Ch 14 Assessing

Question 1

Assessing

Answer 1

To systematically and continuously collect, validate, and communicate patient data

Question 2

Cue

Answer 2

Significant information that is helpful in making decisions

Question 3

Data

Answer 3

Information

Question 4

Database

Answer 4

All the pertinent patient information that enables a comprehensive and effective plan of care to be designed and implemented

Question 5

Emergency assessment

Answer 5

Type of rapid focused assessment conducted when addressing life-threatening or unstable situation

Question 6

Focused assessment

Answer 6

Assessment is conducted to assess a specific problem; focuses on pertinent patient history and body regions but may also be used to address the immediate and highest priority concerns for an individual patient

Question 7

Inference

Answer 7

The judgment reached about a Cue

Question 8

Initial assessment

Answer 8

Comprehensive nursing assessment resulting in baseline data that enable the nurse to make a judgment about a patient’s health status, ability to manage one’s own health care, and need for nursing, and to plan individualized, Holistic care for the patient

Question 9

Interview

Answer 9

Planned communication for a specific purpose

Question 10

Minimum data set

Answer 10

A standard established by healthcare institutions that specifies the information that must be collected from every patient

Question 11

Nursing history

Answer 11

Assessment of the patient by interview to identify the patient’s health status, strengths, health problems, health risk, and need for nursing care

Question 12

Objective data

Answer 12

Information perceptible to the senses; may be verified by another person

Question 13

Observation

Answer 13

Conscious and deliberate use of the five senses to gather data

Question 14

Patient centered assessment method PCAM

Answer 14

Tool for assessing patient complexity using the social determinants of health that often explain why patients with the same or similar health conditions differ in their ability to manage their health and and their outcomes

Question 15

Physical assessment

Answer 15

Systematic examination of the patient for objective data to better to find the patient’s condition and to help the nurse in planning care, usually performed in a head to toe format; a collection of objective data about changes in the patient’s body systems

Question 16

Review of systems ROS

Answer 16

Physical examination of all body systems in a systematic manner as part of the nursing assessment

Question 17

Subjective data

Answer 17

Information perceived only by the infected person

Question 18

Time lapse assessment

Answer 18

An assessment that is scheduled to compare a patient’s current status to baseline data obtained earlier

Question 19

Validation

Answer 19

Active confirming or verifying