What assessment data are crucial for the nurse to obtain before ending the interview? 2. Identify three nursing diagnoses on the basis of the available data.
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- To add to the comprehensive assessment data, it is important for the nurse toconduct a medical records review for which of the following purposes? a. To compare subjective data with the nurse's actual observations b. To relate the past health care history of the patient to the present episode c. To validate whether the data gathered is accurate and factual d. To clarify any vague statement made by the client1. What priorities should the nurse consider for the patient in shock? 2. What assessment data will be collected by the nurse for a patient in shock?10. The nurse evaluates the outcome criteria of a dying client and discerns that the goal has not been met. Which of the following should the nurse do first? a. Ask that another nurse take over care of the client b. Notify the physician immediately c. Reassess to determine if the nursing diagnosis was appropriate d. Talk with the client’s family to determine if they have intervened inappropriately 11. Twenty minutes after administering a pain medication to the client, the nurse returns to ask if the client’s level of pain has decreased. The nurse is engaging in which phase of the nursing process? a. Evaluating b. Implementing c. Diagnosis d. Planning
- Which of the following should be the basis of the nurse in considering that a problem is easily modifiable? A. Health paraphernalia of the nurse B. Exposure of high-risk member of the family C. Physical appearance of the head of the family D. Progress of the diseaseIn completing a focused assessment of a client who has completed treatment for Herpes zoster (shingles), what assessment data is most important for the practical nurse to obtain? A Pain scale. B Capillary refill. C Joint mobility. D Urine color.1.) List 5 equipment used in Physical Assessment and write its corresponding purpose. Equipment Purpose 2.) List and describe 5 different positions of a client during Physical Assessment Position Description 3.) As a future nurse, you will encounter clients with varying cultures. Being aware of their culture prior to meeting them enables you to determine safe, accepted, and valid approaches, and to determine physical and social characteristics that influence health care decisions. Findings regarding physical and emotional health must be interpreted in relation to the culture and norms of the client. Thus, as your activity for Module 2, choose 1 cultural group and create a table following the format below. And write a reflection paper on the relationship between culture and health assessment in Nursing. Cultural Group Communication Dietary Habits Family Patterns Health Beliefs Health Practices
- 1. Learning about the effects of the illness does what for the nurse and the patient? a. Gives them the basis to establish a trusting relationship b. Gives them each a better understanding of the other c. Gives them the ability to communicate better d. Gives them the opportunity to create a complete and congruent picture of the problem ANSWER: RATIONALE: 2. What occurs during the termination phase of an interview? a. Plan for follow-up care b. Address topics that have not yet been addressed Assess the patient's mental status d. Let the patient know you understood all he or she has told you ANSWER: RATIONALE: с. 3. How would the nursing instructor explain the goal of guided questioning to his or her students? a. Obtaining complete data from the patient b. Facilitating the patient's fullest communication c. Developing a basis for accurate nursing diagnoses d. Creating an opportunity for the early generation of a plan ANSWER: RATIONALE: 4. "How many steps can you climb before you get…A nurse is assessing a client immediately following a lumbar puncture. Which of the following findings should the nurse report to the provider?1. Client reports a need to void2. Client requests oral fluids3. Client requests to ambulate4. Client reports feeling nauseated1. What is nursing documentation? What is the importance of nursing documentation? 2. What are the different types of documentation? Define each. 3. What is post mortem care? 4. How do we provide post mortem care?
