Chap 15 Nursing Assessment

Front 1

The purpose of assessment is to:
1. Establish a database concerning the client.
2. Teach the client about his or her health.
3. Implement nursing care.
4. Delegate nursing responsibility.

Back 1

1

Front 2

Critical thinking is the active, organized, cognitive process used to carefully examine one's thinking. Utilizing critical thinking during assessment allows the nurse to:
1. Review the assessment with other healthcare providers.
2. Determine the nursing care was delivered.
3. Identify the anticipated cleint response to care.
4. Direct the assessment in a meaningful and purposeful way.

Back 2

4

Front 3

Assessment data must be descriptive, concise and complete. An assessment should not include:
1. Inferences or interpretative statements that are unsupported with data.
2. A detailed physical examination.
3. The use of interpersonal and cognitive skills.
4. Su;bjective data from the client.

Back 3

1

Front 4

Data collection includes the gathering of s;ubjective and objective data from or about a client. Subjective data are:
1. Observations made by the data collector.
2. Ancillary reports from other services.
3. Client's perceptions about their health problems.
4. Obtained from the physician history and physical form.

Back 4

3

Front 5

One of the most important skills needed to obtain accurate information from your client is (are):
1. Teaching and assessment.
2. Cognitive and teaching.
3. Good communication and critical thinking.
4. Phychomotor.

Back 5

3

Front 6

The first step in establishing the database is to collect subjective information by interviewing the client. An interview is:
1. An organized conversation with the client.
2. Implementation of physician orders.
3. Determining specific nursing action.
4. Delegating personnel responsible for care.

Back 6

1

Front 7

An interview with a client includes three phases; similar to those of a theraputic relationship. These phases include:
1. Orientation. working and termination.
2. Orientation, assessment and delegation.
3. Planning, evaluation and assessment.
4. Trust, planning and honesty.

Back 7

1

Front 8

During data clustering the nurse:
1. Implements the nursing process.
2. Provides documentation of nursing process.
3. Organizes data and focuses attention on client functions.
4. Reviews the data with other healthcare providers.

Back 8

3

Front 9

A nurse might ask, "Do you have pain or cramping:" This is an example of
1. Problem seeking questioning.
2. Open-ended questioning.
3. Close-ended questioning.
4. Active listening.

Back 9

3

Front 10

A technique that allows for discussion is the use of:
1. Use of closed-ended questions.
2. USe of open-ended questions.
3. Back channeling
4. Problem seeking

Back 10

2

Front 11

The nursing process consists of five parts. Name them.

Back 11

1. Assess
2. Nursing Diagnosis
3. Plan
4. Implement
5. Evaluate

Front 12

Sciatic pain radiates from where?

Back 12

the buttocks down the leg.

Front 13

Subjective data is data that?

Back 13

are the client's perceptions abouth their health problems.

Front 14

Objective data are what?

Back 14

observations or measurements made by the data collector.

Front 15

The orientation phase of the interview begins with?

Back 15

the nurse's introductin to the client.

Front 16

The working phase of the interview is what?

Back 16

when the nurse gathers information about the client's health status.

Front 17

In the termination phase, the nurse should give what when the interview is coming to an end?

Back 17

clue

Front 18

What is the standard of measure of quality for all hospitals throughout the country?

Back 18

client satisfaction

Front 19

What is a ROS?

Back 19

Review of Systems, a systematic method for collecting data on all body systems.

Front 20

What is a cluster?

Back 20

a set of signs or symptoms that are grouped together in a logical order.