Why do you want to interview before assess? Correct Answer-To build
rapport with patient
Why do you want to interview before assess? Correct Answer-To know
health history, risk factors, medications etc
Why do you want to interview before assess? Correct Answer-To make
sure what to focus on
"Are you healthy?" is a good question for assessment (T/F) Correct
Answer-F
How do you assess systematically? and comprehensively? Correct
Answer-Head-to-toe
Knowing where to start and where to go
When assessing you should start with the most pressing issue (T/F)
Correct Answer-T
What is health? Correct Answer-A relative state in which a person is
able to live to his/her potential and includes the 7 facets
Health is the _____________ Correct Answer-sum of 7 facets
,7 facets Correct Answer-Key part for an interview
Physical, Emotional, Social, Culture, spiritual, environmental,
developmental
Goal of health assessment Correct Answer-development of an
individualized plan of care
Why does nurse use nursing process? Correct Answer-to identify patient
problems; set a goal and develop an action plan; implement plan; and
evaluate the outcome
Nursing process steps Correct Answer-Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment Correct Answer-collects info and synthesize info about pt
and situation
Diagnosis Correct Answer-what is most important? Identify the issue,
utilize clinical reasoning
Planning Correct Answer-Help Patient meet the goal STG <G
,Clinical reasoning Correct Answer-Identify abnormal or positive
findings
Cluster the findings
Interpret the findings
Make Hypotheses about the nature of the problem
Test the hypotheses and establish a working nursing diagnosis
Develop a plan agreeable to the patient
Evaluate Correct Answer-Did it work?
Continuing process to determine if the goals have been attained
Subjective data Correct Answer-What you are told, pain, symptoms,
cannot verify
Objective data Correct Answer-What you observe
Sign
OLD CAARTS Correct Answer-onset
location
duration
character
, alleviating/aggravating
radiation
temporal pattern
s.s associated
When you ask patients, you should utilize yes & no questions (T?F)
Correct Answer-F
One of the ways to check for errors is to Correct Answer-confirm with
colleagues
If it is not documented, Correct Answer-it is not done
The nurse is analyzing the data obtained from the following clients.
Which client would the nurse expect to facilitate a referral? Correct
Answer-A 50-year-old client newly diagnosed with diabetes
While assessing a patient, the nurse notes that the patient is more quiet
and subdued after a visit from her sister. The nurse would note this
under what facet of the assessment process? Correct Answer-emotional