Questions with Answers
Nursing Assessment - correct answers Collect, validate, organize, and record data
ANA states nurses can delegate - correct answers Appropriate tasks to a certified paraprofessional.
While the nurse is still responsible for validating the data collected, conduct the interview, and
completing the physical assessment.
Sources of data to be collected - correct answers Subjective (symptoms), Objective (signs), Primary (signs
and symptoms), Secondary (outside resource)
JACO patient assessment requirements - correct answers1. Assessments are written, comprehensive,
and used to identify and assign priorities for care.
2. Agency policy designates (a) when each patient is to be reassessed (b) which disciplines can make
which assessments
3. All patients are assessed for pain
Initial Assessment - correct answersAdmission Assessment: Data gathered when the client first comes to
the healthcare agency. R/T the reason for visit and followed up with a comprehensive should the
problem persist.
Ongoing Assessment - correct answersPreformed as needed. Observations made with each patient
contact, identify new problems or follow up on previously identified problems.
Comprehensive Assessment - correct answersGlobal Assessment or patient database: Holistic data
addressing the patients overall health status
Focused Assessment - correct answersAbout a actual, potential, or possible problem. Can be initial and
ongoing.
Special Needs Assessment - correct answersIn depth information about a particular area of client
functioning. JACO requires nutrition and pain.
, Types of Special Needs Assessments
Functional Abilities Assessment
(Katz index of ADL scale, Lawton Instrumental Activities of Daily Living scale, Karnofsky Performance
scale)
Cultural, Spiritual Health, Psychosocial, Wellness, Family, Community
Nursing interview - correct answersis purposeful, structured communication in which you question the
patient to gather subjective data
Types of interviews to obtain a Health History - correct answersDirective interviewing - closed questions;
short factual answers.
Non Directive interviewing - open ended questions; patient controlled and subjective content. Nurse
helps control and clarify.
Components of a Health History - correct answers-Biographical data
-Chief Complaint
-History of present illness
-Clients perception of health status and expectation of care
-Past Health History
-Social History
-Medication and Device use
-Complementary and Alternative modalities
-Review of Body Systems and Associated Functional Abilities
Conducting and interview - correct answersA patient is more likely to be open an honest if confidentiality
is reiterated.