Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data

Recognize the need to reevaluate the client's plan of care.

A client admitted with reports of nausea and vomiting has not reported any vomiting in the last 6 hours. What initial response should the nurse have regarding this assessment information and its effect on the client's nursing plan of care?

Nursing diagnosis

After completing a health history and physical assessment the nurse prepared to analyze the collected data. In which phase of the nursing process is the nurse focusing?

Functional

An assessment that concentrates on patterns of role performance that all humans share is called what?

collecting information regarding the client's health status

Consider the nurse's role in the health assessment of a client. What action will the nurse perform initially when admitting a client to a long-term care facility?

Head to toe

The nurse is assessing a teenage girl newly admitted to the pediatric unit. The nurse knows that an efficient assessment framework that provides additional modesty for the client is what?

Objective

The nurse is conducting a physical assessment of a new client. What data does the nurse collect that are measurable?

avoid premature judgments about the client

The nurse is preparing to meet a client in the clinic for the first time. After reviewing the client's record, the nurse should

Focused Emergency Comprehensive

What are the types of nursing assessments? (Select all that apply.)

Uses evidence-based techniques

The nurse prepares to assess a client newly admitted to the care area. Which approach ensures that the data will guide the identification of appropriate interventions?

comprehensive.

When a client first enters the hospital for an elective surgical procedure, the nurse should perform an assessment termed

Measuring the remaining tread on a car tire to determine whether it is time to replace it

Which of the following is the best example of assessment in everyday life?

Healthy child development is a critical health determinant because of its implications for lifelong health.

Which of the following statements best conveys the rationale for health promotion in a school setting?

Physiologic, psychological, sociocultural, developmental, and spiritual data

A client admitted to the health care facility has a family history of diabetes mellitus. A nursing health assessment for this client should focus on collection of data in which of these areas?

Diagnostic reasoning

A nurse is writing a care plan for a newly admitted client. When formulating the diagnostic statements in the care plan, what would the nurse use?

To decide the best overall care

What is the primary function of the health care team?

Shortness of breath

In which situation should a nurse perform an emergency assessment of a client?

physiologic status.

A medical examination differs from a comprehensive nursing examination in that the medical examination focuses primarily on the client's

Critical thinking

A nurse is caring for three clients whose care involves complex situations and multiple responsibilities. What is the key to resolving problems for this nurse?

Open the client's airway

An adult client is brought to the ED by ambulance and is anxious and very short of breath. While the nurse is completing the emergency assessment, the client stops breathing. What is the first action of the nurse?

the rapport that exists between the nurse and the client

When the client begins to cry, the nurse recognizes the need to focus the assessment on the client's emotional health. What factor will have the greatest effect on the nurse's ability to gather information concerning why the client is crying?