Author Question: Which of the following statements are true regarding professional standards of nursing assessment? ... (Read 56 times)

skymedlock · **on:** Jul 23, 2018

Which of the following statements are true regarding professional standards of nursing assessment? Select all that apply.

a. Assessment is a professional nursing responsibility.
b. Assessment helps the nurse identify problems and assign priorities for patient care.
c. Assessment helps the nurse formulate the medical diagnosis.
d. Only patients complaining of pain need to be assessed for pain.
e. Parts of nursing assessments can be delegated according to state practice acts and agency policies.

Question 2

Which of the following are cues rather than inferences? Select all that apply.

a. Ate 50 of his meal.
b. Patient feels better today.
c. States, I slept well.
d. White blood cell count is 15,000/mm3.

jojobee318 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, B, E
Assessment is a professional responsibility and assists the nurse to identify problems and prioritize care. Parts of the assessment may be delegated depending on state boards of nursing and agency policies. Assessment helps the nurse formulate a nursing diagnosis; a medical diagnosis is not within the nurse's scope of practice. All patients are assessed for pain.

Answer to Question 2

A, C, D
Cues are what the client says and what you observe: just the facts. The only inference in the list is feels better. What did the nurse observe to tell her the client feels better? Those would be cues. States, I slept well is a cue because it is a factthat is what the client stated.