A nurse is performing an initial assessment on a new admission. What information should the nurse consider as being a part of the database?
1. Reports from physical therapy the client received as an outpatient
2. Documentation of the nurse's physical assessment
3. Physician's orders
4. A list of current medications
5. Information about the client's cultural preferences
6. Discharge instructions
Correct Answer: 1, 2, 4, 5
Rationale: The database is all the information about a client. It includes the nursing health history, physical assessment, the physician's history and physical examination, results of laboratory and diagnostic tests, and material contributed by other health personnel.
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