Chap 1: Collecting and Analyzing Data

To arrive at a nursing diagnosis or a collaborative problem, the nurse goes through the steps of analysis of data. After proposing possible nursing diagnoses, the nurse should next, a. cluster the data collected. b. draw inferences and identify problems. c. document conclusions. d. check for the presence of defining characteristics.

check for the presence of defining characteristics.

physiologic complications that nurses monitor to detect their onset or changes in status

collaborative problem

When a client first enters the hospital for an elective surgical procedure, the nurse should perform an assessment termed a. entry. b. exploratory. c. focused. d. comprehensive.

comprehensive

Although the assessment phase of the nursing process precedes the other phases, the assessment phase is a. continuous. b. completed on admission. c. linear. d. performed only by nurses.

continuous

assessing whether outcome criteria have been met and revising the plan of care if necessary

evaluation

An assessment of a client who already has a complete recorded database in the system and returns to the health care agency with a specific health concern is referred to as a(n) a. ongoing or partial assessment. b. focused or problem-oriented assessment. c. emergency assessment. d. initial comprehensive assessment.

focused or problem-oriented assessment.

The result of a nursing assessment is the a. prescription of treatment. b. documentation of the need for a referral. c. client's physiologic status. d. formulation of nursing diagnoses.

formulation of nursing diagnoses

carrying out the plan of care

implementation

collection of subjective and objective data

nursing assessment

clinical judgment about individual, family, or community responses to actual or potential health problems and little processes

nursing diagnosis

analysis of subjective and objective data to make a professional nursing judgment

nursing diagnostic phase

findings directly observed or indirectly observed through measurements

objective data

A medical examination differs from a comprehensive nursing examination in that the medical examination focuses primarily on the client's a. physiologic status. b. holistic wellness status. c. developmental history. d. level of functioning.

physiologic status

The depth and scope of nursing assessment has expanded significantly over the past several decades primarily because of a. the growing elderly population with chronic illness. b. rapid advances in biomedical knowledge and technology. c. an increase in the number of baccalaureate programs in nursing. d. an increases in the number of nurse practitioners.

rapid advances in biomedical knowledge and technology.

problem that requires the attention or assistance of other health care professionals

referral problem

To prepare for the assessment of a client visiting a neighborhood health care clinic, the nurse should first a. discuss the client's symptoms with other team members. b. plan for potential laboratory procedures. c. review the client's health care record. d. determine potential health care resources.

review the client's health care record.

sensations or symptoms that can be verified only by the client

subjective data

developing a plan of nursing care and outcome criteria

planning

Before beginning a comprehensive health assessment of an adult client, the nurse should explain to the client that the purpose of the assessment is to a. arrive at conclusions about the client's health. b. document any physical symptoms the client may have . c. contribute to the medical diagnosis. d. validate the data collected.

arrive at conclusions about the client's health.

The nurse is preparing to meet a client in the clinic for the first time. After reviewing the client's record, the nurse should a. analyze data that have already been collected. b. review any past collaborative problems. c. avoid premature judgments about the client. d. consult with the client's family members.

avoid premature judgments about the client.