This is a registered nurse's first day back to work since she has been on vacation. She is admitting a patient to the unit. She asks the patient about his health history. Which of the following components of the nursing process is she engaged in?
A. Evaluation
B. Diagnosis
C. Assessment
D. Planning
C
An assessment database includes a patient's comprehensive health history, which includes information about a patient's physical and developmental status, emotional health, social practices and resources, goals, values, lifestyle, and expectations about the health care system. The database also includes physical examination findings and a summary of results from laboratory and diagnostic testing.
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A nurse working in a small rural hospital is on duty when a fire breaks out in the local movie theater
The hospital emergency department is used to triage and stabilize many of the townspeople before having them transported to trauma centers and burn units in neighboring cities. Shortly after the last client is transported, the nurse asks one of the physicians what happened to all the townspeople. She tells the physician that she remembers the hospital was notified of a fire in the movie theater and she remembered receiving four clients into the emergency department who had been injured in the fire, but she thought there should have been many more clients admitted. This nurse was exhibiting signs and symptoms of what? A) Localized amnesia B) Selective amnesia C) Generalized amnesia D) Continuous amnesia
The nurse assesses the patient on Adriamycin very carefully when the patient complains of:
1. nausea. 2. visual disturbances. 3. headache and dizziness. 4. rapid heart beat.
A patient with HIV is complaining of increased pain in the feet and legs. What should the nurse realize this patient is demonstrating?
1. a reaction to the medication 2. an opportunistic infection 3. a secondary cancer 4. a nervous system manifestation of the disease
Upper-level managers are responsible for the management of the nursing organization of the in-stitution. What activity would the nurse expect to see only from an upper-level manager?
a. Supervising patient care delivery b. Establishing strategic goals for nursing c. Maintaining currency in profession d. Being responsible for activities on the unit 24/7