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Nurse's Legal Responsibility in Physical Assessment

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Nurse's Legal Responsibility in Physical Assessment

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Questions and Answers

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

To provide immediate treatment

To interpret nursing history

To diagnose medical conditions accurately

To establish a baseline of data (correct)

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

Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments (correct)

Observation, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatment

Occurrence, Location, Duration, Characteristics, Aggravating factors, Relaxing factors, Treatment

Organization, Location, Diagnosis, Characteristics, Aggravating factors, Relieving factors, Treatment

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

Patterns of health care and current medications

Recent weight fluctuations and diet preferences

Blood pressure readings and cholesterol levels

Sleep patterns and physical exercise routine (correct)

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

To identify life-threatening problems Signup and view all the answers

What is included in the Family History of Illness section?

Information about direct blood relations like parents and siblings Signup and view all the answers

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

Auscultation Signup and view all the answers

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

Verbal and nonverbal expressions Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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

Name, address, sex, marital status, occupation Signup and view all the answers

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

Subjective data Signup and view all the answers

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

Observing Signup and view all the answers

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

Cephalocaudal Signup and view all the answers

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

Including subjective and objective data Signup and view all the answers

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

Nondirective approach Signup and view all the answers