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Chpt 11. Assessing
Vocabulary
18
Nursing
Not Applicable
01/11/2010

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Term
Assessing
Definition
the process of collecting, organizing, validating, and recording data (information) about a client's health status
Term
Cephalocaudal
Definition
proceeding in the direction from head to toe
Term
Closed Questions
Definition
restrictive question requiring only a short answer
Term
Covert Data(symptoms, subjective data)
Definition
information (data) apparent only to the person affected that can be described or verified only by that person
Term
Cues
Definition
any piece of information or data that influences decisions
Term
Data
Definition
information
Term
Directive Interview
Definition
a highly structured interview that uses closed questions to elicit specific information
Term
Inferences
Definition
interpretations or conclusions made based on cues or observed data
Term
Interview
Definition
a planned communication; a conversation with a purpose
Term
Leading Question
Definition
a question that influences the client to give a particular answer
Term
Neutral Question
Definition
a question that does not direct or pressure a client to answer in a certain way
Term
Nondirective Interview
Definition
an interview using open-ended questions and empathetic responses to build rapport and learn client concerns
Term
Objective Data/Overt Data/Signs
Definition
information (data) that is detectable by an observer or can be tested against an accepted standard; can be seen, heard, felt, or smelled
Term
Open-Ended Questions
Definition
questions that specify only the broad topic to be discussed and invite clients to discover and explore their thoughts and feelings about the topic
Term
Rapport
Definition
a relationship between two or more people of mutual trust and understanding
Term
Review of Systems/Screening examination
Definition
a brief review of essential functioning of various body parts or systems
Term
Subjective Data
Definition
data that are apparent only to the person affected; can be described or verified only by that person
Term
Validation
Definition
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
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