A nursing assessment is a process of collecting data to establish a database. The information contained in the database is the basis for:
a complete physical examination
a medical assessment
writing nursing orders
an individualized plan of care
The Correct Answer is D
A. A complete physical examination – While a physical examination is part of data collection, the primary goal of a nursing assessment is to guide nursing care rather than conduct a full medical examination.
B. A medical assessment – Medical assessments are conducted by physicians to diagnose diseases, while nursing assessments focus on holistic patient care.
C. Writing nursing orders – Nursing orders are based on the care plan but do not encompass the entire purpose of the assessment.
D. An individualized plan of care – The primary purpose of a nursing assessment is to collect data to create a care plan tailored to the patient's specific needs.
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Related Questions
Correct Answer is C
Explanation
A. Auscultation. – Auscultation (listening to body sounds) is important, but it is not the most frequently used skill in an overall assessment.
B. Percussion. – Percussion (tapping on body surfaces to assess underlying structures) is used selectively, not as frequently as inspection.
C. Inspection. – Inspection (visual examination) is the most frequently used assessment technique. Nurses use it to observe skin color, posture, wounds, and general appearance before using other techniques.
D. Palpation. – Palpation (feeling with hands) is essential but follows inspection in the assessment process.
Correct Answer is B
Explanation
A. Head-to-toe assessment – A head-to-toe assessment is a comprehensive evaluation of all body systems and is not appropriate for an urgent complaint.
B. Focused assessment – A focused assessment is used for specific complaints, such as severe abdominal pain, to quickly gather relevant information.
C. Complete assessment –. A complete assessment includes a full health history and physical examination, which is unnecessary in an acute situation.
D. System-by-system assessment – A system-by-system assessment is detailed and comprehensive but may be too broad for addressing an immediate concern.
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