Select the type of assessment which is performed continuously throughout nurse-patient contact:

focused

body systems

subjective

complete

Answer and Explanation

The Correct Answer is A

A. Focused: A focused assessment is ongoing and directed at specific problems based on the patient’s condition (e.g., assessing pain, circulation, or respiratory status frequently).

B. Body systems: Body systems assessments are structured assessments that evaluate a particular system (e.g., cardiovascular, respiratory) rather than continuous monitoring.

C. Subjective: Subjective assessment includes patient-reported symptoms but does not define the type of continuous assessment nurses perform.

D. Complete: A complete (or comprehensive) assessment is done at admission, not continuously.

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Correct Answer is B

Explanation

A. Block: Block charting documents everything over a set period (e.g., entire shift), rather than only changes.

B. By exception: Charting by exception (CBE) means only documenting significant changes in condition or treatment rather than routine care.

C. Focused: Focused charting documents care related to a specific problem, not just exceptions.

D. SOAP: SOAP (Subject

A. Evaluation, planning, assessment, implementation B. Assessment, planning, implementation, evaluation C. Implementation, assessment, planning, evaluation D. Planning, evaluation, assessment, implementation

Correct Answer is B

Explanation

A. Evaluation, planning, assessment, implementation: Evaluation is the last step, not the first.

B. Assessment, planning, implementation, evaluation
The correct order of the nursing process is:

Assessment – Gather data
Planning – Develop goals and interventions
Implementation – Carry out the plan
Evaluation – Determine effectiveness and adjust as needed

C. Implementation, assessment, planning, evaluation: Assessment must come first before implementing any plan.

D. Planning, evaluation, assessment, implementation: Planning comes after assessment, and evaluation is last, not second.

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Select the type of assessment which is performed continuously throughout nurse-patient contact:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the shift, the nurse charts only additional treatments done or withheld, changes in patient condition, and new concerns. Charting these factors demonstrates which of the following type of charting?

Correct Answer is B

Explanation

Select the proper order of the phases of the Nursing Process:

Correct Answer is B

Explanation

Your patient is admitted with a serious injury of the left hip after a fall at home. She is crying with severe pain in her left hip and leg. Which nursing diagnosis would apply to this patient's immediate needs?

The nurse is trying to decide what interventions will assist the patient with dyspnea to meet needs demonstrated by the patient. This phase of the nursing process is:

Subjective data provided by the patient included complaints of intermittent chest pain upon exertion. When performing a complete physical examination, the nurse might use an organized approach such as:

Clarify the primary purpose of nursing orders:

When using the SOAP method of charting, S stands for subjective data which means:

Documenting the type of interventions carried out, the time care was given, and the signature of the care giver results in recording:

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

Which of the following statements is correct about abbreviations?