Assessment
Correct Answer: The collection of subjective and objective data about a
patient's health
Subjective data
Correct Answer: Information provided by the
affected individual
Objective data
Correct Answer: Information obtained by the
health care provider through observation and inspecting,
percussing, palpating, and auscultating during the
physical examination
Database
Correct Answer: Totality of information available
about the patient, including subjective data, objective data,
,and the patient's medical record and laboratory studies
Purpose of an assessment
Correct Answer: Make a judgement or diagnosis
Diagnostic reasoning
Correct Answer: The process of analyzing health
data and drawing conclusions to identify diagnoses
Cues
Correct Answer: Pieces of information, signs, symptoms, or laboratory data
Hypotheses
Correct Answer: Tentative explanations for a cue or a set cues and can
serve as a basis for further investigation
Steps of diagnostic reasoning
Correct Answer: 1. Attending to available cues
2. Formulating hypothesis
3. Gathering data
4. Evaluating hypothesis
Steps of nursing process
, Correct Answer: 1. Assessment
2. Diagnosis
3. Outcome identification
4. Planning
5. Implementation
6. Evaluation
Novice nurse
Correct Answer: Has no experience with specific patient populations and
uses rules to guide performance
Proficient nurse
Correct Answer: Understands a patient situation as a whole rather than as
a list of tasks, attends to an assessment data pattern, and acts without
consciously labeling it
Expert nurse
Correct Answer: Has an intuitive grasp of a clinical situation and zeroes in
on the accurate solution
Critical thinking
Correct Answer: The multidimensional thinking process needed for sound
diagnostic reasoning and clinical judgment