Which of the following is not used in the assessment phase of the nursing process?
a. Physical examination.
b. Reviewing laboratory tests.
c. Updating the care plan.
d. Taking a nursing history.
c
The assessment phase involves the process of obtaining
data through a variety of methods. Updating the care plan
occurs in the planning phase of the nursing process.
You might also like to view...
The pediatric nurse is assessing a child who complains of a stomach ache. This is the child's fourth visit to the clinic for the same problem, and there has not been a diagnosis yet. What action by the nurse is best?
A. Ask about child's functioning and development. B. Instruct the mother not to keep the child home from school. C. Obtain a thorough family history from the mother. D. Perform an abdominal exam and document findings.
What is one essential difference between care of the patient in the hospital and care of the patient in the home?
A) Hospitalized patients follow the hospital's routine and schedule. B) Hospitalized patients rarely need referrals or teaching. C) Home care patients are more dependent on the nurse. D) The nurse adapts care to the patient's schedule and customs.
During conversations, a resident leans forward toward the person speaking. The resident's an-swers seem inappropriate. Sometimes he seems to control conversations. He is showing signs of:
a. Hearing loss b. Suspicious and paranoid behavior c. Tinnitus and vertigo d. Ménière's disease
The nurse is conducting a holistic assessment of a patient with alcoholism. What are the important questions to ask?
1. "How is drinking alcohol viewed by your culture?" 2. "Have you ever attended Alcoholic Anonymous meetings?" 3. "Did you see your parents drinking alcohol when you were growing up?" 4. "Have you been in alcohol rehabilitation before now?" 5. "What blood relatives of yours are addicted to alcohol?"