Glossary of Chap 15 Nursing Assessment
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- The purpose of assessment is to:
1. Establish a database concerning the client.
2. Teach the client about his or her health.
3. Implement nursing care.
4. Delegate nursing responsibility.
- Critical thinking is the active, organized, cognitive process used to carefully examine one's thinking. Utilizing critical thinking during assessment allows the nurse to:
1. Review the assessment with other healthcare providers.
2. Determine th
- Assessment data must be descriptive, concise and complete. An assessment should not include:
1. Inferences or interpretative statements that are unsupported with data.
2. A detailed physical examination.
3. The use of interpersonal and cog
- Data collection includes the gathering of s;ubjective and objective data from or about a client. Subjective data are:
1. Observations made by the data collector.
2. Ancillary reports from other services.
3. Client's perceptions about their
- One of the most important skills needed to obtain accurate information from your client is (are):
1. Teaching and assessment.
2. Cognitive and teaching.
3. Good communication and critical thinking.
- The first step in establishing the database is to collect subjective information by interviewing the client. An interview is:
1. An organized conversation with the client.
2. Implementation of physician orders.
3. Determining specific nurs
- An interview with a client includes three phases; similar to those of a theraputic relationship. These phases include:
1. Orientation. working and termination.
2. Orientation, assessment and delegation.
3. Planning, evaluation and assessme
- During data clustering the nurse:
1. Implements the nursing process.
2. Provides documentation of nursing process.
3. Organizes data and focuses attention on client functions.
4. Reviews the data with other healthcare providers.
- A nurse might ask, "Do you have pain or cramping:" This is an example of
1. Problem seeking questioning.
2. Open-ended questioning.
3. Close-ended questioning.
4. Active listening.
- A technique that allows for discussion is the use of:
1. Use of closed-ended questions.
2. USe of open-ended questions.
3. Back channeling
4. Problem seeking
- The nursing process consists of five parts. Name them.
- 1. Assess
2. Nursing Diagnosis
- Sciatic pain radiates from where?
- the buttocks down the leg.
- Subjective data is data that?
- are the client's perceptions abouth their health problems.
- Objective data are what?
- observations or measurements made by the data collector.
- The orientation phase of the interview begins with?
- the nurse's introductin to the client.
- The working phase of the interview is what?
- when the nurse gathers information about the client's health status.
- In the termination phase, the nurse should give what when the interview is coming to an end?
- What is the standard of measure of quality for all hospitals throughout the country?
- client satisfaction
- What is a ROS?
- Review of Systems, a systematic method for collecting data on all body systems.
- What is a cluster?
- a set of signs or symptoms that are grouped together in a logical order.
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