Interviewing Chapter 1

Question 1

What is the first and most critical phase of the nursing process

Answer 1

Assessment

Question 2

Phases of the nursing process

Answer 2

Phase 1
assessment - collecting subjective and objective data

phase 2
diagnosis - analyzing subjective and objective data to make a professional nursing judgment

phase 3
planning - determining outcome criteria and developing a plan

phase 4
Implementation- carrying out the plan

Phase 5
Evaluation - assessing whether outcome criteria have been met and revising the plan is necessary

Pg. 4

Question 3

Types of Health assessments (4)

Answer 3

1. initial comprehensive assessment
2. ongoing or partial assessment
3. focused or problem-oriented assessment
4. emergency assessment

(pg. 5)

Question 4

What is initial comprehensive assessment?

Answer 4

involves collection of subjective data about the client’s perception of his or her health of all body parts or systems, past health history, family history, and lifestyle and health practices. As well as objective data gathered during a step-by-step physical examination.

(pg. 5)

Question 5

what is ongoing or partial assessment?

Answer 5

consists of data collection that occurs after the comprehensive database is established

(pg. 5)

Question 6

What is Focused or Problem- orientated assessment?

Answer 6

performed when a comprehensive database exists for a client who comes to the health care agency with a specific health concern.

(pg. 5)

Question 7

What is an Emergency assessment?

Answer 7

a very rapid assessment performed in life-threatening situations.

ABC’s -
airway
breathing
circulation

(pg. 5)

Question 8

Preparing for the Health assessment the nurse should do the following things.

Answer 8

review medical record

awareness of clients previous and current health status.

keeping an open mind and avoid premature judgments.

educate yourself about the client’s diagnoses or tests

(pg. 6)

Question 9

what is Subjective data

Answer 9

sensations or symptoms the patient is feeling.

Ex;

• Biographical information
• history of present health concern
• personal health history
• family history
• health and lifestyle practices
• review of systems (ROS)

(pg.6)

Question 10

What is objective data?

Answer 10

obtained by general observation and by using inspection, palpation, percussion and auscultation.

ex;

• physical characteristics
• body functions (heart rate)
• appearance
• behavior
• measurements(blood pressure, temp,)
• results of laboratory testing

Question 11

Nurse intervention are used to?

Answer 11

monitor health status; prevent, resolve, or control a problem; assist with ADLs; or promote optimum health and independence.

Question 12

what is a head-to-toe?

Answer 12

comprehensive assessment is the most organized system for gathering comprehensive physical data.

Question 13

Primary Prevention

Answer 13

involves strategies aimed at preventing problems. Immunizations, health teaching, safety precautions, and nutrition counseling are examples.

Question 14

Secondary prevention

Answer 14

includes the early diagnosis of health problems and prompts treatment to prevent complications. Vision screening, Pap smears, BP screening, hearing testing, scoliosis screening, and tuberculin skin testing are examples

Question 15

Tertiary prevention

Answer 15

focuses on preventing complications of an existing disease and promoting health to the highest level. Diet teaching for clients with diabetes, inhaler teaching for clients with lung disease, and exercise programs for those who have had myocardial infarction are examples
(pg.6)

Question 16

Accurate documentation provides?

Answer 16

a baseline so that changes are noted between assessments

is vital to ensure that valid conclusions are made when the data are analyzed in the second step of the nursing process

(pg. 6)