FUNDAMENTALS OF NURSING VOL. 1
THIRD EDITION F. A. DAVIS (EXAM 1)
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2024
Nursing Assessment - ANSWER Collect, validate, organize, and record data
ANA states nurses can delegate - ANSWER Appropriate tasks to a certified paraprofessional.
While the nurse is still responsible for validating the data collected, conduct the interview, and
completing the physical assessment.
Sources of data to be collected - ANSWER Subjective (symptoms), Objective (signs), Primary (signs and
symptoms), Secondary (outside resource)
JACO patient assessment requirements - ANSWER 1. Assessments are written, comprehensive, and used
to identify and assign priorities for care.
2. Agency policy designates (a) when each patient is to be reassessed (b) which disciplines can make
which assessments
3. All patients are assessed for pain
Initial Assessment - ANSWER Admission Assessment: Data gathered when the client first comes to the
healthcare agency. R/T the reason for visit and followed up with a comprehensive should the problem
persist.
Ongoing Assessment - ANSWER Preformed as needed. Observations made with each patient contact,
identify new problems or follow up on previously identified problems.
Comprehensive Assessment - ANSWER Global Assessment or patient database: Holistic data addressing
the patients overall health status
, Focused Assessment - ANSWER About a actual, potential, or possible problem. Can be initial and
ongoing.
Special Needs Assessment - ANSWER In depth information about a particular area of client functioning.
JACO requires nutrition and pain.
Types of Special Needs Assessments
Functional Abilities Assessment
(Katz index of ADL scale, Lawton Instrumental Activities of Daily Living scale, Karnofsky Performance
scale)
Cultural, Spiritual Health, Psychosocial, Wellness, Family, Community
Nursing interview - ANSWER is purposeful, structured communication in which you question the patient
to gather subjective data
Types of interviews to obtain a Health History - ANSWER Directive interviewing - closed questions; short
factual answers.
Non Directive interviewing - open ended questions; patient controlled and subjective content. Nurse
helps control and clarify.
Components of a Health History - ANSWER -Biographical data
-Chief Complaint
-History of present illness
-Clients perception of health status and expectation of care
-Past Health History
-Social History
-Medication and Device use
-Complementary and Alternative modalities
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