genitourinary System
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Sample Questions
Q1) The nurse is performing a genital examination on a male patient and notes urethral drainage.When collecting urethral discharge for microscopic examination and culture,the nurse should:
A)ask the patient to urinate into a sterile cup.
B)ask the patient to obtain a specimen of semen.
C)insert a cotton-tipped applicator into the urethra.
D)compress the glans between the examiner's thumb and forefinger and collect any discharge.
Q2) When assessing the scrotum of a male patient,the nurse notes the presence of multiple firm,nontender,yellow 1-cm nodules.The nurse knows that these nodules are most likely:
A)from urethritis.
B)sebaceous cysts.
C)subcutaneous plaques.
D)from inflammation of the epididymis.
Q3) Which of the following statements is true regarding the penis?
A)The urethral meatus is located on the ventral side of the penis.
B)The prepuce is the fold of foreskin covering the shaft of the penis.
C)The penis is composed of two cylindrical columns of erectile tissue.
D)The corpus spongiosum expands into a cone of erectile tissue called the glans.
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Chapter 25: Anus,rectum,and Prostate
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Sample Questions
Q1) During an assessment of the newborn,the nurse expects to see which finding when the anal area is slightly stroked?
A)A jerking of the legs
B)Flexion of the knees
C)A quick contraction of the sphincter
D)Relaxation of the external sphincter
Q2) The nurse is caring for a newborn infant.Thirty hours after birth,the infant passes a dark green meconium stool.The nurse recognizes that this is important because:
A)this stool would indicate anal patency.
B)the dark green color could indicate occult blood in the stool.
C)meconium stool can be reflective of distress in the newborn.
D)the newborn should have passed the first stool within 12 hours after birth.
Q3) During a discussion for a men's health group,the nurse relates that the group with the highest incidence of prostate cancer is:
A)Asian-Americans.
B)black Americans.
C)American Indians.
D)Mexican-Americans.
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Chapter 26: Female Genitourinary System
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Sample Questions
Q1) The female structure that corresponds with the male penis is called the:
A)labia.
B)clitoris.
C)prepuce.
D)frenulum.
Q2) Which of the following statements is true with regard to the history of a postmenopausal woman?
A)The nurse should ask a postmenopausal woman if she ever has vaginal bleeding.
B)Once a woman reaches menopause,the nurse does not need to ask any further history questions.
C)The nurse should screen for monthly breast tenderness.
D)Postmenopausal women are not at risk for contracting sexually transmitted diseases and thus these questions can be omitted.
Q3) During an inspection of the vagina,the nurse would expect to see what at the end of the vagina?
A)Cervix
B)Uterus
C)Ovaries
D)Fallopian tubes
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Page 28
Chapter
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Sample Questions
Q1) When assessing the neonate,the nurse should test for hip stability with which method?
A)Eliciting the Moro reflex
B)Performing Romberg's test
C)Checking for Ortolani's sign
D)Assessing the stepping reflex
Q2) When the nurse performs the confrontation test,the nurse has assessed:
A)EOMs.
B)PERRLA.
C)near vision.
D)visual fields.
Q3) If the nurse records the results to the Hirschberg test,the nurse has:
A)tested the patellar reflex.
B)assessed for appendicitis.
C)tested the corneal light reflex.
D)assessed for thrombophlebitis.
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Chapter 28: Reassessment of the Hospitalized Adult
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9 Verified Questions
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Sample Questions
Q1) The nurse is assessing the intravenous (IV)infusion at the beginning of the shift.Which of the following should be included in the assessment of the infusion? Select all that apply.
A)Proper IV solution is infusing according to physician's orders.
B)Infusing at the proper rate according to physician's orders.
C)Infusion proper according to the nurse's own assessment of the patient's needs.
Q2) At the beginning of rounds,when the nurse enters the room,what should be done first?
A)Check the intravenous infusion site for swelling or redness.
B)Check the infusion pump settings for accuracy.
C)Make eye contact with the patient and introduce himself or herself as the patient's nurse.
D)Offer the patient something to drink.
Q3) What should the nurse assess before entering the patient's room on morning rounds?
A)Posted conditions,such as isolation precautions
B)The patient's input and output chart from the previous shift
C)The patient's general appearance
D)The presence of any visitors in the room
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Page 30
Chapter 29: The Pregnant Female
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29 Verified Questions
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Sample Questions
Q1) A female patient has nausea,breast tenderness,fatigue,and amenorrhea.Her last menstrual period was 6 weeks ago.The nurse recognizes that this patient is experiencing:
A)positive signs of pregnancy.
B)possible signs of pregnancy.
C)probable signs of pregnancy.
D)presumptive signs of pregnancy.
Q2) During auscultation of fetal heart tones (FHTs),the nurse determines that the rate is 136 beats per minute.The nurse's next action should be to:
A)document the results,which are within normal range.
B)take the maternal pulse to verify these findings as the uterine souffle.
C)have the patient change positions and count the FHTs again.
D)notify the physician immediately for possible fetal distress.
Q3) A 25-year-old woman is in the clinic for her first prenatal visit.Which laboratory screening is appropriate at this time?
A)Human chorionic gonadotropin
B)Complete blood cell count
C)Alpha-fetoprotein
D)Carrier screening for cystic fibrosis
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Chapter 30: Functional Assessment of the Older Adult
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14 Verified Questions
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Sample Questions
Q1) The nurse is preparing to perform a functional assessment of an older patient and knows that a good approach would be to:
A)observe the patient's ability to perform the tasks.
B)ask the patient's wife how he does when performing tasks.
C)review the medical record for information on the patient's abilities.
D)ask the patient's physician for information on the patient's abilities.
Q2) Which statement about the Lawton IADL instrument is true?
A)The nurse uses direct observation to implement this tool.
B)It is designed as a self-report measure of performance rather than ability.
C)It is not useful in the acute hospital setting.
D)It is best used for those residing in an institutional setting.
Q3) The nurse is preparing to assess an older adult and discovers that the older adult is in severe pain.Which statement about pain and the older adult is true?
A)Pain is inevitable with aging.
B)Older adults with cognitive impairment feel less pain.
C)Alleviating pain should be a priority over other aspects of the assessment.
D)The assessment should take priority so that care decisions can be made.
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