18 Questions
What is the purpose of the diagnosis phase in the nursing process?
To identify client problems by interpreting assessment data.
How does a nurse validate the data gathered during the assessment phase?
By double-checking or verifying to confirm its accuracy and completeness.
Define the term 'actual diagnosis' according to NANDA.
A client problem present at the time of the nursing assessment.
What is the key component of accurate documentation in the nursing assessment phase?
Including all data collected about the client's health status.
How does a health promotion diagnosis differ from an actual diagnosis?
A health promotion diagnosis relates to clients' preparedness to improve their health condition.
What role does NANDA play in the nursing diagnosis phase?
Define or refine nursing diagnosis.
What are the two main sources of data in the nursing assessment process?
Primary and Secondary
What are the three methods of data collection in nursing assessment?
Observation, Interview, Examination
Describe the two approaches to interviewing in nursing assessment.
Directive and Nondirective
What are the three major stages of an interview in the nursing assessment process?
Opening or Introduction, Body or Development, Closing
What are the techniques used by nurses during physical examination for data collection?
Inspection, Palpation, Percussion, Auscultation
How does a nurse organize assessment data systematically?
By using a format
What is the purpose of an initial nursing assessment?
To establish a complete database for problem identification.
Give an example of problem-focused assessment.
Hourly checking of vital signs of a fever patient.
When is emergency assessment performed?
During emergency situations to identify any life-threatening situation.
What is the purpose of time-lapsed reassessment?
To compare the client's current health status with data previously obtained.
What is the process of gathering information about a client's health status called?
Data collection.
Differentiate between subjective and objective data.
Subjective data are clear only to the person affected, while objective data can be measured or tested.
Learn about different types of nursing assessments including initial, problem-focused, and emergency assessments. Understand the purpose of each assessment type and how they contribute to patient care.
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