What is the assessment role of the nurse in acute care? - correct answersNurse performs more focused
assessment.
Then the nurse incorporates assessment findings with a multidisciplinary team to develop a
comprehensive plan of care.
What is the assessment role of the nurse in critical care? - correct answersThey have enhanced
assessment skills to safely assess the critically ill clients who are outside the structured intensive care
environment.
What is the assessment role of the nurse in ambulatory care? - correct answersThey assess and screen
patients to determine the need for physician referrals
What is the assessment role of the nurse in home health? - correct answersThey make independent
nursing diagnosis and referrals for collaborative problems as needed
What are the phases of the nursing process? - correct answers1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
What Happens in Assessment? - correct answersCollecting subjective and objective data
What Happens During Diagnosis? - correct answersAnalyzing subjective and objective data to make a
professional nursing judgement (nursing diagnosis, collaborative problem, or referral)
What Happens During Planning? - correct answersDetermining outcome criteria and developing a plan
What Happens During Implementation? - correct answersCarrying out the plan
,What Happens During Evaluation? - correct answersAssessing whether outcome criteria have been met
and revising the plan as necessary
A Comprehensive Health Assessment Consists of Both
_________________________________________________________________________ - correct
answersA health history and physical examination
What Is The Purpose of A Holistic Nursing Assessment? - correct answersThe goal is to collect holistic
subjective and objective data to determine a client's overall level of functioning in order to make a
professional clinical judgement.
What Data Does The Nurse Collect ABout The Client In a Holistic Data Collection? - correct answers1.
Physiologic
2. Psychological
3. Sociocultural
4. Developmental
5. Spiritual
What Are Considered to be Independent Factors That Affect a Person's Level of Health? - correct
answers1. Mind
2. Body
3. Spirit
What Does The Nurse Focus on During the Physical Medical Assessment? - correct answersThe nurse
focuses primarily on the client's physiologic development status.
*The nurse in particular, focuses on how the client's health status affects Activities of Daily Living (ADL)
and how those ADL affect the client's health.
A Nursing Framework Helps to __________________________________________________ and
__________________________________________________________. - correct answersOrganize
information
, Promotes the collection of holistic data
The Assessment Phase of the Nursing Process Has Four Major Steps - correct answers1. Collection of
subjective data
2. Collection of objective data
3. Validation of data
4. Documentation of data
*These steps tend to overlap
Subjective Data Is: - correct answersSensations of symptoms, feelings, perceptions, desires, preferences,
beliefs, ideas, values, and personal information that can be elicited and certified ONLY by the client
Major Areas Of Subjective Data Include: - correct answers1. Biographical information (name,age,religion,
occupation)
2. History of present health concern: Physical symptoms related to each body part of system
3. Personal health history
4. Family history
5. Health and Lifestyle Practices (Practices that put the client at risk, nutrition, activity, relationships,
cultural beliefs or practices, family structure and function, community environment)
6. Review of Systems
The Examiner Directly Observes Objective Data That Includes: - correct answers1. Physical characteristics
(skin color, posture)
2. Body functions (heart rate, respiratory rate)
3. Appearance (dress and hygiene)
4. Behavior (mood, effect)
5. Measurements (blood pressure, temperature, height, weight)
6. Results of Laboratory Testing (platelet count, x-ray findings)