Nursing Data Validation Guidelines

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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?

By identifying possible solutions and choosing the best one Signup and view all the answers

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

Data from each phase provides input to the next phase Signup and view all the answers

What is the purpose of nurses validating assessment data?

To confirm that data is complete, factual, and accurate Signup and view all the answers

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

To build an accurate database Signup and view all the answers

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

Clarify the statements to ensure understanding Signup and view all the answers

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

Double check the abnormal data Signup and view all the answers

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

Cues help in building an accurate database Signup and view all the answers

What is the purpose of direct percussion?

Detect possible tenderness 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?

Blunt percussion Signup and view all the answers

What is the key movement involved in direct percussion?

Movement from the wrist Signup and view all the answers

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

Tapping done with specific fingers Signup and view all the answers

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

Flex your wrist Signup and view all the answers

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

Direct percussion Signup and view all the answers

Which position is primarily used to assess the hip joint?

Prone Signup and view all the answers

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

Knee-chest Signup and view all the answers

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

Lithotomy Signup and view all the answers

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

Assessing posture, balance, and gait Signup and view all the answers

Which position allows full expansion of the lungs during examination?

Sitting Signup and view all the answers

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

Clients with cardiac and respiratory problems, elderly clients, and those examining rectal areas Signup and view all the answers

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

To establish a database about the client's response to health concerns Signup and view all the answers

What is the purpose of diagnosing in nursing practice?

To identify client's strengths and health problems Signup and view all the answers

What does implementing in nursing practice involve?

Reassessing the client to update the database Signup and view all the answers

When is an emergency assessment typically performed in nursing?

During any physiological or psychological crisis of the client Signup and view all the answers

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

To establish a complete database for future comparison Signup and view all the answers

In the nursing process, what does evaluating entail?

Measuring the degree to which goals/outcomes have been achieved Signup and view all the answers

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

Obtaining patient's health history Signup and view all the answers

What is the primary purpose of planning in nursing practice?

To develop an individualized care plan specifying client goals and related nursing interventions Signup and view all the answers

What activity is involved in diagnosing in nursing practice?

Interpreting and analyzing data Signup and view all the answers

When is a time-lapsed assessment usually done?

Several months after initial assessment Signup and view all the answers