Nursing Data Validation Guidelines
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Questions and Answers

What is the main purpose of the nursing process?

  • To provide medical treatment to the client
  • To plan and provide individualized nursing care (correct)
  • To identify the nurse's personal needs
  • To establish plans for the nurse's career advancement

Who can be the recipient of care in the nursing process?

  • Only individuals
  • Individuals, families, communities, or groups (correct)
  • Only families
  • Government officials

What is a key characteristic of the nursing process?

  • Client-centered (correct)
  • Static and unchanging
  • Focused on administrative tasks
  • Avoids problem-solving

How does the nursing process approach decision making?

<p>By identifying possible solutions and choosing the best one (B)</p> Signup and view all the answers

What kind of data from each phase of the nursing process influences the next phase?

<p>Data from each phase provides input to the next phase (B)</p> Signup and view all the answers

What is the purpose of nurses validating assessment data?

<p>To confirm that data is complete, factual, and accurate (B)</p> Signup and view all the answers

Why is it important for nurses to be aware of their own biases, values, and beliefs?

<p>To build an accurate database (D)</p> Signup and view all the answers

What should nurses do if they encounter ambiguous or vague statements during assessments?

<p>Clarify the statements to ensure understanding (B)</p> Signup and view all the answers

In validating assessment data, what should nurses check if the data are extremely abnormal?

<p>Double check the abnormal data (D)</p> Signup and view all the answers

Why is it important for nurses to use cues rather than inferences in their data collection?

<p>Cues help in building an accurate database (B)</p> Signup and view all the answers

What is the purpose of direct percussion?

<p>Detect possible tenderness (B)</p> Signup and view all the answers

Which type of percussion involves using one hand flat on the body surface and striking with the fist of the other hand?

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

What is the key movement involved in direct percussion?

<p>Movement from the wrist (D)</p> Signup and view all the answers

In indirect percussion, what produces a sound or tone that varies with the density of underlying structures?

<p>Tapping done with specific fingers (B)</p> Signup and view all the answers

What should be done immediately after delivering two quick taps in direct percussion?

<p>Flex your wrist (C)</p> Signup and view all the answers

Which type of percussion is used to detect tenderness over the sinuses?

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

Which position is primarily used to assess the hip joint?

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

In which position is the weight of the body supported by the chest and knees?

<p>Knee-chest (A)</p> Signup and view all the answers

Which position is used to examine the female genitalia, reproductive tracts, and the rectum?

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

What is the main purpose of the standing position during a physical examination?

<p>Assessing posture, balance, and gait (C)</p> Signup and view all the answers

Which position allows full expansion of the lungs during examination?

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

For which clients would the knee-chest position be embarrassing and uncomfortable?

<p>Clients with cardiac and respiratory problems, elderly clients, and those examining rectal areas (C)</p> Signup and view all the answers

What is the purpose of collecting, organizing, validating, and documenting client data in nursing practice?

<p>To establish a database about the client's response to health concerns (C)</p> Signup and view all the answers

What is the purpose of diagnosing in nursing practice?

<p>To identify client's strengths and health problems (C)</p> Signup and view all the answers

What does implementing in nursing practice involve?

<p>Reassessing the client to update the database (D)</p> Signup and view all the answers

When is an emergency assessment typically performed in nursing?

<p>During any physiological or psychological crisis of the client (A)</p> Signup and view all the answers

What is the purpose of an initial assessment in nursing practice?

<p>To establish a complete database for future comparison (A)</p> Signup and view all the answers

In the nursing process, what does evaluating entail?

<p>Measuring the degree to which goals/outcomes have been achieved (C)</p> Signup and view all the answers

What is the main role of a nurse in health assessment?

<p>Obtaining patient's health history (A)</p> Signup and view all the answers

What is the primary purpose of planning in nursing practice?

<p>To develop an individualized care plan specifying client goals and related nursing interventions (B)</p> Signup and view all the answers

What activity is involved in diagnosing in nursing practice?

<p>Interpreting and analyzing data (D)</p> Signup and view all the answers

When is a time-lapsed assessment usually done?

<p>Several months after initial assessment (D)</p> Signup and view all the answers

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