chapter 5 Assessment, Nursing Diagnosis, and Planning My Nursing Test Banks
, When the patient complains of nausea and subjective
dizziness, the nurse recognizes these
complaints as _______ data.
The major goal of the admission interview identify the patients major complaints.
(usually performed by the RN) is to
An example of a structured format for Gordons 11 Health Patterns.
gathering data that aids in forming a
database is
During the assessment phase of the nursing gathers, organizes, and documents data in a logical database.
process, the nurse
After the admission assessment isassesses the patient briefly in the first hour of the shift. completed, on
subsequent shifts or days, the nurse
The nurse performing an admission interview allow more time for a response to questions.
on an elderly person should
diagnostic labels formulated by the North American Nursing Diagnosis Association
A nursing diagnosis consists of International (NANDA-I).
An elderly patient with a medical diagnosis of Airway clearance, ineffective, related to lung secretions as evidenced by cough and
chronic lung disease has developed shortness of breath.
pneumonia. She is coughing frequently and
expectorating thick, sticky secretions. She is
very short of breath, even with oxygen
running, and she is exhausted and says she
cant breathe. Based on this information, an
appropriately worded nursing diagnosis for
this patient is
, When the patient complains of nausea and subjective
dizziness, the nurse recognizes these
complaints as _______ data.
The major goal of the admission interview identify the patients major complaints.
(usually performed by the RN) is to
An example of a structured format for Gordons 11 Health Patterns.
gathering data that aids in forming a
database is
During the assessment phase of the nursing gathers, organizes, and documents data in a logical database.
process, the nurse
After the admission assessment isassesses the patient briefly in the first hour of the shift. completed, on
subsequent shifts or days, the nurse
The nurse performing an admission interview allow more time for a response to questions.
on an elderly person should
diagnostic labels formulated by the North American Nursing Diagnosis Association
A nursing diagnosis consists of International (NANDA-I).
An elderly patient with a medical diagnosis of Airway clearance, ineffective, related to lung secretions as evidenced by cough and
chronic lung disease has developed shortness of breath.
pneumonia. She is coughing frequently and
expectorating thick, sticky secretions. She is
very short of breath, even with oxygen
running, and she is exhausted and says she
cant breathe. Based on this information, an
appropriately worded nursing diagnosis for
this patient is
