Nurse's Legal Responsibility in Physical Assessment

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15 Questions

What is the primary purpose of the physical examination approach discussed in the text?

To establish a baseline of data

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

Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments

In the nursing health history, what is included under Lifestyle information?

Sleep patterns and physical exercise routine

In the context of physical assessment, what is the purpose of the problem-focused assessment?

To identify life-threatening problems

What is included in the Family History of Illness section?

Information about direct blood relations like parents and siblings

Which technique of physical examination involves listening for sounds within the body?

Auscultation

Which of the following is NOT a component of Psychological Data in the context of data collection?

Verbal and nonverbal expressions

What is the correct order of steps in the preparation for a physical assessment according to the text?

Prepare the patient, Draping, Position the client, Prepare the environment

What is the implication of not charting or documenting physical exam findings according to the text?

It suggests that the nurse did not perform the examination

What does the term 'Biographical data' encompass in nursing health history?

Name, address, sex, marital status, occupation

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

Subjective data

Which method of data collection involves utilizing the senses through vision, smell, hearing, and touch?

Observing

What style of physical assessment involves moving from head to toe?

Cephalocaudal

In nursing documentation, what is considered an essential aspect for accurate charting?

Including subjective and objective data

Which method of interviewing is often client-led and helps to establish rapport?

Nondirective approach

Test your knowledge on the legal liability of nurses in recording physical findings and the purposes of physical assessments in healthcare. Understand the importance of collecting objective data during a patient assessment.

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