VERIFIED AND 100% ACCURATE ANSWERS
Assessing Correct Answers to systematically and continuously collect,
validate, and communicate patient data
What is initial assessment? Correct Answers made during first nurse-
client encounter and is usually comprehensive, consisting of all
subjective and objective data pertinent to client health status
What is a focussed assessment? Correct Answers Nurse gathers data
about specific problem that has already been identified.
Eg. What makes your pain worse?
What is emergency assessment? Correct Answers identifies life
threatening problems.
eg. patient choking, or someone threatening to harm a factory.
What is a time-lapsed assessment? Correct Answers Ongoing
assessment. Scheduled to compare patient current status to baseline data
obtained earlier.
What is the last question you should always ask a patient when
assessing? Correct Answers Is there anything else you would like me to
know so that you will be better able to provide care.
,What are the 2 types of collecting data? Correct Answers -subjective
data: what the patient says
-objection data: can be measured, seen ( refusal to eat, temperature, dry
skin)
Who is the primary source of information? Correct Answers patient
Important things to do when beginning an assessment Correct Answers -
Print paperwork and get to rid about the patient
-Avoid rushing
-Sit at eye level / listen for feelings and words
-Use short supplemental phrases eg. I see
-Avoid interruption
-know the interview will take 30-60 minutes
-Ask questions about the problem: What brings you here and what are
your expectations
-Show me where the problem is and can you describe what the problem
is.
-Ask open ended questions
**check page 421 for more on assessment questions**
A nursing student tells the clinical instructor that their patient is fine and
has "no complaints." Which question by the faculty coaches the student
to provide evidence that supports their assessments?
A. "Could you tell me how you validated this?"
, B. "Do you think your patient feels free to share their concerns?"
C. "That's good to hear. Tell me about the care you provided."
D. "Please reassess the patient; they were admitted with a serious
problem." Correct Answers a. The instructor is reminding the student
that all data must be validated. Questioning the use of the word "fine"
allows the nurse to determine if this is a social and reflexive response,
and there may be another need the nurse can meet. Concluding that the
patient does not trust the student is premature and is based on an
invalidated inference. Saying "That's good to hear" and asking the
student to describe the care provided is incorrect because it accepts the
invalidated inference. Telling the student to reassess the patient because
they were admitted with a serious problem is incorrect because it is
possible that the condition is resolving.
A nursery nurse notifies the nurse practitioner (NP) that a newborn has
signs of jaundice. The NP performs a brief skin assessment, then orders
a blood test for bilirubin levels. Which type of assessment has the NP
performed?
A. Comprehensive
B. Initial
C. Time-lapsed
D. Quick priority Correct Answers d. A quick priority assessment (QPA)
is a short, focused assessment to obtain the most important information
first. A comprehensive initial assessment is performed shortly after
admission. The time-lapsed assessment is used to compare a patient's
current status to baseline data obtained earlier.