Health Assessment In Nursing Latest Fall 2022 Exam 100% Verified
Assessment
Answer- Collection of subjective and objective data
Diagnoses
Answer- Analysis of subjective and objective data to make a professional nursing judgement
Planning
Answer- Developing a plan of nursing care and ou...
Health Assessment In Nursing Latest Fall 2022 Exam 100% Verified
Assessment Answer- Collection of subjective and objective data
Diagnoses Answer- Analysis of subjective and objective data to make a professional nursing judgement
Planning Answer- Developing a plan of nursing care and outcome criteria
Implementation Answer- Carrying out the plan of care
Evaluation Answer- Assessing whether outcome criteria have been met and revising the plan of care if necessary
Nursing Diagnosis Answer- Clinical judgement about individual, family or community responses to actual or
potential health problems and life processes
Subjective Data Answer- Sensations or symptoms that can be verified only by the client (ex. pain)
Objective Data Answer- Findings directly observed or indirectly observed through measurements (ex. body temperature)
Collaborative Problem Answer- Physiologic complications that nurses monitor to detect their onset or changes in status
Referral Problem Answer- Problem that requires the attention or assistance of other health care professionals
A medical examination differs from a comprehensive nursing examination in that the medical examination focuses primarily on the client's Answer- Physiologic status The result of a nursing assessment is the Answer- Formulation of nursing diagnoses
Although the assessment phase of the nursing process precedes the other phases, the assessment phase is Answer- Continuous
When a client first enters the hospital for an elective surgical procedure, the nurse should perform an assessment termed Answer- Comprehensive
An ongoing or partial assessment of a client Answer- Includes a brief reassessment of the client's normal body system
The purpose of the comprehensive health assessment is to Answer- Arrive at conclusions about the client's health
The use of this type of question can keep a client interview from going off track Answer- Closed-ended
A nurse can clarify a client's statements by Answer- Rephrasing the client's statements
During what phase of the interview between a nurse and client do you collaborate to identify problems and goals Answer- Working phase
When dealing with a manipulative client it is important for the nurse to Answer- Provide structure and set limits
The primary purpose of the health history is to Answer- Identify risk factors to the client and his or her significant others
Define the "COLDSPAA" accronym Answer- Character, Onset, Location, Duration, Severity, Pattern, Associated factors, how it Affects the client
Sim's position Answer- Side-lying position used during the rectal examination
Sitting Position Answer- Position used during much of the physical examination including examination of the head, neck, lungs, chest, back, breast, axilla, heart, vital signs, and upper extremities
Supine Position
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