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Test Your Nursing Skills
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Test Your Nursing Skills

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Questions and Answers

What is the purpose of the inspection assessment technique?

  • To assess temperature, texture, and moisture
  • To assess underlying structures for location, size, and density of underlying tissue
  • To assess characteristic body odors
  • To perform close and careful visualization of the person as a whole and of each body system (correct)
  • Which percussion sound is produced by dense structures such as the liver, enlarged spleen, or a full bladder?

  • Resonance
  • Tympany
  • Hyper resonance
  • Dullness (correct)
  • What is the purpose of the olfaction assessment technique?

  • To assess temperature, texture, and moisture
  • To assess characteristic body odors (correct)
  • To assess underlying structures for location, size, and density of underlying tissue
  • To perform close and careful visualization of the person as a whole and of each body system
  • What is the difference between nursing diagnosis and medical diagnosis?

    <p>Nursing diagnosis focuses on identifying responses to health and illness while medical diagnosis refers to the disease process.</p> Signup and view all the answers

    What is the difference between actual and risk nursing diagnosis?

    <p>Actual nursing diagnosis is a client problem that is present at the time of the nursing assessment, while risk nursing diagnosis is a clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene.</p> Signup and view all the answers

    What is the PES format in nursing diagnosis?

    <p>The basic three-part nursing diagnosis statement that includes Problem (P), Etiology (E), and Signs and Symptoms (S).</p> Signup and view all the answers

    Which step of the nursing process involves organizing a nursing care plan based on nursing diagnoses?

    <p>Planning</p> Signup and view all the answers

    What is the purpose of the PES format in nursing diagnosis?

    <p>To validate why the diagnosis was chosen</p> Signup and view all the answers

    What is the difference between short-term and long-term goals in nursing care planning?

    <p>Short-term goals can be met fairly and quickly, while long-term goals cover a long time span</p> Signup and view all the answers

    Study Notes

    Understanding Nursing Diagnosis: Types, Differences, and Process

    • Nursing diagnosis is a crucial step in the nursing process, which involves using critical thinking skills to interpret assessment data and identify client's strengths and problems.
    • Nursing diagnosis is different from medical diagnosis, as it focuses on identifying responses to health and illness, and can change from day to day, while medical diagnosis refers to the disease process and stays the same as long as the disease is present.
    • There are five types of nursing diagnoses: actual, risk, wellness, possible, and syndrome.
    • Actual nursing diagnosis is a client problem that is present at the time of the nursing assessment, based on the presence of associated signs and symptoms.
    • Risk nursing diagnosis is a clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene.
    • Wellness nursing diagnosis describes human responses to levels of wellness in an individual, family, or community that have a readiness for enhancement.
    • Possible nursing diagnosis is one in which evidence about a health problem is incomplete or unclear and requires more data to support or refute it.
    • Syndrome nursing diagnosis is a diagnosis associated with a cluster of other diagnoses.
    • In the diagnostic process, experienced nurses continuously analyze data to identify health problems, risks, and strengths.
    • The nurse and client can together identify strengths and problems in a decision-making process after data analysis.
    • The basic three-part nursing diagnosis statement is called the PES format, which includes Problem (P), Etiology (E), and Signs and Symptoms (S).
    • Actual nursing diagnoses can be documented by using the three-part statement, while risk nursing diagnoses require a two-part statement that includes the problem and risk factors.

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    Description

    "Assess Your Nursing Skills: Head-to-Toe Physical Examination Quiz" - Test your nursing skills with this comprehensive quiz that covers all aspects of a head-to-toe physical examination. From evaluating cognition and mood to inspecting the skin, nails, and hair, this quiz includes key keywords such as LOC, orientation, memory, and sensory function. You'll also test your knowledge on assessing wounds, inspecting genitalia, and performing palpations on the liver, stomach, and bladder. Perfect for

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