Solved Correctly.
Nursing Process - Answer how nurses make clinical decisions
Step 1 of Nursing Process - Answer assessment- assessing the whole patient (physical health,
behavioral aspects of health, spirituality, social factors, cultural variations, life span and
developmental factors)
Subjective Data - Answer sensations of symptoms- pain, hunger, feelings, desires, preferences
Health History
Biological Data- DOB, name, gender, religion, education level, occupation, insurance, significant
other, address
COLDSPA - Answer Purpose is to get a clear picture of the current problem
C-character
O- onset
L- location
D-duration
S- severity
P- Pattern
A- Associated factors
Past Health History - Answer Purpose is to gather data of patients strength and weaknesses
to help plan of care
(Childhood diseases, chronic illnesses, allergies, accidents/injuries, pain, mental illnesses,
hospitalizations, surgeries)
Psychosocial Assessment - Answer "Describe to me what a typical day for you includes?"
Objective Data - Answer obtained by examiner using the various exam techniques, data that
is observes by the nurse
(Physical characteristics, body functions, appearance, vital signs, labs, behavior)
Therapeutic Communication - Answer empathy, compassion, honesty, caring, listen
, Nonverbal Communication - Answer postures, facial gestures and expressions sometimes
done unintentionally
(most patients know within 5 minutes if their nurse cares)
Communicating with Client - Answer introduction, sit or stand at same level, confidentiality,
encourage questions, ask client to tell you if they feel uncomfortable, developmental level
Interviewing the Client - Answer Broad questions, clarification, exploring (open ended
questions), facilitation, reflecting, summarizing
Phase 1 of Interview - Answer nurse reviews the medical records
Phase 2 of Interview - Answer introductions, explain purpose of interview, assure
confidentiality, provide privacy
Phase 3 of Interview - Answer longest phase, collection of data, both open and closed-ended
questions
Phase 4 of Interview - Answer clarify the patient's report, needs, feelings and concerns,
summarize their report to validate
Initial Comprehensive/Complete Assessment - Answer provides baseline data, usually done
on admission (full history and physical)
Ongoing/Partial Assessment - Answer Data collection that occurs after the comprehensive
database is established, problem areas reassessed for changes
Focused Assessment - Answer also done following comprehensive assessment, it is thorough
assessment of the clients chief complaint
Emergency Assessment - Answer urgent, rapid collection of data while patient's airway, LOC,
circulation, ect. is assessed simultaneously
Follow-Up Assessment - Answer used in various settings (chronic health issues)
Functional Assessment - Answer assesses a patient's ability to perform ADL's
Direct Inspection - Answer carefully observing and inspecting a specific area or whole body