Nursing Assessment Questions

Assessment in Nursing

• When assessing a patient's difficulty in falling asleep, the nurse should ask "How many caffeinated beverages do you consume daily?" to identify potential contributing factors.

Purpose of Initial Comprehensive Assessment

• The primary purpose of an initial comprehensive assessment is to establish a database for ongoing health assessments.

Types of Assessments

• An initial comprehensive assessment is performed to evaluate health status and identify functional health patterns.
• A problem-focused assessment involves collecting data about an identified problem.
• An emergency assessment is not a type of assessment used to evaluate health status and identify functional health patterns.

Documenting Patient Data

• When documenting patient data, the nurse should follow the guideline of recording data findings objectively.

Promoting Sleep in Hospitalized Patients

• To promote sleep in a hospitalized patient, the nurse should minimize noise and create a comfortable environment.

Nursing Interventions

• The primary goal of nursing interventions during the implementation phase is to assist the client in meeting desired goals or outcomes.

Types of Data

• Subjective data is described by the client's symptoms or sensations.

Evaluation of Care Plan

• If the desired outcomes are not achieved during evaluation, the nurse should explore the reasons with the client.

Assessment and Data Collection

• A problem-focused assessment involves collecting data about an identified problem.
• Using language that the client understands is important during data collection to ensure accurate and complete data collection.

Risk Nursing Diagnosis

• An example of a risk nursing diagnosis is "Risk for Infection".

Validating Collected Data

• The nurse should validate collected data by comparing it with another source.

Creating a Restful Environment

• To create a restful environment for sleep, the nurse should maintain a comfortable room temperature.

Purpose of Nursing Diagnosis

• The purpose of a nursing diagnosis is to identify patient strengths and health problems.

Time-Lapsed Assessment

• A time-lapsed assessment should be performed several months after the initial assessment.