CHAPTER 12 ASSESSING 63
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- Includes all the pertinent patient infor-
mation collected by the nurse and other
healthcare professionals, enabling a
comprehensive and effective plan of
care to be designed and implemented
for the patient - The gathering of data about a specific
problem that has already been identified - May be used by nurses to help patients
identify potential and actual health risks
and to explore the habits, behaviors,
beliefs, attitudes, and values that
influence their health
Match the examples of data in Part B with the
type of data in Part A. Answers will be used
more than once.
PART A
a.Objective data
b.Subjective data
PART B - Redness and swelling are noticed at the
site of an incision. - A patient complains of pain in his left
arm. - A patient has a violent spell of coughing.
- A patient recovering from knee surgery
favors his impaired leg when walking. - A patient is nauseated at the sight of food.
- A patient worries about her children
during her hospital stay.
SHORT ANSWER
1.List the five functions of the initial
comprehensive nursing assessment.
a.
b.
c.
d.
e.
2.Identify eight sources of patient data, and give
an example of each.
a.
b.
c.
d.
e.
f.
g.
h.
3.Briefly describe why the following characteris-
tics of data are important when collecting and
recording patient data.
a.Purposeful:
b.Complete:
c. Factual and accurate:
d.Relevant:
4.Give an example of three observations nurses
should make each time they encounter a
patient.
a.
b.
c.
5.List three patient goals that should be accom-
plished by the end of the introduction phase
of the patient interview.
a.
b.
c.
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