Week 3 funds- 10,11,12,13,35,37&14

Which of the following are examples of common factors that may influence assessment priorities? Select all that apply.

a patient's diet and exercise program a patient's developmental stage a patient's need for nursing

A student takes an adult patient's pulse and counts 20 beats/min. Knowing this is not the normal range for an adult pulse, what should the student do next?

ask the instructor or a staff nurse to take the pulse

A nurse is preparing to write a nursing diagnosis for a client. Which activity would the nurse need to do first?

identify the significant data

A nurse is collecting information from Mr. Koeppe, a patient with dementia. The patient's daughter, Sarah, accompanies the patient. Which of the following statements by the nurse would recognize the patient's value as an individual?

mr koeppe tell me what you do to take care of yourself

Which of the following group of terms best defines assessing in the nursing process?

collection, validation, communication of patient data

Of the following data, what type would be collected during a physical assessment?

color, moisture, and temperature of the skin

Of the following information collected during a nursing assessment, which are subjective data?

nausea, abdominal pain

Which statement made by the nurse indicates data that would be documented as part of an objective assessment?

"The client's right leg is cold to the touch, from the knee to the foot."

Emergency Assessment

- Happens during a physiologic or psychological crisis to identify life threatening problems - A choking victim, a bleeding patient from a stab wound, an unresponsive patient in the rehabilitation unity + a factory worker threatening violence are all candidates for an emergency assessment

Nursing History

- Identifies the patient's health status, strengths, health problems, health risks + need for nursing care - Includes the patient's family + significant others, the patient record, other health care professionals + nursing + other health care literature

Database

- Includes all the pertinent patient information collected by the nurse + other health care professionals - Enables you to partner with patients to develop a comprehensive + effective plan of care

Time-Lapsed Assessment

- Is scheduled to COMPARE a patient's CURRENT status TO the BASELINE data obtained earlier - Most patients in residential settings + those receiving nursing care over longer periods of time, such as home bound patients with visiting nurses

Physical Assessment + Four Methods to Collect Data

- Is the examination of the patient for objective data that may better define the patient's condition + help the nurse plan care - Involves the examination of ALL body systems called the REVIEW OF SYSTEMS (ROS) 1.) Inspection 2.) Auscultation 3.) Palpation 4.) Percussion

Focused Assessment

- Nurse gathers data about a specific problem that has already been identified - May be done DURING the initial assessment if the patient's health problems surface but is routinely part of ongoing data collection - Also identifies new or overlooked problems - Quick Priority Assessments (QPA) are short, focused, prioritized assessments you do to gain the most important information you need to have first.

Initial Assessment

- Performed shortly after the patient is admitted - Most institutions have policies specifying the time interval within which this assessment must be completed - The purpose is to establish a complete database + BASELINE for problem identification + care planning

Interview

- Planned communication - DONT use leading questions - DO use exploratory, open ended questions

Components of a Nursing History

- Profile: name, age, sex, race/ethnicity, marital status, religion, occupation, education - Reason for seeking healthcare - Usual health habits + patterns + related need for nursing assistance - Cultural considerations in relation to diet, decision making + activities - Current state of health, functioning of body systems, degree of pain + past medical + surgical history - Current medications, allergies + record of immunizations + exposure to communicable diseases - Perception of health status + what health + illness mean to the patient, as well as usual responses or coping patterns - Developmental history, family history, environmental history + psychosocial history - Patient's and family's expecations of nursing + of the health care team - Patient's and familiy's educational needs + ability + willingness to learn - Patient's and familiy's ability + willingness to participate in the plan of care - Weather an advance directive exists or if the patient wants help to prepare an advance directive - Patient's personal resources (strengths) and deficits - Patient's potential for injury

Assessing

- The systematic + continuous collection, analysis, validation + communication of patient data - These data reflect how health functioning is enhanced by health promotion or compromised by illness + injury - A databsase contains all pertinent patient information - Assessment is the first step of the nursing process - Assessment provides important baseline data - Allows the nurse to make a judgement about an individual's health status, ability to manage his or her own need for self care + need for nursing care - Allows the nurse to plan + deliver thoughtful, person centered nursing care that draws on the individual's strengths + promotes optimum functioning, independance + well being - Allows the nurse to refer the patient to a physician or other health care professional if needed

A,B,E,F

1. Which of the following is an essential feature of professional nursing? Select all that apply. A) provision of a caring relationship to facilitate health and healing B) attention to a range of human experiences and responses to health and illness C) use of objective data to negate the patient's subjective experience D) use of judgment and critical thinking to form a medical diagnosis E) advancement of professional nursing knowledge through scholarly inquiry F) influence on social and public policy to promote social justice

2 Parts of Preparing for Data Collection

1.) Establishing Assessment Priorities: Health orientation, developmental stage, culture, need for nursing. 2.) Structuring the Assessment: Look at institutions assessment guidelines such as their Minimum Data Set. Maslow's Hierarchy of needs may be used to organize data or it may be organized by body systems.

