Foundations Assessing

Nursing assessment should (select all that apply) (page 338)

• Relevant

• Purposeful

• Factual and accurate

• Info directly from the patient

• Is the second part of the nursing process

This type of assessment is when the nurse gathers data about a problem? (page 339)

• Comprehensive assessment

• Focused assessment

• Time-elapsed assessment

• Emergency assessment

Select the information that is subjective

• My leg hurts

• I am afraid of what might happen in surgery

• Patient observed fidgeting

• Patient has a temperature of 101

The best source of information when collecting data (page 347)

• the patient

• the patients family

• the patients records

• the patients physician

What is the key nursing skill when performing both the nursing history and physical examination

• data collection

• documentation

• observation

• interviewing

What methods are used for collecting data during an assessment? (select all that apply) ( page 350)

• inspection

• palpation

• identification

• auscultation

• documentation

What is the act of confirming or verifying information? (page 353)

• Confirming

• Verifying

• Discerning

• Validating

HIPPA provides guidelines for one of the primary responsibilities a nurse has for their patient? ( page 355)

• safeguarding the patients information

• recording the patients information

• Sharing patient information

The nursing physical assessment involving the examination of all body system is called (page 350)

• Physical examination

• Comprehensive examination

• Review of systems (ROS)

• History and Physical

The mnemonic HELP used to ensure person centered observation. H stands for? (page 345)

• Help

• How

• Hearing

• Holistic