Nursing Assessment Techniques and Data Collection
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Questions and Answers

What type of data can only be verified by the patient?

  • Objective Data
  • Inspection Data
  • Palpation Data
  • Subjective Data (correct)

In the AAPIE process, what does 'A' stand for?

  • Assessment (correct)
  • Abnormal Cues
  • Anatomy
  • Analysis

Which step in the AAPIE process involves identifying priority patient problems?

  • Implementation
  • Planning (correct)
  • Evaluation
  • Analysis

Which part of the AAPIE process involves implementing the generated solutions?

<p>Implementation (A)</p> Signup and view all the answers

What type of data can be measured against an accepted standard and can be verified by an observer?

<p>Objective Data (C)</p> Signup and view all the answers

'Maslow's Hierarchy of Needs' is used to prioritize what in the AAPIE process?

<p>Patient Problems (A)</p> Signup and view all the answers

'Generate Desired Outcome' in the AAPIE process aims to ensure what kind of outcome?

<p>'SMART' Outcome (B)</p> Signup and view all the answers

'Independent Nursing Interventions' in the AAPIE process are implemented based on what?

<p>'Independent' Nursing Judgement (D)</p> Signup and view all the answers

What type of data is described as apparent only to the person affected?

<p>Subjective Data (D)</p> Signup and view all the answers

Which of the following is an example of subjective data?

<p>The client says, 'I have a headache' (B)</p> Signup and view all the answers

What type of data can be detected by an observer and measured against an accepted standard?

<p>Objective Data (B)</p> Signup and view all the answers

Which source of data includes information obtained through observation or physical examination?

<p>Health Professionals (D)</p> Signup and view all the answers

When is it appropriate to use a secondary resource for data collection?

<p>When the client is unconscious or too ill to provide information (B)</p> Signup and view all the answers

Which method of data collection involves gathering data using senses like vision, hearing, touch, and smell?

<p>Observing (D)</p> Signup and view all the answers

Which of the following is an example of data collected through observing?

<p>Skin temperature assessment through touch (A)</p> Signup and view all the answers

What is the purpose of an initial assessment in nursing?

<p>To gather data about a specific identified problem (D)</p> Signup and view all the answers

In nursing, what does a focused assessment involve?

<p>Gathering data about a specific identified problem (B)</p> Signup and view all the answers

Which type of nursing assessment is performed to identify life-threatening problems during a crisis?

<p>Emergency assessment (C)</p> Signup and view all the answers

What is the primary goal of a Quick Priority assessment in nursing?

<p>Quickly gaining the most important information needed first (D)</p> Signup and view all the answers

When is a Time-Lapsed assessment typically performed in nursing?

<p>To compare the client's current status to baseline data (D)</p> Signup and view all the answers

Why must everything nurses do keep the patient at the center?

<p>To ensure person-centered care instead of task-oriented care (C)</p> Signup and view all the answers

What is the main purpose of the nursing process as described in the text?

<p>To guarantee that nurses are person-centered rather than task-oriented (C)</p> Signup and view all the answers

Which type of assessment would be most appropriate if a client presents with a known life-threatening problem?

<p>Emergency assessment (A)</p> Signup and view all the answers

What is the main focus of nurses when managing collaborative problems?

<p>Monitoring client condition and preventing complications (A)</p> Signup and view all the answers

How can nurses prioritize client problems during care?

<p>By using Maslow's Hierarchy of needs and formulating problem statements (C)</p> Signup and view all the answers

Which type of problems fall under the category 'Physiologic Problems'?

<p>Pain and decreased peripheral tissue perfusion (C)</p> Signup and view all the answers

What does the AAPIE framework stand for in nursing?

<p>Assess, Analyze, Plan, Implement, Evaluate (A)</p> Signup and view all the answers

Why is it important for nurses to recognize cues during assessments according to the text?

<p>To prevent complications and analyze priority problems (C)</p> Signup and view all the answers

What is the purpose of prioritizing hypotheses in nursing care?

<p>To identify the main problem with the patient that the nurse can treat (A)</p> Signup and view all the answers

What does the text suggest about coordinating language in clinical practice?

<p>It is crucial for optimal collaboration between healthcare providers (B)</p> Signup and view all the answers

How can nurses determine which problems to prioritize for developing a plan of care?

<p>By analyzing cues and using Maslow's Hierarchy of needs (B)</p> Signup and view all the answers

What is the purpose of a desired outcome in nursing interventions?

<p>To provide direction for planning nursing interventions (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of a SMART outcome?

<p>Verifiable (C)</p> Signup and view all the answers

When writing desired outcomes for a client, which type of verbs should be avoided?

<p>Non-measurable verbs (C)</p> Signup and view all the answers

What should a desired outcome begin with when written for a client?

<p>&quot;Client will&quot; (B)</p> Signup and view all the answers

Which of the following is NOT a purpose served by desired outcomes in nursing interventions?

<p>Confuse the client and nurse (D)</p> Signup and view all the answers

What do desired outcomes help the nurse determine?

<p>When a problem has been resolved (D)</p> Signup and view all the answers

Which of the following is a measurable verb when writing desired outcomes?

<p>Choose (B)</p> Signup and view all the answers

Why should desired outcomes be time bound?

<p>To motivate the client and nurse (A)</p> Signup and view all the answers

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