4 Types of Nursing Assessments

1.) Initial Assessment 2.) Focused Assessment 3.) Emergency Assessment 4.) Time-Lapsed Assessment

2 Methods of Data Collection

1.) Nursing History 2.) Physical Assessment

6 Sources of Data

1.) PATIENT 2.) FAMILY / SIGNIFICANT OTHERS 3.) PATIENT RECORD 4.) ASSESSMENT TECHNOLOGY 5.) OTHER HEALTH CARE PROFESSINALS 6.) NURSING + OTHER HEALTH CARE LITERATURE

7 Characteristics of a Nursing Assessment

1.) PURPOSEFUL 2.) PRIORITIZED: Get the most important information first 3.) COMPLETE: Identify all the patient data needed to understand a patient health problem + develop a plan of care to maximize the patient's health 4.) SYSTEMATIC 5.) FACTUAL + ACCURATE 6.) RELEVANT 7.) RECORDED IN A STANDARD MANNER

4 Phases of a Nursing Interview

1.) Preparatory phase 2.) Introduction phase 3.) Working phase 4.) Termination phase

A

10. Which of the following groups developed standard language to increase the visibility of nursing's contribution to patient care by continuing to develop, refine, and classify phenomena of concern to nurses? A) NANDA B) NIC C) NOC D) HHCC

C

11. Legally speaking, how would the nurse ensure that care was not negligent? A) verbally reporting assessments to the patient's physician B) keeping private notes about the care given to each assigned patient C) documenting the nursing actions in the patient's record D) tape recording complete information for each oncoming shift

B

12. A nurse interviews a pregnant teenager and documents her answers on the patient record. At the same time, the nurse responds to the patient's concerns and makes a referral for counseling and maternity care. This scenario is an example of which of the descriptors of the nursing process? A) systematic B) dynamic C) outcome oriented D) universally applicable

D

13. A nurse working in an outpatient surgery center is responsible for taking a health history and performing a physical assessment on each patient scheduled for surgery. Why is establishing this database so important for nursing care? A) to ensure good nurse-patient relationships before surgery B) to ensure medical and surgical safety C) it is a routine part of any admission procedure D) to identify strengths and problems

B

14. An experienced ICU nurse is mentoring a student. The nurse tells the student, "I think something is going wrong with your patient." What type of clinical decision making is the experienced nurse demonstrating? A) trial-and-error problem solving B) intuitive thinking C) scientific problem solving D) methodical reasoning

B

15. A nurse is caring for a patient in the ER who was injured in a snow mobile accident. The nurse documents the following patient data: uncontrollable shivering, weakness, pale and cold skin, and suspects the patient is experiencing hypothermia. Upon further assessment, the nurse notes a heart rate of 53 BPM and core internal temperature of 90°F, which confirms the initial diagnosis. The nurse then devises a plan of care and continues to monitor the patient to evaluate the outcomes. This nurse is using which of the following types of problem solving in her care of this patient? A) trial-and-error B) scientific C) intuitive D) critical thinking

B,C,F

16. Nurses make decisions in their practice every day. Which of the following are potential errors in this decision-making process? Select all that apply. A) placing emphasis on the last data received B) avoiding information contrary to one's opinion C) selecting alternatives to maintain status quo D) being predisposed to multiple solutions E) prioritizing problems in order of importance F) failing to use appropriate resources

C

17. Which of the following is one example of a patient benefit of using the nursing process? A) greater personal satisfaction B) decreased reliance on the nursing staff C) continuity of care D) decreased incidence of medical errors

A

18. What is a systematic way to form and shape one's thinking? A) critical thinking B) intuitive thinking C) trial-and-error D) interpersonal values

