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Kozier Chpt 11

Assessing

QuestionAnswer
the process of collecting, organizing, validating, and recording data (information) about a client's health status= ASSESING
proceeding in the direction from head to toe CEPHALOCAUDAL
restrictive question requiring only a short answer CLOSED QUESTIONS
information (data) apparent only to the person affected that can be described or verified only by that person COVERT OR SUBJECTIVE 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 question that influences the client to give a particular answer LEADING QUESTION
an interview using open-ended questions and empathetic responses to build rapport and learn client concerns NONDIRECTIVE INTERVIEW
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
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
Created by: tadams
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