Which statement BEST describes how the assessment and the diagnosis steps of the nursing process are related?
a. If insufficient data is collected, then the problem may not be accurately identified.
b. After the problem is decided, the nurse should do an assessment to validate the data.
c. Once the nurse knows about the client, actions can be planned to fit the client's lifestyle.
d. Assessments need to be done repeatedly to determine if the goals have been met.
A
The purpose of assessment is to establish a database about a client. From these data, the nurse can identify client strengths and limitations that can affect treatment and recovery. Nursing diagnosis, the second step of the nursing process, involves the analysis and synthesis of data gathered during the assessment phase to represent a clinical judgment about a client's responses to actual or potential health problems or life processes. A nursing diagnosis provides the basis for choosing nursing interventions to achieve desired client outcomes.
You might also like to view...
The client enters the outpatient clinic and says, "I think I have the flu. I'm so tired, I have no appetite, and everything hurts." The nurse assesses the client and finds a rash over the nose and on the cheeks, and suspects a diagnosis of:
1. Fibromyalgia. 2. Systemic lupus erythematosus. 3. Lyme disease. 4. Gout.
A nurse reviews the laboratory results of a client who is receiving intravenous insulin. Which should alert the nurse to intervene immediately?
a. Serum chloride level of 98 mmol/L b. Serum calcium level of 8.8 mg/dL c. Serum sodium level of 132 mmol/L d. Serum potassium level of 2.5 mmol/L
After teaching a pregnant patient about the effects of smoking on pregnancy, the nurse knows that the patient needs further education when she states, "I am at increased risk for:
1. "Preeclampsia." 2. "Preterm birth." 3. "Placenta previa." 4. "Abruptio placentae."
Which of the following EHR applications may be more beneficial and efficient for the patient?
What will be an ideal response?