B

19. What step in the nursing process is most closely associated with cognitively skilled nurses? A) assessing B) planning C) implementing D) evaluating

B

2. What nursing organization first legitimized the use of the nursing process? A) National League for Nursing B) American Nurses Association C) International Council of Nursing D) State Board of Nursing

B

20. A nurse asks a multidisciplinary team to collaborate to develop the most appropriate plan of care to meet the needs of an adolescent with a severe head injury. Which of the blended skills essential to nursing practice is the nurse using? A) cognitive skills B) interpersonal skills C) technical skills D) ethical/legal skills

A

21. A student is asked to perform a skill for which he is not prepared. When using the method of critical thinking, what would be the first step to resolve the situation? A) purpose of thinking B) adequacy of knowledge C) potential problems D) helpful resources

D

22. Members of the staff on a hospital unit are critical of a patient's family who has different cultural beliefs about health and illness. A student assigned to the patient does not agree, based on her care of the patient and family. What critical thinking attitude is the student demonstrating? A) being curious and persevering B) being creative C) demonstrating confidence D) thinking independently

A,B,C,E

23. Nurses apply critical thinking to clinical reasoning and judgment in their nursing practice every day. Which of the following are characteristics of this practice? Select all that apply. A) It is guided by standards, policies and procedures, ethics codes, and laws. B) It is based on principles of nursing process, problem solving, and the scientific method. C) It carefully identifies the key problems, issues, and risks involved. D) It is driven by the nurse's need to document competent, efficient care. E) It calls for strategies that make the most of human potential. F) It is a skill that has been studied and evaluated to the point of perfection.

C

24. As a beginning student in nursing, what is essential to the mastery of technical skills, such as giving an injection? A) Read the steps of the procedure before clinical assignments. B) Even if you do not know how to give an injection, act as if you do. C) Practice giving injections in the learning laboratory until you feel comfortable. D) Tell your instructor that you don't think you can ever give a shot.

D

25. Which of the following interpersonal skills is essential to the practice of nursing? A) performing technical skills knowledgeably and safely B) maintaining emotional distance from patients and families C) keeping shared patient personal information confidential D) promoting the dignity and respect of patients as people

B

26. A nurse believes her employer has violated the law and reports this to the appropriate law enforcement agency. What is this type of action called? A) short stopping B) whistle-blowing C) mud smearing D) low balling

C

3. Which of the following group of terms best describes the nursing process? A) nursing goals, medical terminology, linear B) nurse-centered, single focus, blended skills C) patient-centered, systematic, outcomes-oriented D) family-centered, single point in time, intuitive

A

4. A patient comes to the emergency department complaining of severe chest pain. The nurse asks the patient questions and takes vital signs. Which step of the nursing process is the nurse demonstrating? A) assessing B) diagnosing C) planning D) implementing

B

5. A nurse is examining a 2-year-old. Based on her findings, she initiates a care plan for a potential problem with normal growth and development. Which step of the nursing process identifies actual and potential problems? A) assessing B) diagnosing C) planning

B

6. A home health nurse reviews the nursing care with the patient and family and then mutually discusses the expected outcomes of the nursing care to be provided. Which step of the nursing process is the nurse illustrating? A) diagnosing B) planning C) implementing D) evaluating

C

7. Based on an established plan of care, a nurse turns a patient every 2 hours. What part of the nursing process is the nurse using? A) assessing B) planning C) implementing D) evaluating

D

8. Which of the following statements indicates that a plan to assist a patient in developing and following an exercise program has been effective? A) "I have just been too busy to do my daily exercises." B) "I guess I will begin the activity we discussed next week." C) "I know I should exercise, but my health is not very good." D) "I have lost 10 pounds because I walk 2 miles every day."

A

9. What name is given to standardized plans of care? A) critical pathways B) computer databases C) nursing problems D) care plan templates

Inference

A judgement that is made about a CUE

The nurse caring for a client with obesity would like to address the possible health problems that can develop related to obesity. To plan care for this client, what type of nursing diagnosis would the nurse formulate?

A risk nursing diagnosis Explanation: Since the nurse is trying to address health problems that the client is at risk for because of obesity, the appropriate diagnosis is a risk nursing diagnosis. The nurse is not addressing a health problem that the client has or a health problem that the nurse needs more information to validate, so an actual or possible nursing diagnosis is not appropriate. The client is not seeking health information, so a wellness diagnosis in inappropriate.

