Author Question: A nurse is attempting to complete the nursing admission data on a patient. To complete the admission ... (Read 132 times)

biggirl4568 · **on:** Jul 22, 2018

A nurse is attempting to complete the nursing admission data on a patient. To complete the admission and formulate a plan of care, the nurse needs to do which of the following?

a. Know that the individual is the same as the family as a whole.
b. Realize that family health is the summa-tion of the health of all members.
c. Evaluate the form, structure, and function of the family.
d. Discount negative views by the patient toward the family.

Question 2

A patient states, I'm burning up, and I have a fever. The nurse takes the patient's temperature, observes the skin for flushing, and feels the skin temperature. This is an example of __________ subjective data.

a. validating
b. clustering
c. reviewing
d. documenting

ladyjames123 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Areas included in family assessment are the form, structure, and function of the family; its deve-lopmental stage; and its progress toward or accomplishment of developmental tasks. It is essen-tial to assess the patient and family thoroughly. The family as a whole differs from individual members. The measure of family health is more than a summation of the health of all members. Begin assessment by considering the views of the patient toward the family.

Answer to Question 2

A
Validation of assessment data is the comparison of data with another source to confirm accuracy. The nurse reviews data to validate that measurable, objective physical findings support subjective data. A data cluster is a set of signs or symptoms that are grouped in a logical order. When a nurse reviews a patient's subjective data, the nurse is examining the patient's own interpretation of his or her condition. Documenting information includes the written details of the assessment.