Chapter 11 Flashcards
Cephalocaudal
Proceeding in the direction from head to toe
Closed questions
Restrictive question requiring only a short answer
Cues
Any piece of information or data that influences decisions
Database
All information about a client, includes nursing health history and physical assessment, physicians history, physical examination, and laboratory and diagnostic test results
Directive interview
A highly structured interview that uses closed questions to elicit specific information
Inferences
Interpretations or conclusions made based on cues or observed data
Leading question
A question that influences the client to give a particular answer
Neutral question
A question that does not direct or pressure a client to answer in a certain way
Nondirective interview
An interview using open-ended questions and empathetic responses to build rapport and learn client concerns
Nursing process
A systematic rational method of planning and providing nursing care
Objective data
Information that is detectable by an observer or can be tested against an accepted standard; can be seen, heard, felt, or smelled; also called signs
Assessing
The process of collecting, organizing, validating, and recording data about a clients health status
Open-ended Questions
Questions that specify only a broad topic to be discussed and invite clients to discover and explore their thoughts and feelings about the topic.
Rapport
A relationship between two or more people of mutual trust and understanding.
Screening examination
A brief review of essential functioning of various body parts or systems
Signs
Detectable by an observer or can be measured or tested against an accepted standard.
Subjective data
Data that are apparent only to the person affected
Validation
The determination that the diagnosis accurately reflects the problem of the client, that the methods used for data gathering were appropriate, and that the conclusion or daignosis is justified by the data.
