A nurse is performing an initial assessment on a new admission. Which of the following is part of the database? (Select all that apply.)
______ Reports from physical therapy the client received as an outpatient
______ Documentation of the nurse's physical assessment
______ Physician's orders
______ A list of current medications
______ Information about the client's cultural preferences
______ Discharge instructions
Correct Answer: Reports from physical therapy the client received as an outpatient
Documentation of the nurse's physical assessment
A list of current medications
Information about the client's cultural preferences
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. It would not include the physician's orders for this admission, nor would it include discharge instructions.
You might also like to view...
Which symptoms should a nurse recognize that differentiate a client diagnosed with obsessive-compulsive disorder (OCD) from a client diagnosed with obsessive-compulsive personality disorder?
1. Clients diagnosed with OCD experience both obsessions and compulsions, and clients diagnosed with obsessive-compulsive personality disorder do not. 2. Clients diagnosed with obsessive-compulsive personality disorder experience both obsessions and compulsions, and clients diagnosed with OCD do not. 3. Clients diagnosed with obsessive-compulsive personality disorder experience only obsessions, and clients diagnosed with OCD experience only compulsions. 4. Clients diagnosed with OCD experience only obsessions, and clients diagnosed with obsessive-compulsive personality disorder experience only compulsions.
A nurse warns a client who has a recent history of seizures that he may fall off his bed during a seizure attack if he does not leave the side rails of the bed raised
Before leaving the client's room, the nurse puts up the side rails, but after the nurse has left, the client lowers them again. Later, the client has a fall from the bed during seizures and holds the nurse responsible for it. Which of the following legal provisions protects the nurse in this case? A) Good Samaritan law B) Statute of limitations C) Common law D) Assumption of risk
The nurse has performed a nutritional assessment and determined that several lifestyle modifications will need to be made. The nurse will want to include which other professional?
1. Dietician 2. Physician 3. Occupational therapist 4. Clergy
Strategic planning became prevalent in the health care industry as a result of:
a. Shifting of payments to the federal government b. Reimbursement changes, which decreased competition c. Increase in the use of high-cost technology d. Construction of more hospitals