CHAPTER 5

Question 1

Data analysis is often referred to as

Answer 1

diagnostic phase or clinical reasoning phase

Question 2

The end result of the clinical judgment section includes

Answer 2

identification of client concern
collaborative problems
referrals to health care

Question 3

this is the second step of the nursing process

Answer 3

Data analysis

Question 4

steps to make a clinical judgement from assessment data

Answer 4

Identify (abno cues;strengths)

Cluster (cues)

Draw (inferences to propose clinical judgements

Identify (possible concern)

Validate (clint concern with client, family)

Document (JUDGEMENT

Question 5

used to identify actual or a risk for
client concerns.

Answer 5

abnormal cues

Question 6

are client strengths used in identifying areas where
the client’s health can be improved; they are also used to decrease potential
client concerns

Answer 6

identified supportive cues

Question 7

are defined as “certain
physiological complications that nurses monitor to detect their onset or changes in
status;

Answer 7

Collaborative problems

Question 8

can be defined as
connecting clients with other professionals and resources.

Answer 8

referring

Question 9

3 client concerns

Answer 9

opportunity for health promotion

risk for health concern

actual health concern

Question 10

occurs when the client
has the motivation to increase or improve their
health behaviors and well-being.

Answer 10

opportunity for health promotion

Question 11

reflects a state in which the
client does not currently have the problem but is vulnerable to developing

Answer 11

Risk for health concern

Question 12

indicates that the client is currently experiencing the
stated problem

Answer 12

actual client concern

Question 13

can occur when the nurse validates and documents
data, includes too many or
inadequate data, unreliable or invalid data, and an insufficient number of cues
available to support the client concerns.

Answer 13

1st set of pitfalls

Question 14

occurs during the analysis phase. Cues may be
clustered yet unrelated to each other. For example, a client may be very quiet and
appear depressed. A nurse may assume the client is grieving because her husband
died a year ago but the client may just be fatigued because of all the diagnostic tests
she has just undergone.

Answer 14

2nd set of pitfalls

Question 15

It is often called the
clinical judgment phase because the purpose of this phase is identification of client
concerns

Answer 15

Analysis of data

Question 16

The thought process required for data analysis is often referred to as
—a form of critical thinking.

Answer 16

Diagnostic reasoning