Which of the following actions would the nurse perform when collecting data about a client to assist with completion of the admission assessment form?
1. Review the physician's orders for the medical diagnosis.
2. Examine the client's financial sheet to determine method of payment.
3. Document the collected data on the medical record.
4. Speak with the client's spouse and children to learn more about the client.
4
Rationale 1: Interviewing is a technique used in assessment. Interviewing the client's family gathers secondary data, yields subjective data, and can be very helpful. Reviewing the physician order sheet is not part of the process of data collection, although it will yield important information, and is indicated as part of the admission process. Determining how the client will pay is not part of the nursing process, and generally is irrelevant to the nurse. Documentation is an essential part of providing nursing care, and all assessment data should be documented, but it is considered an implementation.
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