Health Promotion and Maintenance Practice Question
Question
The nurse is caring for an older adult at discharge and is focused on screening scenario 3. Which nursing action is most appropriate?
Answer choices
- A. Delay assessment until the next scheduled round if the client is not calling for help.
- B. Delegate the clinical assessment and nursing judgment to assistive personnel.
- C. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
- D. Encourage age-appropriate screening based on risk factors and guidelines.
Correct Answer
D. Encourage age-appropriate screening based on risk factors and guidelines.
Explanation
The priority action for screening is to encourage age-appropriate screening based on risk factors and guidelines. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.
Question details
- Difficulty: hard
- Domain: Health Promotion and Maintenance
- Objective: screening