The nurse recognizes the importance of an accurate, thorough physical assessment and health history. Which of the following facets of care are directly dependent on the database of infor-mation collected? (Select all that apply.)
1. Identification of client likes and dislikes
2. Support of the nurse-client relationship
3. Selection of client-centered interventions
4. Revision of client care plan as appropriate
5. Evaluation of nursing and client outcomes
6. Identification of appropriate nursing diagnosis
ANS: 3, 4, 5, 6
The accuracy of the database allows for the development of an individualized nursing diagnosis. Physical assessment findings determine the etiology of the diagnosis so that the selection of in-terventions is appropriate for the care plan. Physical assessment is ongoing, and thus the care plan changes with the client's condition. Monitor the client's progress and responses to therapies to review existing diagnoses and identify new problems.
You might also like to view...
To prevent nipple trauma, the mother should be taught to:
a. Limit the feeding time to less than 5 minutes. b. Position the infant so the nipple is far back in the mouth. c. Assess the nipples before each feeding. d. Wash the nipples daily with mild soap and water.
All members of a population have an equal chance of being selected as subjects in a research project. This is called:
A. randomization. B. random assignment. C. random sample. D. random quota.
While providing health teaching for a patient with binge-purge bulimia, a nurse should emphasize information about:
a. self-monitoring of daily food and fluid intake. b. establishing the desired daily weight gain. c. recognizing the symptoms of hypokalemia. d. self-esteem maintenance.
A nurse is reviewing the medical record of an 11-year-old child with a conduct disorder. What would the nurse identify as characteristics of this disorder? Select all answers that apply
A) Easily annoyed B) Initiator of physical fights C) Temper tantrums D) Truancy E) Arrest for arson