The nurse is caring for a patient who sustained a spinal cord injury. The patient has urinary incontinence. Which aspects of care should the nurse include when teaching the patient to perform self-catheterization? Select all that apply. A. The structures of the urinary tract B. The technique of catheterization C. The importance of adequate fluid intake D. The frequency of self-catheterization E. The technique of applying a condom catheter

A, B, C, D Self-catheterization can be useful for patients who are physically able to manipulate the catheter and position themselves upright. Knowledge of the structures of the urinary tract is important for accurate catheter insertion and preventing complications. Learning the technique of catheterization helps the patient to minimize infections during the procedure. Adequate fluid intake is necessary to flush out microorganisms in the urine and prevent complications. The frequency of catheterization is important to ensure complete emptying of the bladder. Generally, the catheterization is done every 4 to 6 hours. The patient is not on a condom catheter; therefore, this technique does not need to be taught.

The nurse is teaching a group of nursing students about kidney function. Which statements apply to kidney function? Select all that apply. A. The kidneys produce several substances vital for maintenance of blood pressure. B. The kidneys produce several substances vital to bone mineralization. C. A nephron is a functional unit of the kidney and helps in urine formation. D. The kidneys filter waste products of metabolism and excrete them in the urine. E. The kidneys produce several substances vital to white blood cell (WBC) production.

A, B, C, D, E The kidneys produce several substances vital to blood pressure and bone mineralization. Nephron is the functional unit of the kidney and helps in urine formation. Kidneys filter waste products of metabolism and excrete them in urine. Kidneys produce substances vital for production of red blood cells (RBC), not white blood cells (WBC).

What are the roles of the nurse when caring for a patient with urinary diversions? Select all that apply. A. Refer the patient to an ostomy nurse. B. Train the patient on management of urinary diversions. C. Refer the patient to ostomy associations for further support. D. Check the patency of the nephrostomy tube by trying to pull it out. E. Refer the patient to the United Ostomy Associations of America.

A, B, C, E Patients with urinary diversions require special care and should be referred to an ostomy nurse. The ostomy nurse provides all the information about ostomy care and educates the patient about ostomy care. The patient must be trained to properly manage the diversion and become independent, because it is a long-term condition. In addition, these patients should be referred to the United Ostomy Associations of America for more information about support groups to enhance coping and adaptation to lifestyle and body image changes. The ostomy nurse assists the patient and family members with matters pertaining to all aspects of care. Care must be taken not to pull on tubing, especially in a nephrostomy, because it can cause tissue and organ damage and infection.

What characteristics are associated with urge urinary incontinence? Select all that apply. A. Urgency B. Frequency C. Leakage of urine without awareness D. Diminished awareness of the urge to void E. Difficulty holding urine once the urge to void occurs

A, B, E The characteristics associated with urge urinary incontinence are urgency, frequency, and difficulty holding urine once the urge to void occurs. Leakage of urine without awareness and diminished awareness of the urge to void are associated with reflex urinary incontinence.

A patient with an indwelling catheter carries the collection bag at waist level when ambulating. The patient is at risk for what? Select all that apply. A. Infection B. Retention C. Stagnant urine D. Reflux of urine E. Hypotension

A, D Urine in the bag and tubing becomes a medium for bacteria; infection is likely to develop if urine flows back into the bladder.

The nurse is teaching a group of licensed vocational nurses (LVNs) and licensed practical nurses (LPNs) about the pathogenesis of urinary infections. Which information pertaining to catheter-associated urinary tract infection (CAUTI) should the nurse include in the teaching? Select all that apply. A. Bacteria inhabit the vagina. B. CAUTI are mostly caused by a descending infection. C. Colonic flora do not cause urinary infections. D. Bacteria inhabit the distal urethra in men and women. E. Escherichia coli is the common causative organism.

A, D, E Catheter-associated urinary infection is caused by bacteria that inhabit the vagina in women and by bacteria that inhabit the distal urethra in men and women. The common organism responsible for CAUTI is Escherichia coli. The infection is ascending in nature, because bacteria cause infection as they ascend the urinary tract. Bacteria from the colon are the main causes of urinary infections.

In which order do the steps occur in the control of blood pressure by the kidneys through the renin-angiotensin system? A. Angiotensin II is formed in the lungs. B. The blood supply decreases in the kidneys. C. Renin is released from the juxtaglomerular cells. D. Angiotensinogen is converted into angiotensin I. E. The blood volume increases due to retention of water. F. Aldosterone release from the adrenal cortex is stimulated.

