Chapter 16 - Nursing Assessment Potter and Perry Question and Answers

Chapter 16 - Nursing Assessment Potter and Perry Question and Answers A nurse is checking a patient's intravenous line and, while doing so, notices how the patient bathes himself and then sits on the side of the bed independently to put on a new gown. This observation is an example of assessing: Patient's level of function. Patient's willingness to perform self-care. Patient's level of consciousness. Patient's health management values. - ANS Patient's level of function. Rationale: Observing a patient perform activities physical, socially, psychologically, and developmentally assesses his or her level of function. In the case of this question the nurse assesses physical functional level. Observation does not measure willingness to perform self-care but the ability to do so. Observing physical performance of self-hygiene is not a measure of level of consciousness nor does it reveal a patient's values. The nurse asks a patient, "Describe for me a typical night's sleep. What do you do to fall asleep? Do you have difficulty falling or staying asleep? This series of questions would likely occur during which phase of a patient-centered interview? Orientation Working phase Data validation Termination - ANS Working phase Rationale: The gathering of information is the working phase of a patient-centered interview. The nurse enters the room of an 82-year-old patient for whom she has not cared previously. The nurse notices that the patient wears a hearing aid. The patient looks up as the nurse