Legal Liability and Physical Assessment in Nursing

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Questions and Answers

Which type of data is apparent only to the patient and described only by the patient?

  • Secondary data
  • Objective data
  • Primary data
  • Subjective data (correct)

What method of data collection involves utilizing vision, smell, hearing, and touch to gather data?

  • Validating
  • Examining
  • Observing (correct)
  • Interviewing

Which approach to interviewing often involves the nurse seeking specific information and controlling the interview?

  • Closed-ended approach
  • Nondirective approach
  • Neutral approach
  • Directive approach (correct)

What does the nurse use to double-check or verify the data gathered during assessment?

<p>Validation (A)</p> Signup and view all the answers

Which model is used in clinical nursing care plans and involves intra-, inter-, and extra personal stressors?

<p>Betty Neuman Systems Model (C)</p> Signup and view all the answers

What type of data can be directly observed by the nurse and includes subjective or objective data?

<p>Cues (C)</p> Signup and view all the answers

Which type of question helps in establishing rapport during an interview and is often client-led?

<p>Open-ended question (C)</p> Signup and view all the answers

In which method of data collection does the nurse utilize a systematic approach including inspection, auscultation, palpation, and percussion?

<p>Examining (D)</p> Signup and view all the answers

What refers to the nurse's interpretation or conclusion made based on the cues?

<p>Inferences (D)</p> Signup and view all the answers

Which type of data is detected by the nurse and can be measured or tested?

<p>Objective data (A)</p> Signup and view all the answers

What is the main purpose of the physical examination approach?

<p>To obtain baseline data (D)</p> Signup and view all the answers

Which type of physical assessment is conducted at regular intervals?

<p>Follow-up assessment (C)</p> Signup and view all the answers

What does the acronym HIPAA stand for in the context of health assessment?

<p>Health Insurance Portability and Accountability Act (B)</p> Signup and view all the answers

In the method of examination, what is the purpose of percussion?

<p>To determine texture, temperature, vibration, masses, distention, pulsation, and tenderness (C)</p> Signup and view all the answers

What does auscultation involve?

<p>Listening for sounds within the body (B)</p> Signup and view all the answers

Which aspect is included in the general survey during a physical assessment?

<p>Mental status (B)</p> Signup and view all the answers

What is a key factor to consider when adapting physical assessment techniques to a specific patient's situation?

<p>The patient's age (A)</p> Signup and view all the answers

Why is it important to document/record/chart physical exam findings?

<p>To provide a permanent record of the patient's condition (D)</p> Signup and view all the answers

What does the acronym OLDCART stand for in the context of nursing health assessment?

<p>Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Treatment (B)</p> Signup and view all the answers

Which type of data can be directly observed by the nurse and includes subjective or objective data?

<p>Primary data (A)</p> Signup and view all the answers

What type of question helps in establishing rapport during an interview and is often client-led?

<p>Open-ended question (D)</p> Signup and view all the answers

Which method of data collection involves utilizing vision, smell, hearing, and touch to gather data?

<p>Physical examination (C)</p> Signup and view all the answers

What refers to the nurse's interpretation or conclusion made based on the cues collected during assessment?

<p>Clinical judgment (C)</p> Signup and view all the answers

Which type of data is apparent only to the patient and described only by the patient?

<p>Subjective data (A)</p> Signup and view all the answers

What does the nurse use to double-check or verify the data gathered during assessment?

<p>Therapeutic communication (C)</p> Signup and view all the answers

What type of data is detected by the nurse and can be measured or tested?

<p>Quaternary data (B)</p> Signup and view all the answers

Which component of OLDCART pertains to the specific description of the symptoms?

<p>Characteristics (D)</p> Signup and view all the answers

In the context of health assessment, what does 'IADL' stand for?

<p>Instrumental Activities of Daily Living (C)</p> Signup and view all the answers

In data collection during a health assessment, what type of data includes information about personal and social habits such as alcohol and tobacco use?

<p>Lifestyle data (D)</p> Signup and view all the answers

What type of health care resources should be included when assessing a client's patterns of health care?

<p>All health care resources currently used and in the past (B)</p> Signup and view all the answers

What information should be included in the family history section of a health assessment?

<p>Direct blood relations with ages at death (A)</p> Signup and view all the answers

Which type of physical assessment involves utilizing vision, smell, hearing, and touch to gather data?

<p>Comprehensive physical assessment (B)</p> Signup and view all the answers

What does the acronym HIPAA stand for in the context of health assessment?

<p>Health Insurance Portability and Accountability Act (A)</p> Signup and view all the answers

In the method of examination, what is the purpose of percussion?

<p>To produce sounds to assess underlying structures or tissues (D)</p> Signup and view all the answers

What does OLDCART pertain to in the context of history of present illness?

<p>Onset, location, duration, characteristics, aggravating factors, relieving factors, treatments (C)</p> Signup and view all the answers

What is the main purpose of using the OLDCART format for history taking?

<p>To elicit specific information about the patient's symptoms (D)</p> Signup and view all the answers

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