The phase of the nursing process when the nurse gathers data about the client to establish a plan of care is the
A) Assessment
B) Goals
C) Interventions
D) Evaluation
Ans: A
You might also like to view...
When assessing the pulmonary arterial waveform, the nurse notices dampening. After tightening the stopcocks and flushing the line, the nurse decides to calibrate the transducer. What are two essential components included in calibration?
a. Obtaining a baseline blood pressure and closing the transducer to air b. Leveling the air-fluid interface to the phlebostatic axis and opening the transducer to air c. Having the patient lay flat and closing the transducer to air d. Obtaining blood return on line and closing all stopcocks
The nurse is preparing to administer eardrops to a 28-month-old child. Nursing care is appropriate if which technique is used by the nurse?
a. Warm the eardrops in a microwave oven on low. b. Pull the pinna down and straight back. c. Apply the eardrops to a cotton ball and insert in the affected ear. d. Instruct the child to lie with the affected ear on a warm compress.
The nurse is assessing the client for signs and symptoms of brain dysfunction. If the limbic system function is disrupted, you expect the client to have difficulty with:
A) Vital life functions. B) Consciousness. C) Auditory hallucinations. D) Emotional responses.
A client receives a court order for commitment. Which of the following best exemplifies the concept of "least restrictive environment"?
A) Involuntary commitment to an outpatient community mental health center B) Medication administration for sedation so the client cannot get out of bed C) Placing the client in a locked, padded room in response to threats of self-harm D) Allowing the client to make the decision about whether treatment is necessary