Difficulty: Medium
Average Score: 95%
Simulated
Upon entering the client's room at the beginning of a shift and throughout the shift,the nurse assesses the client. The nurse considers the client's plan of care and response to nursing interventions during the assessments. What type of assessment is the nurse performing?
Correct answer
A
Rationale
The correct answer is A: Ongoing assessment. This type of assessment involves continuous monitoring and evaluation of the client's condition throughout the shift. The nurse assesses the client's response to interventions and adjusts the plan of care accordingly. It is essential for detecting changes in the client's status and ensuring timely interventions.
Incorrect choices:
- B: Focused assessment: This type of assessment is targeted at a specific problem or body system and is not as comprehensive as ongoing assessment.
- C: Emergency assessment: This is performed in urgent situations to quickly identify and address life-threatening issues.
- D: Comprehensive assessment: This is a thorough assessment done at the beginning of care to gather detailed information about the client's health status. It is not ongoing throughout the shift.
Incorrect choices:
- B: Focused assessment: This type of assessment is targeted at a specific problem or body system and is not as comprehensive as ongoing assessment.
- C: Emergency assessment: This is performed in urgent situations to quickly identify and address life-threatening issues.
- D: Comprehensive assessment: This is a thorough assessment done at the beginning of care to gather detailed information about the client's health status. It is not ongoing throughout the shift.