Data collection occurs where in the nursing process?

Planning

Diagnosis

Evaluation

Assessment

Answer and Explanation

The Correct Answer is D

A. Planning: Planning involves setting goals and interventions based on data collected, but data collection itself is not part of this phase.

B. Diagnosis: Diagnosis involves analyzing collected data to identify health issues, but data collection is a separate process that occurs before this phase.

C. Evaluation: Evaluation assesses the effectiveness of interventions and progress towards goals, but data collection is performed earlier in the process.

D. Assessment: Data collection is a fundamental part of the assessment phase in the nursing process, where information is gathered to identify patient needs and conditions.

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Correct Answer is D

Explanation

A. "When was the last time you experienced a fever?": This question pertains to the assessment of body temperature, which is part of the vital signs but not the "fifth vital sign."

B. "Do you consider yourself a happy person?": This question focuses on emotional well-being, not the "fifth vital sign."

C. "Do you monitor your blood pressure regularly?": This pertains to blood pressure monitoring, which is one of the vital signs but not the "fifth vital sign."

D. "Are you experiencing any pain right now?": Pain is often referred to as the "fifth vital sign" and is assessed to understand a patient's overall health and comfort.

A. Tuning fork B. Stethoscope C. Ophthalmoscope D. Tongue depressor

Correct Answer is A

Explanation

A. Tuning fork: A tuning fork is used in auditory assessments, such as hearing tests, to evaluate hearing loss and bone conduction.

B. Stethoscope: While a stethoscope is essential for auscultation of heart and lung sounds, it is not used for examining the ears.

C. Ophthalmoscope: An ophthalmoscope is used for examining the eyes, not the ears.

D. Tongue depressor: A tongue depressor is used for examining the mouth and throat, not the ears.

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Data collection occurs where in the nursing process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which general survey question focuses on the common "fifth vital sign"?

Correct Answer is D

Explanation

A nurse is performing a head-to-toe assessment and is preparing to examine the client's ears. Which equipment would the nurse need to have readily available?

Correct Answer is A

Explanation

The nurse instructs a female client on breast self-examination. Why does the nurse recommend the pattern shown for the client to use?

A nurse provides prevention strategies to a group of clients who are identified as at risk for hypertension. Which strategies should the nurse include? (Select all that apply.)

During the cardiac cycle, heart sounds correlate with events of the cycle. Which is being associated with systole?

The nurse suspects an older adult client has congestive heart failure. Which of the following did the nurse most likely assess in the client?

During the physical assessment of the peripheral vascular system, a client's foot is pale when elevated and dark red when in the dependent position. The nurse is concerned that this client is at risk for developing:

During a physical assessment, the nurse should implement which actions initially when determining if a client's radial pulse is irregular? (Select all that apply.)

The nurse performs that technique shown when assessing the client. What cranial nerve is the nurse assessing?

The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?