B, C, D, A, F, E In times of renal ischemia or decreased blood supply to the kidneys, renin is released from the juxtaglomerular cells. Renin functions as an enzyme to convert angiotensinogen into angiotensin I. Angiotensin I is converted to angiotensin II in the lungs. Angiotensin II causes vasoconstriction and stimulates aldosterone release from the adrenal cortex. Aldosterone causes water retention, which increases blood volume. This mechanism, along with the mechanism of vasodilation through prostaglandin E2 and prostacyclin produced by the kidneys, helps in the control of blood pressure through the renin-angiotensin system.

The nurse understands that urinary tract infections (UTIs) in women are eight times more common than in men. What are the reasons for this? Select all that apply. A. Urination is infrequent. B. The urethra is shorter than it is in males. C. The urethra lies closer to the anus than it does in males. D. Failure to wipe from front to back after voiding or defecating. E. Lack of antibacterial substances in vaginal secretions.

B, C, D, E The anatomical makeup of females includes a short urethra and close proximity of the urethra to the anus, which are conducive to the development of urinary tract infections (UTIs). The risk of infections also increases if females fail to wipe from front to back after voiding and defecating. It can cause the bacteria from the anal area to gain access to the urinary tract. Urination is not infrequent in females. In males, the prostatic secretions have an antibacterial substance that helps to prevent infection. This antibacterial substance is lacking in vaginal secretions.

The nurse is performing an assessment on a newly admitted client and understands the importance of validating all data. When is the best time to validate such data?

Both during the collection and at the end of the collection

Which of the following is an example of a nursing diagnosis?

Constipation Explanation: Constipation is a nursing diagnosis included in the Elimination domain. Hypoglycemia, dehydration, and depression are examples of medical diagnoses or medical pathology.

An elderly patient who has dementia is suffering from cognitive deficit and an overactive bladder. Which type of urinary incontinence is this patient likely to suffer? A. Stress incontinence B. Functional incontinence C. Low risk of incontinence D. Urge incontinence

D Elderly patients with cognitive deficits such as dementia may have overactive bladder (OAB). These patients are at risk of developing urge incontinence due to involuntary bladder contraction. Stress incontinence is common among elderly women with weakened pelvic musculature. Functional incontinence due to urinary infection is common among younger women with urinary infections. Incontinence risk is not lowered in patients with dementia; it is increased.

Which substance secreted by the kidneys helps to control blood pressure via vasodilation? A. Renin B. Aldosterone C. Angiostenin II D. Prostaglandin E2

D Prostaglandin E2 , which, along with prostacyclin, helps maintain renal blood flow via vasodilation, is produced by the kidneys. Renin functions as an enzyme to convert angiotensinogen into angiotensin I. Aldosterone causes retention of water, which increases the blood volume. Angiotensin II causes vasoconstriction and stimulates aldosterone release from the adrenal cortex.

Which of the following entries would be an example of appropriate documentation?

I am so down today, and I just don't have any energy

A nurse is interviewing a hospitalized patient. Which nurse-patient positioning facilitates an easy exchange of information?

If the patient is in bed, the nurse sits in a chair placed at a 45-degree angle to the bed.

Reflection at the basic level

Includes recalling the sequence of events, identifying a positive situation, and thinking about relationships involved.

Reflection at the higher level

Includes reevaluating experience in the light of ideas, behavior, feelings, and values.

Minimum Data Set

Specifies the information that must be collected form every patient + uses a structured assessment form to organize or cluster this data.

The nurse is summarizing the key points of the interview. This nursing activity occurs during which phase?

Termination phase Explanation: The nurse highlights the key points of the interview during the termination phase. During the preparatory phase the nurse prepares the setting for the interview and reviews any available information about the client. Introductions take place during the introductory phase, and the nurse outlines expectations for the interview. The nurse collects subjective data during the working phase.

Validation

The act of confirming or verifying

Who or what is the primary source of information for a nursing history?

The client

Observation

The conscious + deliberate use of the five senses to gather data

How will the nursing physical assessment differ from a medical physical assessment?

The nurse's physical assessment will focus on the client's functional abilities.

How are Nursing Assessments different from Medical Assessments?

