NURS 303
QUESTIONS ANIONSD CORRECT ANSWERS | ALREADY GRADED A+ WITH
COMPLETE SOLUTION
What type of assessment gathers data about a specific problem that has already been identified? -
Forcused
What type of assessment may be used by nurses to help patients identify potential and actual
health risks and to explore the habits, behaviors, beliefs, attitudes, and values that influence their
health? - Health assessment
Examples of objective data - 1. redness/swelling at site of incision
2. a pt has a violent coughing spell
3. a pt recovering from knee surgery favors his impaired leg when walking
Examples of subjective data - 1. a pt complains of pain in left arm
2. a pt is nauseated at the site of food
3. a pt worries about her children during a hospital stay
What are 5 functions of the initial comprehensive nursing assessment? - 1. Make a judgment
about a person's health status
2. Make a judgment about a patient's ability to manage his/her own health care
3. Refer the pt to a health care provider or other health care professional
4. Make a judgment about a patient's need for nursing
5. Plan and deliver thoughtful, person-centered, holistic nursing care that draws on the patient's
strengths and promotes optimum functioning, independence, and well-being
,What are 8 sources of patient data? - 1. Patient
2. Support people
3. Patient record
4. Medical hx, physical exam, & progress notes
5. Lab reports/diagnostic studies
6. Reports of therapies by other health care professionals
7. Other health care professionals
8. Nursing and other health care literature
Purposeful data - The nurse identifies the purpose of the nursing assessment (comprehensive,
focused, emergency, time-lapsed) and then gathers the appropriate data
Prioritized data - The nurse gets the more important information first
Complete data - The nurse identifies all patient data to understand a patient's health problem
and develop a care plan to maximize health promotion
Systematic data - The nurse gathers the information in an organized manner
Accurate data - The nurse continually verifies what is heard with what is observed and uses
other senses to validate all questionable data
Relevant data - The nurse determines what type of data and how much data to collect for
each patient
Data recorded in a standard manner - The nurse records the data according to facility policy
so that all caregivers can easily access the data
, What factors affect assessment priorities when collecting patient data? - 1. Patient's health
orientation (potential & actual health risks, habits, behaviors, beliefs, attitudes, and values that
influence health)
2. Patient's developmental stage
3. Patient's culture
4. Patient's need for nursing
What are two examples of when data needs to be validated? - 1. When there are
discrepancies
2. When the data lacks objectivity
When is immediate communication of data indicated? - Whenever assessment findings
reveal a critical change I'm the patient's health status that necessitates the involvement of other
nurses or health care professionals
Interview Process - 1. The nurse prepares to meed the patient by reading current and past
records and reports
2. The nurse ensures the environment in which is to be conducted is private and relaxed
3. The nurse initiates the interview by stating his/her name, identifying the purpose of the
interview, and clarifying the roles of the nurse and patient
4. The nurse assesses the patient's comfort and ability to participate in the interview
5. The nurse gathers all the information needed to form the subjective database
6. The nurse recapitulates the interview, highlighting key points
A nurse is conducting an interview with a patient who complains of abdominal distress. What is
an appropriate interview question for this patient? - What is your problem as you see it?
A nurse is interviewing a hospitalized patient. Which nurse-patient positioning facilitates an easy
exchange of information
QUESTIONS ANIONSD CORRECT ANSWERS | ALREADY GRADED A+ WITH
COMPLETE SOLUTION
What type of assessment gathers data about a specific problem that has already been identified? -
Forcused
What type of assessment may be used by nurses to help patients identify potential and actual
health risks and to explore the habits, behaviors, beliefs, attitudes, and values that influence their
health? - Health assessment
Examples of objective data - 1. redness/swelling at site of incision
2. a pt has a violent coughing spell
3. a pt recovering from knee surgery favors his impaired leg when walking
Examples of subjective data - 1. a pt complains of pain in left arm
2. a pt is nauseated at the site of food
3. a pt worries about her children during a hospital stay
What are 5 functions of the initial comprehensive nursing assessment? - 1. Make a judgment
about a person's health status
2. Make a judgment about a patient's ability to manage his/her own health care
3. Refer the pt to a health care provider or other health care professional
4. Make a judgment about a patient's need for nursing
5. Plan and deliver thoughtful, person-centered, holistic nursing care that draws on the patient's
strengths and promotes optimum functioning, independence, and well-being
,What are 8 sources of patient data? - 1. Patient
2. Support people
3. Patient record
4. Medical hx, physical exam, & progress notes
5. Lab reports/diagnostic studies
6. Reports of therapies by other health care professionals
7. Other health care professionals
8. Nursing and other health care literature
Purposeful data - The nurse identifies the purpose of the nursing assessment (comprehensive,
focused, emergency, time-lapsed) and then gathers the appropriate data
Prioritized data - The nurse gets the more important information first
Complete data - The nurse identifies all patient data to understand a patient's health problem
and develop a care plan to maximize health promotion
Systematic data - The nurse gathers the information in an organized manner
Accurate data - The nurse continually verifies what is heard with what is observed and uses
other senses to validate all questionable data
Relevant data - The nurse determines what type of data and how much data to collect for
each patient
Data recorded in a standard manner - The nurse records the data according to facility policy
so that all caregivers can easily access the data
, What factors affect assessment priorities when collecting patient data? - 1. Patient's health
orientation (potential & actual health risks, habits, behaviors, beliefs, attitudes, and values that
influence health)
2. Patient's developmental stage
3. Patient's culture
4. Patient's need for nursing
What are two examples of when data needs to be validated? - 1. When there are
discrepancies
2. When the data lacks objectivity
When is immediate communication of data indicated? - Whenever assessment findings
reveal a critical change I'm the patient's health status that necessitates the involvement of other
nurses or health care professionals
Interview Process - 1. The nurse prepares to meed the patient by reading current and past
records and reports
2. The nurse ensures the environment in which is to be conducted is private and relaxed
3. The nurse initiates the interview by stating his/her name, identifying the purpose of the
interview, and clarifying the roles of the nurse and patient
4. The nurse assesses the patient's comfort and ability to participate in the interview
5. The nurse gathers all the information needed to form the subjective database
6. The nurse recapitulates the interview, highlighting key points
A nurse is conducting an interview with a patient who complains of abdominal distress. What is
an appropriate interview question for this patient? - What is your problem as you see it?
A nurse is interviewing a hospitalized patient. Which nurse-patient positioning facilitates an easy
exchange of information
