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
