Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

62 UNIT III THE NURSING PROCESS

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

Prioritization Question

1.Place the following actions performed by a

nurse during a patient interview in the order in

which they would most likely occur. Keep in

mind the four distinct phases of the interview

process: preparatory phase, introduction, work-

ing phase, and termination.

a.The nurse gathers all the information

needed to form the subjective database.

b.The nurse prepares to meet the patient by

reading current and past records and reports.

c.The nurse recapitulates the interview, high-

lighting the key points.

d.The nurse initiates the interview by stating

his or her name, identifying the purpose of

the interview, and clarifying the roles of the

nurse and patient.

e.The nurse ensures that the environment in

which the interview is to be conducted is

private and relaxed.

f.The nurse assesses the patient’s comfort

and ability to participate in the interview.

6.When the nurse compares the current status of

a patient to the initial assessment performed

during the admitting process, he/she is

performing a(n) type of

assessment.

7.Most schools of nursing and healthcare insti-

tutions establish the specific information that

must be collected from every patient in a

structured assessment form. This information

is known as a(n).

MATCHING EXERCISES

Match the term in Part A with the definition in

Part B.

PART A

a.Database

b.Focused assessment

c.Interview

d.Health assessment

e.Nursing history

f.Objective data

g.Physical assessment

h.Subjective data

i.Validation

j.Observation

k.Time-lapsed assessments

PART B

1. Observable and measurable information
   that can be seen, heard, or felt by some-
   one other than the person experiencing
   it


2. The conscious and deliberate use of the
   five physical senses to gather information


3. Clearly identifies patient strengths and
   weaknesses, health risks, and potential
   and existing health problems


4. A planned communication to obtain
   patient data


5. The examination of a patient for objec-
   tive data that may better define the
   patient’s condition and help the nurse
   in planning care


6. The act of confirming or verifying data


7. Compares a patient’s current status to
   baseline data obtained earlier

DEVELOPING YOUR

KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.The primary source of patient data is the

patient, but two other sources of patient data

are and.

2.The type of nursing assessment that is

performed during the nurse’s initial contact

with the patient and involves collecting data

about all aspects of the patient’s health is

called the.

3.When a nurse confirms or verifies the data col-

lected upon assessment to keep it free of error,

bias, or misinterpretation, he/she is performing

the act of.

4.When a nurse asks a patient how having a

newborn at home will affect her lifestyle, she

is asking a(n) type of a question.

5.A nurse who gathers data about a newly diag-

nosed case of hypertension in a 52-year-old

African American patient is performing a(n)

type of assessment.

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