Answer to Question 1
C
Ongoing assessment is done to confirm the validity of initial assessment data or to expand the original database; it includes systematic monitoring and observation of identified health problems, response to a plan of care that has been implemented, and identification of any new problems. Data collected during assessment are either subjective (obtained from the client's perspective, including feelings, perceptions, and concerns) or objective (observable and measurable). The client's health history (a review of functional health patterns prior to the current contact with the health care provider) comprises subjective data obtained primarily by interview. Objective data are obtained through standard assessment techniques performed during the client's physical examination and from any laboratory and diagnostic testing.
Answer to Question 2
C
Informed consent refers to the ability of a competent client to make health care decisions based on an understanding of the benefits, risks, and potential consequences of a proposed plan of care and alternatives to the plan, and to express agreement to pursue a course of action. For certain medical or surgical treatments or procedures, the client's consent is obtained in writing on a form; the physician who will perform the procedure is responsible for explaining the procedure and its risks and benefits to the client and for obtaining the client's signature. Nurses must obtain consent from clients for performing nursing procedures, indicating what will be done; failure to do so could result in a charge of battery. The client's consent to these procedures may be given verbally or implied by the client's willingness to cooperate. The nurse must also be aware of special circumstances in which consent must be obtained, such as emergency treatment of minors or adults who are not deemed to be legally competent.