The nurse documents: Client avoids eye contact and gives only ...

[Mr3Hunna]

The nurse documents: Client avoids eye contact and gives only vague, nonspecific answers to direct questioning by the professional staff. Is quite animated (laughs aloud, smiles, uses hand gestures) in conversation with spouse.
 
  Which method of data collection does this documentation demonstrate?
  1. Examining
  2. Interviewing
  3. Listening
  4. Observing

Question 2

A new client has been admitted to the care area. How soon should the nurse plan to complete a physical assessment on this patient?
 
  1. 1 hour
  2. 12 hours
  3. 48 hours
  4. 24 hours

[sultansheikh]

Answer to Question 1

Correct Answer: 4
Rationale 1: Examining is the major method used in the physical health assessment.
Rationale 2: Interviewing is used mainly while taking the nursing health history.
Rationale 3: Listening is only one part of observing.
Rationale 4: Observation is a conscious, deliberate skill that is developed through effort and with an organized approach. Observation occurs whenever the nurse is in contact with the client or support persons.

Answer to Question 2

Correct Answer: 4
Rationale: The Joint Commission requires that each client have an initial assessment consisting of a history and physical performed and documented within a specific time period, but not 1 hour.

[Mr3Hunna]

Thanks

[sultansheikh]

Welcome