This is the first step in the nursing process.
What is Assessment?
Using empathy, reflection, and silence are examples of this communication type.
What is Therapeutic Communication?
The single most effective action to prevent infection transmission.
What is Hand Hygiene?
If it’s not documented in the patient record, it is legally considered this.
What is Not Done?
The general survey provides the nurse’s first impression of a patient’s overall health and this.
What is Appearance and Behavior?
This type of assessment is performed rapidly in life-threatening situations.
What is an Emergency Assessment?
Data obtained directly from the patient is called this.
What is Primary Data?
The first step of the physical exam.
What is Inspection?
The SOAP format stands for Subjective, Objective, Assessment, and this.
What is Plan?
Using the wrong cuff size when measuring blood pressure most affects this measurement.
What is Accuracy of Blood Pressure?
Nurses fulfill three professional roles in health assessment: provider of care, coordinator of care, and this.
What is Member of a Profession?
The health history phase that includes biographical data and chief concern.
What is Comprehensive History?
Percussion tone heard over normal lungs.
What is Resonance?
This concise format (S-B-A-R) is used for effective nurse-to-provider communication.
What is Situation, Background, Assessment, Recommendation?
Fever, pain, anxiety, medications, and hypovolemia can all alter this vital sign.
What is Pulse?
Core nursing values include caring, integrity, diversity, and this.
What is Excellence?
Genograms are useful for identifying this kind of risk.
What are Genetic Risks?
The diaphragm of the stethoscope is used for these sounds.
What are High-pitched sounds (breath, bowel, heart)?
Documentation protects nurses by serving as this type of evidence.
What is Legal Evidence?
This risk factor contributes to hypertension, obesity, and cardiovascular disease.
What is a Sedentary Lifestyle?
Comprehensive health assessments include both subjective and this type of data.
What is Objective Data?
This holistic framework assesses patterns like nutrition, coping, and role/relationships.
What is Gordon’s Functional Health Patterns?
Standard precautions apply to this patient population.
Who are All Patients?
Altering or falsifying medical records violates this professional obligation.
What is Ethical and Legal Responsibility?
Normal age-related changes include decreased temperature regulation, irregular pulses, and this change in blood pressure.
What is Higher Blood Pressure?