Collecting Assessment Data Flashcards
Which data sources are examples of secondary data?
- Patient chart
- Laboratory test results
- Statements made by the patient
- Information from another health care provider
- Statements made by a family member
- Patient chart
- Laboratory test results
- Information from another health care provider
- Statements made by a family member
Which assessment cues have a subjective classification?
- Nausea
- Headache
- Lesions on leg
- Facial grimacing
- Blood pressure 110/78 mm Hg
- Nausea
- Headache
Match the type of patient cue organization model with its description.
- head-to-toe
- body systems
- Gordon’s functional health patterns
Reveals pattens of patient data that are often overlooked
Gordon’s functional health patterns
Match the type of patient cue organization model with its description.
- head-to-toe
- body systems
- Gordon’s functional health patterns
Begins with documentation of general health status
head-to-toe
Match the type of patient cue organization model with its description.
- head-to-toe
- body systems
- Gordon’s functional health patterns
concentrates solely on physical aspects of a patient’s condition
body systems
Match the assessment strategy with its description.
- physical examination
- observation
- patient interview
assesses patients body systematically
physical examination
Match the assessment strategy with its description.
- physical examination
- observation
- patient interview
collects demographic and medical data
patient interview
Match the assessment strategy with its description.
- physical examination
- observation
- patient interview
uses sight, hearing, and smell to gather data
observation
Match the type of assessment with its description.
- emergency
- focused
- comprehensive
thorough interview, health history, and physical examination
comprehensive
Match the type of assessment with its description.
- emergency
- focused
- comprehensive
assessment when there is a concern about the patient’s condition
focused
Match the type of assessment with its description.
- emergency
- focused
- comprehensive
very focused survey with rapid decisions to address immediate concerns
emergency
Which examination room preparation is most important for the nurse to complete between patients in an outpatient clinic?
- Sterilize all surfaces of the examination table.
- Remove all garbage from the room.
- Ensure that the barrier paper is neat and unsoiled.
- Confirm the examination table surface is clean and has a fresh barrier in place.
Confirm the examination table surface is clean and has a fresh barrier in place.
Which actions would the nurse take to prepare the environment for the physical assessment?
- Assess that equipment is working properly.
- Wash hands on entering the patient room.
- Open personal protective equipment (PPE) so it is ready to use when needed.
- Obtain a translator when a communication barrier exists.
- Explain when position changes will be needed during the assessment.
- Assess that equipment is working properly.
- Wash hands on entering the patient room.
- Obtain a translator when a communication barrier exists.
- Explain when position changes will be needed during the assessment.
Which aspect of creating a therapeutic environment reflects the nurse’s approval of a patient’s request for a family member to remain in the room during the patient interview and physical assessment?
- Patient safety
- Personal needs
- Physical comfort
- Emotional comfort
Emotional comfort
Which type of examination requires the nurse to alter the traditional sequence of assessment techniques (inspection, palpation, percussion, and auscultation)?
- Cardiac
- Abdominal
- Respiratory
- Integumentary
Abdominal
Which senses does the nurse use during inspection?
- Sight
- Taste
- Smell
- Touch
- Hearing
- sight
- smell
- hearing
Which term describes subjective indications of a disease or a change in condition as perceived by the patient?
- Signs
- Symptoms
- Conditions
- Assessments
symptoms
Which concept describes the process in which the nurse collects information related to a patient problem by speaking with the patient?
- Focused assessment
- Objective data collection
- Subjective data collection
- Comprehensive assessment
subjective data collection
Which model of data organization uses a holistic approach to the patient and potentially reveals data patterns the nurse might otherwise overlook?
- Medical
- Head-to-Toe
- Body Systems
- Gordon’s Functional Health Patterns
Gordon’s Functional Health Patterns
Which assessment would the nurse perform during the patient’s initial visit to a new health care provider?
- Brief
- Focused
- Emergency
- Comprehensive
Comprehensive
Which environmental strategies would the nurse implement to maximize a patient’s comfort during an interview and physical examination?
- Dim room lighting.
- Reduce extra noise.
- Increase visual stimuli.
- Remove distracting items.
- Manage room temperature.
- Reduce extra noise.
- Remove distracting items.
- Manage room temperature.
Which actions would the nurse take when greeting the patient?
- Introduce self.
- Call the patient by name.
- Start the physical assessment.
- Explain the reason for the interview.
- Educate the patient on hand hygiene.
- Introduce self.
- Call the patient by name.
- Explain the reason for the interview.
Which actions would the nurse take after completing the interview and physical examination?
- Document collected data.
- Discuss what to expect next.
- Encourage the patient to ask questions.
- Place the call bell on the bedside table.
- Assist the patient to a comfortable position.
- Document collected data.
- Discuss what to expect next.
- Encourage the patient to ask questions.
- Assist the patient to a comfortable position.
Place the assessment techniques in the order performed for assessing the abdomen.
- percussion
- inspection
- palpation
- ausculation
- inspection
- ausculation
- palpation
- percussion
Which factors would the nurse consider before performing an inspection during a physical examination?
- Ample lighting
- Available assistance
- Time available for the examination
- Cleaning of the patient’s hands
- Adequate exposure of anatomic surfaces
- Ample lighting
- Available assistance
- Time available for the examination
- Adequate exposure of anatomic surfaces
Which types of abnormalities can the nurse identify when percussing the abdomen?
- Gas
- Fluid
- Masses
- Organs
- Wounds
- Gas
- Fluid
- Masses
