A nurse wishes to obtain data about a new patient's self-esteem. ...

[Chelseaamend]

A nurse wishes to obtain data about a new patient's self-esteem. To gain the clearest picture, the nurse uses the assessment technique of (Select all that apply.)
 
  a. asking about the patient's perception of self-esteem.
  b. completing an entire head-to-toe assessment first.
  c. conducting a structured interview with direct questions.
  d. interviewing the patient in an unstructured format.
  e. observing for relevant verbal and nonverbal clues.

Question 2

A nurse assessing a patient knows that secondary sources of information include (Select all that apply.)
 
  a. data from other professionals.
  b. information from the patient.
  c. physical assessment findings.
  d. significant others and friends.
  e. written records about the patient.

[JCABRERA33]

Answer to Question 1

D, E
An unstructured interview format allows the nurse to establish rapport and get insight into the patient's perspective. Combined with observation, this would yield the best information.
Observation often results in gathering a depth of data that is difficult to gain by other methods. Combined with an unstructured interview to gain the patient's trust, this technique would be very valuable.
A head-to-toe assessment would not yield information about self-esteem.
A structured interview is often used to gather specific information, but because this nurse has not yet had time to develop rapport, focusing questions on a sensitive issue such as self-esteem would probably not elicit accurate information. Also, structured interviews are most often used in emergency situations, and this does not qualify as an emergency.

Answer to Question 2

A, D, E
Secondary sources include written records, other health care providers, and significant others.
Information from the patient would be a primary source of data.
Physical assessment findings would be a primary source of data.

[Chelseaamend]

TYSM

[matt95]

YES! Correct, THANKS for helping me on my review