CHAP 4

Question 1

the process of confirming or verifying that the subjective and objective data you have collected are reliable and accurate

Answer 1

Validation of data

Question 2

Conditions that require data to be rechecked and validated
include the following:

Answer 2

• Discrepancies or gaps between the subjective and objective data
• Discrepancies or gaps between what the client says at one time versus another
  time
• Findings that are highly abnormal and/or inconsistent with other findings

Question 3

ways to validate data

Answer 3

Recheck your own data through a repeat assessment

Clarify data with the client by asking additional questions

Verify the data with another health care professional

Compare your objective findings with your subjective findings to uncover
discrepancies.

Question 4

2 types of documentation

Answer 4

Vague
clear and concise

Question 5

three types of assessment forms
are used to document data:

Answer 5

Initial
Frequent/ongoing
Focused

Question 6

is called a “nursing admission or admission database.”

Answer 6

Initial

Question 7

this documentation consist of openended, cued or checklist, integrated cued checklist, and nursing minimum data set
(NMDS) forms.

Answer 7

Initial

Question 8

cardiovascular or neurologic assessment documentation forms is under what type f assesment form

Answer 8

focused

Question 9

model of communication is used throughout this book to
demonstrate a consistent way to communicate assessment data

Answer 9

SBAR

Question 10

Meaning of SBAR

Answer 10

Situation
Background
Assessment
Recommendation