Terms ch. 11 Kozier
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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Assessing | The systematic and continuous collection, organization, validation, and documentation of data.
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Cephalocaudal | Head-to-toe approach begins the examination at the head.
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Closed Questions | Are used in a directive interview, are restricted and generally require only "yes" or "no" or short factual answers giving specific information.
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Cues | Subjective or objective data that can be directly observed by the nurse, that is; what the client say or the nurse uses her senses to aquire.
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Data | Information.
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Database | Contains all the information about a client; it includes the nursing health history, physical assessment, primary care provider's history and physical examination, results of laboratory and diagnostics tests, and material contributed by other health profe
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Directive Interview | Highly structured and elicits specific information.
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Inferences | Are a nurse's interpretation or conclusions based on on the cues a nurse observes.
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Interview | A planned communication or a conversation with a purpose.
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Leading Questions | Usually a closed-question, used in directive interviews, directs the clients answer.
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Neutral Question | A question the client can answer without direction or pressure from the nurse, is open-ended and used in nondirective interviews.
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Nondirective Interview | A rapport building interview, the nurse allows the client to control the purpose, subject matter, and pacing.
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Nursing Process | A systematic, rational method of planning and providing individualized nursing care.
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Objective Data | The signs or overt data.
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Open-ended Questions | Associated with the nondirective interview, invite client to discover and explore, elaborate, clarify, or illustrate their thoughts or feeling.
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Rapport | An understanding between two or more people.
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Review of Systems | Review of essential functioning of various body parts or systems.
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Screening Examination | Also called a review of systems, is a brief review of essential functioning of various body parts or systems.
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Signs | Detectable by an observer or can be measured or tested against an accepted standard.
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Subjective Data | The symptoms or covert data.
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Symptoms | Apparent only to the person affected and can be described or verified only by that person.
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Validation | The act of "double checking" or verifying the data to confirm that it is actual and factual.
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