When nurses make nursing assessments, they do not duplicate medical assessments. Medical assessments target data pointing to patholigic conditions, whereae nursing assessments focus on the PATIENT'S RESPONSES to health problems. Ex. Is there interference with the patient's ability to meet basic human needs? Can the patient perform the activities of daily living?

Which of the following examples of patient data needs to be validated? Select all that apply.

a patient has trouble reading an informed consent but states he does not need glasses an elderly patient explains that the black and blue marks on his arms and legs are due to a fall following a mva, the teenage driver with alcohol on his breath states that he was not drinking

Avoid using these NONSPECIFIC terms

adequate, good, average, normal, poor, small, large

Which of the following questions or statements would be an appropriate termination of the health history interview?

can you think of anything else you would like to tell me

After collecting data from a patient with respiratory distress, the nurse prioritizes the patient interventions to provide oxygen to the patient first. This is an example of which of the following models for organizing data?

hierarchy of human needs

A nurse is conducting a health history interview for a woman at an assisted-living facility. The woman says, "I have been so constipated lately." How should the nurse respond?

do you take anything to help your constipation

What type of patient record data would the nurse find in the medical history and progress notes?

findings of the physician's assessment and treatment

Mrs. James comes to her healthcare provider's office because she is having abdominal pain. She has been seen for this problem before. What type of assessment would the nurse do?

focused assessment

In the clinical setting, a nurse is working on developing higher-level reflection skills. With which activity would the nurse most likely be engaged?

reevaluating experience in light of ideas Explanation: Reflection at the higher level includes reevaluating experience in the light of ideas, behavior, feelings, and values.

A nurse is collecting data from a home care patient. In addition to information about the patient's health status, what is another observation the nurse should make?

safety of the immediate environment

A nurse is preparing to conduct a health history for a patient who is confined to bed. How should the nurse position herself?

sitting at a 45 degree angle to the bed

During the interview component of the health assessment, how does the nurse convey to the client that the information is important?

sitting at eye level with the client

Which of the following questions or statements would be appropriate in eliciting further information when conducting a health history interview?

tell me more about what caused your pain

A nurse who collected and organized data during a patient history realizes that there is not enough information to plan interventions. Which of the following would be the best remedy to prevent this from happening in the future?

the nurse should practice interviewing strategies

Which of the following statements best describes the relationship between nursing diagnosis and medical diagnosis?

the nursing diagnosis is based on patient response to the medical diagnosis

Who or what is the primary source of information for a nursing history?

the patient

On admission, a physician diagnoses a patient with rheumatoid arthritis. The nurse uses assessments to make the nursing diagnosis of Chronic Pain. What is the nurse diagnosing?

the response of the patient to the illness

A nurse performs an assessment of a patient in a long-term care facility and records baseline data. The nurse reassesses the patient a month later and makes revisions in the plan of care. What type of assessment is the second assessment?

time lapsed

The nurse completes a health history and physical assessment on a patient who has been admitted to the hospital for surgery. What is the purpose of this initial assessment?

to establish a database to identify problems and strengths

A nurse is assisting with lunch at a nursing home. Suddenly, one of the residents begins to choke and is unable to breathe. The nurse assesses the resident's ability to breathe and then begins CPR. Why did the nurse assess respiratory status?

to identify a life threatening problem

What is the primary purpose of validation as a part of assessment?

to plan appropriate nursing care

A nurse in the emergency department is completing an emergency assessment for a teenager just admitted from a car crash. Which of the following is objective data?

unable to palpate femoral pulse in left leg

A nurse performing triage in an emergency room makes assessments of patients using critical thinking skills. Which of the following are critical thinking activities linked to assessment? Select all that apply.

using the nursing process to diagnose a blocked airway interviewing a patient suspected of being a victim of abuse privately checking the data supplied by a patient with dementia with the family

The nurse understands that how you begin and end an interview with a client are equally important. What are some ways that are helpful to terminate an interview?

• Give a warning such as "We have 5minutes left". • Ask the client to summarize their most important concerns • Offer yourself as a resource

The nursing instructor is demonstrating to the class how to perform a physical assessment. Which assessment technique should be demonstrated by the nursing instructor?

• Inspection • Palpation • Percussion • Ausculation Documentation is NOT part of a physical assessment. It is done after

Which techniques facilitate communication during an interview? Select all that apply.

• Use broad opening statements. • Share observations. • Use silence.