Fundamentals of Nursing Vol. 1 Third
Edition F. A. Davis (Exam 1)
Nursing Assessment - Correct Answer - Collect, validate, organize, and
record data
ANA states nurses can delegate - Correct Answer - Appropriate tasks to a
certified paraprofessional.
While the nurse is still responsible for validating the data collected, conduct
the interview, and completing the physical assessment.
Sources of data to be collected - Correct Answer - Subjective (symptoms),
Objective (signs), Primary (signs and symptoms), Secondary (outside
resource)
JACO patient assessment requirements - Correct Answer - 1. Assessments
are written, comprehensive, and used to identify and assign priorities for
care.
2. Agency policy designates (a) when each patient is to be reassessed (b)
which disciplines can make which assessments
3. All patients are assessed for pain
Initial Assessment - Correct Answer - Admission Assessment: Data gathered
when the client first comes to the healthcare agency. R/T the reason for visit
and followed up with a comprehensive should the problem persist.
Ongoing Assessment - Correct Answer - Preformed as needed. Observations
made with each patient contact, identify new problems or follow up on
previously identified problems.
Comprehensive Assessment - Correct Answer - Global Assessment or patient
database: Holistic data addressing the patients overall health status
Focused Assessment - Correct Answer - About a actual, potential, or possible
problem. Can be initial and ongoing.
Special Needs Assessment - Correct Answer - In depth information about a
particular area of client functioning. JACO requires nutrition and pain.
, Types of Special Needs Assessments
Functional Abilities Assessment
(Katz index of ADL scale, Lawton Instrumental Activities of Daily Living scale,
Karnofsky Performance scale)
Cultural, Spiritual Health, Psychosocial, Wellness, Family, Community
Nursing interview - Correct Answer - is purposeful, structured
communication in which you question the patient to gather subjective data
Types of interviews to obtain a Health History - Correct Answer - Directive
interviewing - closed questions; short factual answers.
Non Directive interviewing - open ended questions; patient controlled and
subjective content. Nurse helps control and clarify.
Components of a Health History - Correct Answer - -Biographical data
-Chief Complaint
-History of present illness
-Clients perception of health status and expectation of care
-Past Health History
-Social History
-Medication and Device use
-Complementary and Alternative modalities
-Review of Body Systems and Associated Functional Abilities
Conducting and interview - Correct Answer - A patient is more likely to be
open an honest if confidentiality is reiterated.
Some topics may cause the patient to become emotional, this can be
therapeutic for them and, educational for the nurse.
Edition F. A. Davis (Exam 1)
Nursing Assessment - Correct Answer - Collect, validate, organize, and
record data
ANA states nurses can delegate - Correct Answer - Appropriate tasks to a
certified paraprofessional.
While the nurse is still responsible for validating the data collected, conduct
the interview, and completing the physical assessment.
Sources of data to be collected - Correct Answer - Subjective (symptoms),
Objective (signs), Primary (signs and symptoms), Secondary (outside
resource)
JACO patient assessment requirements - Correct Answer - 1. Assessments
are written, comprehensive, and used to identify and assign priorities for
care.
2. Agency policy designates (a) when each patient is to be reassessed (b)
which disciplines can make which assessments
3. All patients are assessed for pain
Initial Assessment - Correct Answer - Admission Assessment: Data gathered
when the client first comes to the healthcare agency. R/T the reason for visit
and followed up with a comprehensive should the problem persist.
Ongoing Assessment - Correct Answer - Preformed as needed. Observations
made with each patient contact, identify new problems or follow up on
previously identified problems.
Comprehensive Assessment - Correct Answer - Global Assessment or patient
database: Holistic data addressing the patients overall health status
Focused Assessment - Correct Answer - About a actual, potential, or possible
problem. Can be initial and ongoing.
Special Needs Assessment - Correct Answer - In depth information about a
particular area of client functioning. JACO requires nutrition and pain.
, Types of Special Needs Assessments
Functional Abilities Assessment
(Katz index of ADL scale, Lawton Instrumental Activities of Daily Living scale,
Karnofsky Performance scale)
Cultural, Spiritual Health, Psychosocial, Wellness, Family, Community
Nursing interview - Correct Answer - is purposeful, structured
communication in which you question the patient to gather subjective data
Types of interviews to obtain a Health History - Correct Answer - Directive
interviewing - closed questions; short factual answers.
Non Directive interviewing - open ended questions; patient controlled and
subjective content. Nurse helps control and clarify.
Components of a Health History - Correct Answer - -Biographical data
-Chief Complaint
-History of present illness
-Clients perception of health status and expectation of care
-Past Health History
-Social History
-Medication and Device use
-Complementary and Alternative modalities
-Review of Body Systems and Associated Functional Abilities
Conducting and interview - Correct Answer - A patient is more likely to be
open an honest if confidentiality is reiterated.
Some topics may cause the patient to become emotional, this can be
therapeutic for them and, educational for the nurse.
