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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.
4. Phychomotor.
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
3. Plan
4. Implement
5. Evaluate
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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