Author Question: A nurse is providing a back rub to a client just after administering a pain medication, with the ... (Read 93 times)

ghost! · **on:** Jul 23, 2018

A nurse is providing a back rub to a client just after administering a pain medication, with the hope that these two actions will help decrease the client's pain. Which phase of the nursing process is this nurse implementing?

1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation

Question 2

The nurse is collecting information from a client's family. The client is confused and not able to contribute to the conversation. The spouse states, This is not his normal behavior. The nurse documents this as which of the following?

1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective data

Question 3

A nurse is performing an initial assessment on a new admission. Which of the following is part of the database? (Select all that apply.)

______ Reports from physical therapy the client received as an outpatient
______ Documentation of the nurse's physical assessment
______ Physician's orders
______ A list of current medications
______ Information about the client's cultural preferences
______ Discharge instructions

amit · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Assessment is gathering data and this is not what is described in the question.
Rationale 2: Diagnosis is identifying patterns and making inferences and this is not what is described in the question.
Rationale 3: Implementation is that part of the nursing process in which the nurse applies knowledge to perform interventions.
Rationale 4: Evaluation is making criterion-based evaluations and this is not what is described in the question.

Answer to Question 2

Thank you for answering this question.

Answer to Question 3

Correct Answer: Reports from physical therapy the client received as an outpatient
Documentation of the nurse's physical assessment
A list of current medications
Information about the client's cultural preferences
Rationale : The database is all the information about a client. It includes the nursing health history, physical assessment, the physician's history and physical examination, results of laboratory and diagnostic tests, and material contributed by other health personnel. It would not include the physician's orders for this admission, nor would it include discharge instructions.