Health Assessment Quiz 1
A nurse is analyzing the assessment data of a client who has been admitted with exacerbation of heart failure. The nurse has determined that the cue clusters meet the defining characteristics of specific nursing diagnoses. What would the nurse do next?
Verify it with the client and with other health care professionals.
During an educational in-service, nurses have been encouraged to conduct a self-appraisal of their critical thinking skills. Which question would facilitate this self-appraisal?
"Am I open to the fact that I may not be right?"
The emergency department has collected extensive data from a client who has presented with a new onset of severe abdominal pain. What nursing action should the nurse perform before proceeding with data analysis?
Validate the collected data.
After teaching a group of students about the second phase of the nursing process, the instructor determines that additional teaching is needed when the students identify what as a component?
Formulating a medical diagnosis
A nurse on a busy acute medical unit asks a nurse educator for suggestions on how to best develop expertise in using diagnostic reasoning skills to arrive at correct conclusions. Which statement, by the nurse educator, would be most appropriate?
"This skill comes with accumulating experience."
A nurse is applying the diagnostic reasoning process in the care of a client. What is the correct sequence of the steps that the nurse should perform?
-Identify abnormal data & strengths, -Cluster Data, -Draw Inferences, -Propose possible nursing diagnoses, -Check for defining characteristics.
During the assessment interview, the client made numerous statements that suggested his life generally exists in a state of harmony and balance. The nurse would document this as which type of nursing diagnosis?
Health-promotion diagnosis
A new nursing graduate recently made an oversight during the analysis of a client's assessment data that resulted in a postoperative complication. What characteristic of data analysis makes it a challenging aspect of nursing practice?
It requires sophisticated diagnostic reasoning skills.
A nurse has identified the personal goal of developing critical thinking skills. In order to facilitate this goal, what action should the nurse prioritize?
Maintaining an open mind
A nurse has completed a comprehensive assessment of a client and has begun the process of data analysis. Data analysis should allow the nurse to produce which direct result?
Nursing diagnoses