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. It serves as a reminder of human growth and development across the life span: Maslow’s hierarchy focuses on prioritizing needs, not general growth and development.

B. It helps in prioritizing nursing diagnoses and care: Maslow’s hierarchy is used to prioritize patient needs, ensuring physiological needs (oxygen, fluid, nutrition) come first before psychological and self-actualization needs.

C. It outlines the basic psychological needs that people have when they are hospitalized and feel anxiety: Maslow includes psychological needs, but its primary purpose is prioritizing all human needs, including physiological ones.

D. It is a framework for thinking critically: While it aids in clinical decision-making, critical thinking encompasses broader concepts beyond Maslow’s hierarchy.

A. omission exists B. failure exists C. variance exists D. error exists

Correct Answer is C

Explanation

A. Omission exists: An omission means something was left out, but that does not fully explain why the projected outcome was not met.

B. Failure exists: The term failure is not a standard term in critical pathways. The situation could be due to various factors beyond "failure."

C. Variance exists: A variance occurs when the patient’s progress deviates from the expected outcome within a critical pathway. This can be positive (faster recovery) or negative (delay in progress).

D. Error exists: A variance is not necessarily an error, as some patients may require longer recovery times due to medical conditions.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How is Maslow's Hierarchy of Human Needs used by nurses in a clinical setting?

Correct Answer is B

Explanation

The patient with a urinary tract infection is being assessed using a critical pathway. When a projected outcome is not met by a predetermined date it is determined that a/an:

Correct Answer is C

Explanation

Identify the two primary methods used to collect data:

Compare an actual nursing diagnosis with a risk for nursing diagnosis, recognizing that in the case of the actual nursing diagnosis

The nurse is documenting patient data. Which of the following should the nurse document under objective data? (select all that apply)

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents:

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?

Patient health care records are:

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

JCAHO regulates standards of care to: