Health Promotion and Maintenance Practice Question
Question
The nurse is caring for an adult at a wellness visit and is focused on screening scenario 10. 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. Encourage age-appropriate screening based on risk factors and guidelines.
- C. Delegate the clinical assessment and nursing judgment to assistive personnel.
- D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
Correct Answer
B. 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: medium
- Domain: Health Promotion and Maintenance
- Objective: screening