The nurse records the following general survey of a patient: "The patient is a 68-year-old male Asian attended by his wife and two daughters.Alert and oriented.Does not make eye contact with the nurse and responds slowly,but appropriately,to questions.No apparent disabilities or distinguishing features." What additional information should be added to this general survey?

Question

Quizplus · Accepted Answer

The general survey should include observations on body movements, such as posture, gait, and overall mobility. This information can provide important clues about the patient's overall health and can help nurses identify potential vulnerabilities or areas of concern. Intake and output and reasons for contact with the health care system may be important to document, but they are not typically part of the general survey. Comments from family members about the patient's condition may be helpful to include in the medical record, but they are not specifically part of the general survey.

The Nurse Records the Following General Survey of a Patient