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Kozier Chpt 11
Assessing
Question | Answer |
---|---|
the process of collecting, organizing, validating, and recording data (information) about a client's health status= | ASSESING |
proceeding in the direction from head to toe | CEPHALOCAUDAL |
restrictive question requiring only a short answer | CLOSED QUESTIONS |
information (data) apparent only to the person affected that can be described or verified only by that person | COVERT OR SUBJECTIVE DATA |
all information about a client, includes nursing health history and physical assessment, physician's history, physical examination, and laboratory and diagnostic test results | DATABASE |
a highly structured interview that uses closed questions to elicit specific information | DIRECTIVE INTERVIEW |
interpretations or conclusions made based on cues or observed data | INFERENCES |
a question that influences the client to give a particular answer | LEADING QUESTION |
an interview using open-ended questions and empathetic responses to build rapport and learn client concerns | NONDIRECTIVE INTERVIEW |
information (data) that is detectable by an observer or can be tested against an accepted standard; can be seen, heard, felt, or smelled | OBJECTIVE DATA |
the determination that the diagnosis accurately reflects the problem of the client, that the methods used for data gathering were appropriate, and that the conclusion or diagnosis is justified by the data | VALIDATION |