36 Questions
Which type of data is apparent only to the patient and described only by the patient?
Subjective data
What method of data collection involves utilizing vision, smell, hearing, and touch to gather data?
Observing
Which approach to interviewing often involves the nurse seeking specific information and controlling the interview?
Directive approach
What does the nurse use to double-check or verify the data gathered during assessment?
Validation
Which model is used in clinical nursing care plans and involves intra-, inter-, and extra personal stressors?
Betty Neuman Systems Model
What type of data can be directly observed by the nurse and includes subjective or objective data?
Cues
Which type of question helps in establishing rapport during an interview and is often client-led?
Open-ended question
In which method of data collection does the nurse utilize a systematic approach including inspection, auscultation, palpation, and percussion?
Examining
What refers to the nurse's interpretation or conclusion made based on the cues?
Inferences
Which type of data is detected by the nurse and can be measured or tested?
Objective data
What is the main purpose of the physical examination approach?
To obtain baseline data
Which type of physical assessment is conducted at regular intervals?
Follow-up assessment
What does the acronym HIPAA stand for in the context of health assessment?
Health Insurance Portability and Accountability Act
In the method of examination, what is the purpose of percussion?
To determine texture, temperature, vibration, masses, distention, pulsation, and tenderness
What does auscultation involve?
Listening for sounds within the body
Which aspect is included in the general survey during a physical assessment?
Mental status
What is a key factor to consider when adapting physical assessment techniques to a specific patient's situation?
The patient's age
Why is it important to document/record/chart physical exam findings?
To provide a permanent record of the patient's condition
What does the acronym OLDCART stand for in the context of nursing health assessment?
Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Treatment
Which type of data can be directly observed by the nurse and includes subjective or objective data?
Primary data
What type of question helps in establishing rapport during an interview and is often client-led?
Open-ended question
Which method of data collection involves utilizing vision, smell, hearing, and touch to gather data?
Physical examination
What refers to the nurse's interpretation or conclusion made based on the cues collected during assessment?
Clinical judgment
Which type of data is apparent only to the patient and described only by the patient?
Subjective data
What does the nurse use to double-check or verify the data gathered during assessment?
Therapeutic communication
What type of data is detected by the nurse and can be measured or tested?
Quaternary data
Which component of OLDCART pertains to the specific description of the symptoms?
Characteristics
In the context of health assessment, what does 'IADL' stand for?
Instrumental Activities of Daily Living
In data collection during a health assessment, what type of data includes information about personal and social habits such as alcohol and tobacco use?
Lifestyle data
What type of health care resources should be included when assessing a client's patterns of health care?
All health care resources currently used and in the past
What information should be included in the family history section of a health assessment?
Direct blood relations with ages at death
Which type of physical assessment involves utilizing vision, smell, hearing, and touch to gather data?
Comprehensive physical assessment
What does the acronym HIPAA stand for in the context of health assessment?
Health Insurance Portability and Accountability Act
In the method of examination, what is the purpose of percussion?
To produce sounds to assess underlying structures or tissues
What does OLDCART pertain to in the context of history of present illness?
Onset, location, duration, characteristics, aggravating factors, relieving factors, treatments
What is the main purpose of using the OLDCART format for history taking?
To elicit specific information about the patient's symptoms
This quiz covers legal liability for false entries by nurses and the purposes of physical assessment in nursing, including obtaining baseline data, confirming or refuting nursing history, establishing nursing diagnosis, evaluating physiological outcomes, making clinical judgments, and identifying areas for health promotion and disease prevention.
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