Subjective data - correct answer ✔✔not measurable; symptoms
Objective data - correct answer ✔✔measurable/observable; signs
The purpose of ASSESSMENT - correct answer ✔✔to make a clinical judgement or diagnosis about the
client's health state or response to actual or risk health problems.
focus assessment - correct answer ✔✔something new/out of the ordinary
comprehensive assessment - correct answer ✔✔done when the person is first admitted or first arrives
Clinical Judgement - correct answer ✔✔Identify problems and make decisions using the nursing process;
ability to solve problems is based on level of experience
Facilitation - correct answer ✔✔encourage the patient to say more, to continue with the story ("mm-
hmm, go on, continue, uh-huh") - also called general leads
general leads - correct answer ✔✔these responses show the person you are interested and will listen
further (eye contact, shifting forward in seat, nodding)
Silence - correct answer ✔✔this is golden after open-ended questions; gives patient time to think or
organize what he/she wants to say
reflection - correct answer ✔✔this response echoes the patient's words
empathy - correct answer ✔✔recognizes a feeling and puts it into words; names the feeling and allows
the expression of it ("This must be hard for you")
, clarification - correct answer ✔✔use this when the person's word choice is ambiguous or confusing ("Tell
me what you mean by 'tired blood'")
confrontation - correct answer ✔✔you have observed a certain action, feeling, or statement and you
now focus the person's attention on it; give honest feedback about what you see or feel
interpretation - correct answer ✔✔based on your inference or conclusion; ascribes feelings and helps
the person understand his/her own feelings in relation to the verbal message
explanation - correct answer ✔✔with these statements, you inform the person and share factual and
objective information ("The reason you cannot do this and that is because...")
summary - correct answer ✔✔final review of what you understand the person has said; this condenses
the facts and presents a type of validation in that the person can agree with it or correct it
OPQRSTU - correct answer ✔✔Onset
Provocative or Palliative
Quality or Quantity
Region or Radiation
Severity Scale
Timing
Understanding client's perception
Past Health - correct answer ✔✔childhood illnesses
accidents/injuries
serious or chronic illnesses
hospitalizations
operations
obstetric history
immunizations
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