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Week 2
Methods and Structure of Assessment
Question | Answer |
---|---|
A nurse enters a patient room to assess the patient’s blood pressure, temperature, pulse, and pain. What type of assessment is being performed? | Focused |
Which type of physical assessment is usually governed and directed by the policies of the health care facility? | Shift |
The nurse enters the patient’s room and says, “Hi, my name is Barbara. I am your nurse. Let’s discuss why you have been admitted to the hospital.” What phase of the patient interview is taking place in this situation? | Orientation |
A nurse is performing an interview and asks the patient about allergies and medications. These questions occur during which phase of the patient interview? | Working |
At the end of the interview, the nurse lets the patient know the interview is complete and the doctor will be in shortly. Which phase of the patient interview is represented by this statement? | Termination |
Which assessment should be performed during the patient’s initial visit to a new health care provider? | Comprehensive |
During which type of assessment would the nurse be most likely to assess skin turgor and capillary refill to determine the patient's clinical status? | Shift |
Which action is appropriate when attempting to build trust and rapport with a patient during the assessment process? | Ensuring patient comfort and privacy |
Laboratory and other diagnostic tests are obtained during a patient office visit. These tests are associated with which type of patient assessment? | Comprehensive |
During which phase of the interview is the patient given an opportunity to ask questions and add any additional information that may have been forgotten? | Termination |
In addition to patient statements, what should the nurse be very attentive to during the interview? | Non-verbal cues |
When nurses make determinations about patients needing emergent, urgent or non-urgent care, which type of assessment are they using? | Triage |
A nurse makes preliminary observations about a patient. What is the term for this action? | General survey |