The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicates the nurse is in the first phase? - ANS Completes a comprehensive database.
A nurse is using the problem-focused approach to data collection. Which action will the nurse take ...
Potter & Perry Chapter 16: Nursing
Assessment Exam Questions And
Answers
The nurse is using critical thinking skills during the first phase of the nursing process. Which
action indicates the nurse is in the first phase? - ANS Completes a comprehensive
database.
A nurse is using the problem-focused approach to data collection. Which action will the nurse
take first? - ANS Focusing on the patient's presenting situation
After reviewing the database, the nurse discovers that the patient's vital signs have not been
recorded by the nursing assistive personnel (NAP). Which clinical decision should the nurse
make? - ANS Ask the NAP to record the patient's vital signs before administering
medications.
The nurse is gathering data on a patient. Which data will the nurse report as objective data? -
ANS Respirations 16.
A patient expresses fear of going home and being alone. Vital signs are stable, and the incision
is nearly completely healed. What can the nurse infer from the subjective data? - ANS The
patient is fearful of being discharged.
Which method of data collection will the nurse use to establish a patient's database? - ANS
Performing a physical examination
A nurse is gathering information about a patient's habits and lifestyle patterns. Which method of
data collection will the nurse use that will best obtain this information? - ANS Perform a
thorough nursing health history.
While interviewing an older female patient of Asian descent, the nurse notices that the patient
looks at the ground when answering questions. What should the nurse do? - ANS Consider
cultural differences during this assessment.
A nurse has already set the agenda during a patient-centered interview. What will the nurse do
next? - ANS Ask about the chief concerns or problems.
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