The assessment phase of the nursing process refers to the phase when data collection occurs. Which methods does the nurse use to collect data? (Select all that apply.)
Observing client behavior
Reviewing diagnostic testing results
Interviewing the client and significant others
Performing physical assessment
Interpreting client behaviors
Correct Answer : A,B,C,D
Choice A rationale: Observation is a method of data collection involving the use of one’s senses to notice the aspects of a client such as their appearance, expressions, and actions.
Choice B rationale: Reviewing diagnostic testing results is a method of collecting data that involves the examination of the findings of laboratory tests, imaging studies, and other procedures. These findings provide objective information about the client's physiological functioning.
Choice C rationale: client interview is a method of data collection involving asking them questions and listening to their responses. This method helps the nurse to obtain subjective data about the client's health history, current problems, expectations, values, and beliefs.
Choice D rationale: Performing physical assessment is a method of collecting data that involves using inspection, palpation, percussion, and auscultation to examine the different body systems of the client. This provides objective information about the patient’s condition.
Choice E rationale: this is incorrect since Interpreting client behaviors is not a method of collecting data but is instead a data analysis method.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Crestor (Rosuvastatin) is a statin used for lowering cholesterol levels, not for treating depression.
Choice B rationale: Seroquel (Quetiapine) is an atypical antipsychotic used for various mental health conditions such as schizophrenia, bipolar disorder, and major depressive disorder. However, it is not a first-line treatment for depression.
Choice C rationale: Paxil (Paroxetine) is an antidepressant commonly used in the treatment of depression and other mood disorders. It belongs to the selective serotonin reuptake inhibitor (SSRI) class of medications.
Choice D rationale: Latuda (Lurasidone) is an atypical antipsychotic used in certain psychiatric conditions such as schizophrenia and bipolar depression but is not typically a first-line treatment for depression.
Correct Answer is D
Explanation
Choice A rationale: Axis 1 is used to document clinical disorders that are the primary focus of management such as schizophrenia, major depressive disorder, and bipolar disorder among others.
Choice B rationale: Axis 3 is used in the documentation of conditions, for instance, asthma, hypertension, and diabetes mellitus among others which are known to have effects on an individual’s mental health.
Choice C rationale: Axis 4 is used in the documentation of environmental and psychosocial issues contributing to a patient’s stress such as financial and family stressors.
Choice D rationale: this is accurate since Axis 2 is used in the documentation of conditions affecting a client’s functioning such as personality disorders and mental retardation.
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