Nursing Process-ch11: Assessing Flashcards
Proceeding in the direction from head to toe
Cephalocaudal
restrictive question requiring only a short answer
Closed question
information
data
all information about a client, includes nursing health history and physical assessment, physician’s history, physical examination, and laboratory and diagnostic test results
Database
a highly structured interview that uses closed questions to elicit specific information
Directive Interview
interpretations or conclusions made based on cues or observed data
Inferences
a planned communication; a conversation with a purpose
Interview
a question that influences the client to give a particular answer
Leading question
a question that does not direct or pressure a client to answer in a certain way
Neutral question
an interview using open-ended questions and empathetic responses to build rapport and learn client concerns
Nondirective interview
a systematic rational method of planning and providing nursing care
Nursing Process
information (data) that is detectable by an observer or can be tested against an accepted standard; can be seen, heard, felt, or smelled
Objective data
questions that specify only the broad topic to be discussed and invite clients to discover and explore their thoughts and feelings about the topic
Open-ended questions
a relationship between two or more people of mutual trust and understanding
Rapport
a brief review of essential functioning of various body parts or systems
Screening Examination (review of systems)
data that are apparent only to the person affected; can be described or verified only by that person
Subjective data
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 diagnosis is justified by the data
Validation
the process of collecting, organizing, validating, and recording data (information) about a client’s health status
Assessing
