NURSING 2024 CH 16 ASSESSMENT WITH WELL EXPLAINED ANSWERS.
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Course
NURS
Institution
NURS
hand-off report - ANSWER a transfer and acceptance of patient care responsibility achieved through effective communication. It is a real time process of passing patient-specific information from one caregiver to another or from one team of health care providers to another for the purpose of ensuri...
NURSING 2024 CH 16 ASSESSMENT WITH WELL EXPLAINED ANSWERS.
assessment - ANSWER first step of nursing process; you collect a comprehensive
set of data about a pt and recognize and identify patterns that begin to reflect the
meaning of a pt's response to health problems
back channeling - ANSWER Active listening technique that prompts a respondent
to continue telling a story or describing a situation. Involves use of phrases such as
"Go on," "Uh huh," and "Tell me more."
closed-ended questions - ANSWER Form of question that limits a respondent's
answer to one or two words.
cue - ANSWER Information that a nurse acquires through hearing, visual
observations, touch, and smell.
inference - ANSWER (1) judgement or interpretation of informational cues. taking
(2) taking one proposition as a given and guessing that another proposition follows
Nursing health history - ANSWER Data collected about a patient's present level of
wellness, changes in life patterns, sociocultural role, and mental and emotional
reactions to illness.
nursing process - ANSWER is a critical thinking five-step process that professional
nurses use to apply the best available evidence to deliver nursing care
objective data - ANSWER are the findings resulting from direct observation or
measurement, including what you see, hear, and touch
open-ended questions - ANSWER Form of question that prompts a respondent to
answer in more than one or two words.
review of systems - ANSWER is a systematic approach for collecting subjective
information from pt's about the presence or absence of health-related issues in each
body system
subjective data - ANSWER your pt's verbal descriptions of their health problems
validation - ANSWER Act of confirming, verifying, or corroborating the accuracy of
assessment data or the appropriateness of the care plan.
assessment, diagnosis, planning and outcome identification, implementation,
evaluation - ANSWER what are the steps of the nursing process
1) collection of information from a primary source(pt) and
secondary(family,friends,health professionals, medical record)
2) interpretation and validation of data to determine whether more data are needed
or the database is complete - ANSWER nursing assessment involves what two
steps
, NURSING 2024 CH 16 ASSESSMENT WITH WELL EXPLAINED ANSWERS.
patient-centered interview, periodic assessments, physical examination - ANSWER
what are the three different types of assessments
patient-centered interview - ANSWER conducted during a nursing history
periodic assessment - ANSWER conducted during ongoing contact with pts
physical examination - ANSWER conducted during a nursing history and at any
time a patient presents a symptom
subjective - ANSWER are these subjective or objective
pt's feelings, prescriptions, self-reported problems
objective - ANSWER are these subjective or objective
inspecting condition of a wound
observing a pt walk down the floor
measuring blood pressure
describing specifically an observed behavior(seizure)
hand-off report - ANSWER a transfer and acceptance of patient care responsibility
achieved through effective communication. It is a real time process of passing
patient-specific information from one caregiver to another or from one team of health
care providers to another for the purpose of ensuring the continuity and safety of the
pt's care
1. The review of patient data in the medical record
2. Confirming a patient's self-report of abdominal pain by inspecting the abdomen
4. Analyzing a set of signs revealing lower leg weakness and unsteady gait with a
pattern of mobility alteration
5. Conducting an interview of a family caregiver - ANSWER A nurse completes the
following steps during her shift of care. Which are the steps of nursing assessment?
1. The review of patient data in the medical record
2. Confirming a patient's self-report of abdominal pain by inspecting the abdomen
3. Reporting results of an ongoing assessment to a nurse working the next
scheduled shift
4. Analyzing a set of signs revealing lower leg weakness and unsteady gait with a
pattern of mobility alteration
5. Conducting an interview of a family caregiver
1. Assessment conducted at beginning of nurses shift
A. Problem Focused
2. Review of a patient's chief complaint
A. Problem Focused
3. Completion of admitting history at time of patient admission to a hospital
B. Comprehensive
4. Completion of the Long Term Care Minimum Data Set during an elderly patient
admission to a nursing home
B. Comprehensive - ANSWER Match the assessment activity on the left with the
type of assessment on the right.
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