During a HEENT assessment, what does the acronym PERRLA evaluate?
Explanation
This question tests the knowledge of a specific acronym (PERRLA) used in the physical assessment of the eyes and its meaning.
Other questions
What is the primary definition of critical thinking in nursing practice?
Which of the following is identified as a key pillar of the nurse-patient relationship?
What does the 'Review of Systems (ROS)' component of a comprehensive health history primarily allow the nurse to accomplish?
What does the term 'poikilothermia' refer to in the context of a peripheral vascular assessment?
Which of the following is listed as a potential professional boundary violation a nurse might commit?
What is the primary purpose of the ISBAR communication framework in a clinical setting?
Which of the following is considered a 'risk factor' in a patient's health, as opposed to a 'protective factor'?
What type of communication is a nurse demonstrating when they ask a patient, 'What are your thoughts on this?' or 'How can we work together to achieve this goal?'
When performing a bedside physical assessment, what is the primary purpose of the general survey?
According to the Clinical Judgment Measurement Model (CJMM), what does the 'Recognizing cues' step involve?
What is an example of nonverbal communication that a nurse should be conscious of, as it can hinder the nurse-patient relationship?
What is the appropriate ratio of anterior-posterior to transverse diameter for a normal chest wall assessment?
What is the primary difference between a bedside physical assessment and a focused physical assessment in an acute care setting?
When obtaining a health history, what is a common mistake a nurse might make regarding their position in the room that could make a patient feel less engaged?
What is the legal responsibility of a healthcare facility regarding patients who have a preferred language other than English?
What is the primary objective of a Safety and Surroundings Assessment in a medical-surgical setting?
In the context of the Clinical Judgment Measurement Model (CJMM), which step involves the nurse working with an interdisciplinary team to set goals?
Which of the following is an example of therapeutic communication listed in Table 6.1?
What is the purpose of a focused health history?
In a comprehensive health assessment, which term is used to note when signs and symptoms in a particular system are absent?
Which of the four core competencies of TeamSTEPPS involves delegating tasks and coordinating care for optimal performance?
What is the primary role of a physical therapist (PT) in the interdisciplinary plan of care for a patient with diabetic venous ulcers and possible sepsis?
In a comprehensive health history, which component allows for a narrative about the person's life and how they perceive their general health?
What type of assessment is considered 'critical for preventing adverse patient outcomes' and focuses on the patient's environment and potential risks?
When a nurse finds discrepancies between what a patient says and what the nurse observes, what skill is crucial for identifying the barriers causing this misalignment?
Which of the following describes a nontherapeutic communication technique related to giving information?
During a health history interview, which of the following would be categorized under 'Social History'?
What is the primary purpose of a skin assessment during a bedside physical examination?
When communicating with a patient who has an auditory impairment, which of the following is a recommended action for the nurse?
What does a nurse's intuition, or 'sixth sense', largely come from according to the text?
How many major components are included in the comprehensive health history format listed in Section 6.3?
What is the purpose of the neuro-muscular assessment in a bedside exam?
In the ISBAR framework, what information does a nurse provide during the 'B' or 'Background' component?
What is the primary difference between a patient's chief complaint and the history of present illness?
What is the term for the communication that reinforces verbal information given to a patient in a format they can read?
Which action is an example of the 'Take action' step in the Clinical Judgment Measurement Model (CJMM)?
What is the purpose of the genitourinary assessment during a bedside physical examination?
What is a 'professional boundary' in the context of the nurse-patient relationship?
Which of these is NOT listed as a body system covered in the problem pertinent Review of Systems (ROS)?
Which of these actions is a part of the 'Active Listening' technique for nurses?
What is the purpose of performing medication reconciliation during a health history?
In the 'READ THE ELECTRONIC HEALTH RECORD' example for Tanecia Smith, what is the most concerning vital sign?
How many body systems are listed for inclusion in a problem pertinent Review of Systems (ROS)?
What does a nurse need to be aware of when assessing a patient from a different cultural background regarding pain?
Which of the following describes the assessment of the head during a HEENT exam?
When is it appropriate to use a qualified sign language interpreter for a deaf patient?
What information from Tanecia Smith's EHR suggests an inflammatory process consistent with acute cholecystitis?
What is the primary goal of the 'teach-back' strategy in nurse-patient communication?
Which component of a health history provides crucial information for medication reconciliation by comparing the prescribed list with what the patient is actually taking?