methods and structure of assessment

5. A nurse enters a patient room to assess the patient's blood pressure, temperature, pulse, and pain. What type of assessment is being performed?

Focused

17. A nurse makes preliminary observations about a patient. What is the term for this action?

General survey

8. What information should be included in a health history?

Patient's social history, Reason for seeking medical care, Patient demographic information, Medications the patient is currently taking

15. The nurse is about to conduct a focused assessment at the beginning of the work shift. Which assessments will be performed?

Peripheral pulses, Skin turgor, Urinary output, Wounds

What is the first thing a nurse should do when interacting with a patient?

Provide a personal introduction

11. Which type of physical assessment is usually governed and directed by the policies of the health care facility?

Shift

7. During which type of assessment would the nurse be most likely to assess skin turgor and capillary refill to determine the patient's clinical status?

Shift

13. During which phase of the interview is the patient given an opportunity to ask questions and add any additional information that may have been forgotten?

Termination

3. At the end of the interview, the nurse lets the patient know the interview is complete and the doctor will be in shortly. Before leaving the room, the nurse asks the patient if there are any questions. Which phase of the patient interview is represented by this statement?

Termination

Match the assessment method with its description.

Using sight, hearing, and smell to observe general affect, hygiene: observation Collection of demographic and medical data: patient interview Systematic: physical examination

2. A nurse is performing an interview and asks the patient about allergies and medications. These questions occur during which phase of the patient interview?

Working

A nurse is performing an interview and asks the patient about allergies and medications. These questions occur during which phase of the patient interview?

Working Obtaining information about allergies and medications is covered during the working phase.

6. Which assessments are completed first during an emergency?

Airway, Breathing, Circulation

9. Which action is appropriate when attempting to build trust and rapport with a patient during the assessment process?

Ensuring patient comfort and privacy

12. Laboratory and other diagnostic tests are obtained during a patient office visit. These tests are associated with which type of patient assessment?

Comprehensive

4. Which assessment should be performed during the patient's initial visit to a new health care provider?

Comprehensive

10. What information is obtained during a patient interview?

Current health concerns, Medical and surgical history, Culture, ethnicity, and spiritual views

14. In addition to patient statements, what should the nurse be very attentive to during the interview?

Non-verbal cues

What are the methods through which assessment is conducted?

Observation, Patient interview, Physical examination

1. The nurse enters the patient's room and says, "Hi, my name is Barbara. I am your nurse. Let's discuss why you have been admitted to the hospital." What phase of the patient interview is taking place in this situation?

Orientation

During which phase of the patient interview does the nurse state the purpose of the interview?

Orientation

Match the type of assessment with its description.

Thorough interview, health history, and physical exam: comprehensive Brief assessment when there is a concern about the patient's condition: focues Very focused survey with rapid decisions to address immediate concerns: emergency Frequent assessments to evaluate the patient and note changes in baseline: shift

16. When nurses make determinations about patients needing emergent, urgent or non-urgent care, which type of assessment are they using?

Triage

Which type of assessment is a five-tier system that classifies patients by levels numbered 1 through 5?

Triage Triage frequently uses a five-tier system that classifies patients by levels numbered 1 through 5, with level 1 being a critical life-threatening condition and level 5 being a less urgent situation.

Which type of assessment is performed on a patient entering an emergency department to identify if the patient needs to be treated immediately or can wait to see the health care provider?

Triage Triage is a type of assessment that is performed on a patient entering an emergency department to identify if the patient needs to be treated immediately or can wait to see the health care provider.