During the admission assessment of a new client, the nurse has ...

[CQXA]

During the admission assessment of a new client, the nurse has collected and documented a set of vital signs to serve as baselines for future assessment. The client's vital signs would be considered to be what?
 
  A) Judgments
  B) Nursing diagnoses
  C) Cues
  D) Inferences

Question 2

One of the mental health nurse's roles in caring for a psychiatric client is maintaining a therapeutic environment (milieu). This would be categorized in which step of the nursing process?
 
  A) Planning
  B) Nursing diagnosis
  C) Implementation
  D) Evaluation

[Galvarado142]

Answer to Question 1

Ans: C
Objective data such as vital signs and laboratory results are cues that can be used as the basis for subsequent steps in the nursing process.

Answer to Question 2

Ans: C
During implementation, the nurse uses various skills to put a plan of care into action, such as maintaining the therapeutic environment. Planning involves a plan of care that individualizes and identifies priorities of care and proposed effective interventions. Nursing diagnosis is a statement of an existing problem or a potential health problem that a nurse is both competent and licensed to treat. Evaluation focuses on the client's status, progress toward goal achievement, and ongoing reevaluation of the care plan.

[CQXA]

TYSM

[deja]

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