The admitting nurse has just met a new patient who has been admitted from the emergency department. As the nurse introduces himself, he begins the process of inspection
What nursing action should the nurse include during this phase of assessment?
A) Gather as many psychosocial details as possible.
B) Pay attention to the details while observing.
C) Write down as many details as possible during the observation.
D) Do not let the patient know he is being assessed.
Ans: B
Feedback:
It is essential to pay attention to the details in observation. Vague, general statements are not a substitute for specific descriptions based on careful observation. It is specific information, not general information, that is being gathered. Writing while observing can be a conflict for the nurse. It is not necessary or appropriate to keep the patient from knowing he is being assessed.
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