A nurse has begun to implement the nursing process by performing ...

[bucstennis@aim.com]

A nurse has begun to implement the nursing process by performing a comprehensive assessment of a new client. Which of the following is the best example of assessment?
 
  A) Monitoring behavior and mental status after administering an antipsychotic
  B) Determining if the client has benefited from stress management education
  C) Asking the wife of a comatose client if the client has a history of diabetes
  D) Teaching the client to self-monitor heart rate with aerobic activity

Question 2

When developing a nursing diagnosis during the care of a client, the nurse begins by considering the fundamental idea that is being addressed. What axis is this nurse considering?
 
  A) Judgment
  B) Status
  C) Subject
  D) Diagnostic concept

[momolu]

Answer to Question 1

Ans: C
Feedback:
Assessment is defined as the act of gathering, classifying, categorizing, analyzing, and documenting information about a client's health status. Evaluations such as determining the efficacy of a medication are forms of assessment as well, but follow-up assessments are usually categorized as evaluation.

Answer to Question 2

Ans: D
Feedback:
Seven concepts, called axes, are considered when creating a nursing diagnosis. The diagnostic concept is the fundamental concept being addressed. Judgment is a word that modifies the meaning of the diagnosis. Status of the diagnosis reflects whether the problem is actual or potential (at risk for) or whether it can be categorized as associated with wellness/health promotion. The subject is the person or people for whom the diagnosis is intended.

[bucstennis@aim.com]

Gracias!

[AISCAMPING]

TYSM