NUR 133 Chapter 15 Assessing
1. Most schools of nursing and health care institutions establish a
data set that specifies the information that must be collected from every patient.
Answer
minimum
2. TRUE or FALSE
Traditional nursing assessments include the comprehensive initial assessment, the focused
assessment, the medical assessment, and triage assessments.
Answer
False
3. The nursing identifies the patient's health status, strengths, health
problems, health risks, and need for nursing care.
Answer
history
4. Quick priority assessments (QPAs) are focused
assessments used to determine what information is needed first.
Answer
prioritized
5. TRUE or FALSE
,Subjective data are observable and measurable data that can be seen, heard, or felt by someone
other than the person experiencing it.
Answer
False
6. TRUE or FALSE
A focused assessment is conducted to gather data about a specific problem that has already been
identified.
Answer
True
7. When preparing for data collection, identify the of the
nursing assessment first, then gather the appropriate data.
Answer
purpose
8. TRUE or FALSE
Nurses with limited experience and knowledge are ideal for performing triage.
Answer
False
, 9. The purpose of data is to keep information, an important part of
assessment, free from error, bias, and misinterpretation as much as possi- ble.
Answer
validating
10. TRUE or FALSE
Unless specified otherwise, the data recorded in the nursing history are assumed to have been
collected from the patient.
Answer
True
11. A client is admitted to a hospital unit with scleroderma. The nurse is unfamiliar with this
condition. What is the nurse's best source of information about this condition?
A) The client's health care provider
B) The client
C) The client's chart
D) The nursing and medical literature
Answer
D) The nursing and medical literature In addition to information about medical diagnoses,
treatment, and prognosis, a
literature review of nursing and medical references offers nurses important informa- tion about
nursing diagnoses, developmental norms, and psychosocial and spiritual practices that are helpful
when assessing and caring for clients. Consulting with the client, health care provider, or client's
chart would not give as comprehensive of a review.
12. A nurse is preparing to interview a client as part of the assessment. The nurse demonstrates
knowledge of communication skills when the nurse
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