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Which statement about targeted assessments is accurate?

  • A

    The need for a targeted assessment is based on the application of the nurse’s knowledge of pathophysiology and the presenting symptoms.

  • B

    The need for a targeted assessment is based on the application of the nurse’s knowledge of developmental needs and developmental delays.

  • C

    Targeted assessment is done on an annual basis for existing clients rather than a complete assessment that is done for new clients.

  • D

    Targeted assessments consist of a brief medical history and a complete assessment consists of a complete health history and a complete physical assessment.

Correct Response: A

The need for a targeted assessment is based on the application of the nurse’s knowledge of pathophysiology and the presenting symptoms. Targeted assessments and screenings are done in addition to routine and recommended screenings when a particular disorder has a genetic pathophysiological component for risk and when a client is presenting with a particular sign or symptom.

For example, a targeted assessments relating to nutritional status may be indicated when an infant or young child is listless and not gaining weight according the established criteria; an adolescent may be target screened for visual acuity when a high school teacher reports that the teen does not seem to be able to read things on the blackboard; and a toddler may be target screened when the parent reports that the child is not responding to their name.