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</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</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</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</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</p> Signup and view all the answers

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

    <p>Inferences</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</p> Signup and view all the answers

    What is the main purpose of the physical examination approach?

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

    Which type of physical assessment is conducted at regular intervals?

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

    What does auscultation involve?

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

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

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

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

    <p>Characteristics</p> Signup and view all the answers

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

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

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