Nursing Process, Health Assessment, and Roles

During which phase of the client interview would a healthcare provider typically review the client's medical record?

In which interview phase is the validation of problems and goals with the client typically carried out?

A client's family member reports that the client has been experiencing increased difficulty sleeping. How would the interviewer classify this type of data?

During an interview, a healthcare provider identifies possible plans to resolve the client's problem. In which phase of the interview does this occur?

In which phase of the interview is it most important to ask the client if they have any other pressing concerns or questions?

In a non-directive interview setting, what is the nurse's primary role when interacting with a patient?

A nurse finds that a patient is sharing excessive and unnecessary details during an interview. What should be the nurse's most appropriate initial response?

Why is establishing rapport with a patient particularly important before initiating an interview?

What seating arrangement is generally considered ideal for a patient interview and why?

Which environmental factor is least likely to significantly affect the quality of a patient interview?

What is the primary purpose of reassessment in nursing practice?

In which scenario is an initial comprehensive assessment MOST appropriate?

A patient admitted for pneumonia is now complaining of chest pain different from their original symptoms. Which type of assessment should the nurse prioritize?

Which of the following elements is typically included in a patient's history of present health concern?

Why is it important for nurses in a general ward to conduct reassessments even after a patient has been initially assessed in the ER?

A nurse is caring for a patient with lung cancer. The patient begins to exhibit increased anxiety and shortness of breath. Which type of assessment is most appropriate in this situation?

What information is gathered under 'Lifestyle and health practices' during a health assessment?

When a patient is admitted to the emergency room (ER), what aspect differentiates the ER nurse's assessment from that of a nurse in a general ward?

During an emergency assessment, what is the primary focus?

Which of the following actions is LEAST likely to occur during an emergency assessment of a patient in cardiac arrest?

What is the correct order of the first four steps of the nursing health assessment process?

A nurse observes a client with labored breathing, a rapid heart rate, sees the client is anxious, and hears coarse crackles in the lungs. According to the steps for diagnostic reasoning, what is the next appropriate step for the nurse?

A patient presents with a persistent cough, fever, and reports feeling short of breath. You are using diagnostic reasoning skills. Which of the following represents an appropriate inference based on this data?

Following data collection, clustering, and inference, which of the following nursing actions comes next in the diagnostic reasoning process?

A nurse is considering 'Impaired Gas Exchange' as a nursing diagnosis for a patient. What should the nurse do immediately after proposing this diagnosis to ensure its accuracy?

A client with a pressure ulcer on their sacrum is being assessed. Which of the following nursing diagnoses BEST reflects this actual problem?

Which action most directly undermines objectivity during a patient assessment?

A physician consistently attributes positive patient outcomes to their skill while attributing negative outcomes to patient non-compliance. This behavior exemplifies which type of bias?

Why is it more helpful to let a patient describe what is happening in their own words than to assume and validate?

Which of the following actions would LEAST likely introduce bias into a patient assessment?

A screening examination, also known as a review of systems, is best described as:

When conducting a physical examination, what approach ensures a systematic and thorough assessment?

Which of the following is the MOST appropriate way to phrase a question to avoid biasing a patient's response during history taking?

Which of the following actions related to Activities of Daily Living (ADL) falls under the category of hygiene?

Why is it important to quickly withdraw the plexor immediately after striking during percussion?

When percussing a client's abdomen, a healthcare provider notes a loud, drum-like sound. Which type of sound is the provider likely hearing?

A nurse is preparing to auscultate a client's heart sounds. Which action would be MOST appropriate to ensure accurate assessment?

A healthcare provider is palpating a client's abdomen and identifies an unusual mass. Which characteristics of the mass should be assessed and documented?

When assessing a client, a nurse uses the palmar surfaces of their fingertips and finger pads. What is the PRIMARY purpose of using this part of the hand during palpation?

A respiratory therapist is auscultating a patient's lungs and notices a high-pitched whistling sound during expiration. Which characteristic of sound is the therapist assessing?

A physician is reviewing a patient's chart and notes the presence of 'hyperresonance' upon chest percussion. Which of the following conditions MOST likely correlates with this finding?

A medical assistant is preparing to use a stethoscope on an adult patient. Which characteristic of the stethoscope's diaphragm is MOST appropriate for this assessment?

Health History Components

Initial Comprehensive Assessment

Ongoing Assessment

Focused Assessment

Emergency Assessment

Holistic Health Patterns

Baseline Data

Reassessment Purpose

Objective Data

Phases of the Interview

Pre-Introductory Phase

Summary and Closing Phase

Types of Interview

Nondirective Interviews

Patient Comfort

Importance of Rapport

Ideal Seating Arrangement

Controlled Patient Communication

Seven Major Steps

Identify Abnormal Data

Cluster Data

Nursing Diagnosis

Actual Nursing Diagnosis

Validation of Data

Documenting Conclusions

Percussion in Assessment

Types of Sounds from Percussion

Auscultation

Characteristics of Sounds in Auscultation

Using the Bell of a Stethoscope

Using the Diaphragm of a Stethoscope

Assessing Skin Characteristics

Importance of Withdrawal in Percussion

Bias in Assessment

Physical Examination Purpose

Cephalocaudal Approach

Screening Examination

Activities of Daily Living

Importance of Objectivity

Impact of Personal Comfort

Effects of Jumping to Conclusions