269 High-Yield Questions & Answers
,Health Assessment EXAM 1
Study online at https://quizlet.com/_hsizj4
1. • Assessment: is the collection of subjective and objective data about a patient's health.
2. What do you do during the Assessment process?: - collect data
-clinical history
-health history
-physical examination
-functional assessment
-risk assessment
-review of the literature
-Use evidence based assessment techniques
-Document relevant data
3. What do you do during the Diagnosis?: -Compare clinical findings with normal and abnormal
variation and development
-Interpret Data: identify clusters of cues, make hypotheses, test hypotheses, derive diagnoses.
-Validate diagnoses
-Document diagnoses
4. What do you do during outcome identifications: -identify expected outcomes
-individualize to the person
-Culturally appropriate
-Realistic and measurable
-Include timeline
5. • Subjective data.: consist of information provided by the affected individual.
6. • Objective data: include information obtained through observation and inspecting, percussing,
palpating,
and auscultating during the physical examination.
, 7. • The database.: is the totality of information available about the patient,
8. • The nursing process includes six phases:: assessment, diagnosis, outcome identification,
planning, implementation, and evaluation. It is a dynamic, Interactive process in which practitioners
move back and
forth within the steps.
9. SMART: Specific
Measurable
Attainable
Realistic
Timed
Health Assessment EXAM 1
Study online at https://quizlet.com/_hsizj4
10. • Critical thinking: is sound diagnostic reasoning and clinical judgment. Relevant information should
be
identified, clinical cues gathered, the assessment completed, and priorities considered.
11. • First-level priority problems: are emergent, lifethreatening, and immediate, ABC
12. • Second-level priority problems.: are next in urgency. They require prompt intervention to prevent
further deterioration and may include mental status change, acute pain, or abnormal laboratory values
in the patient.
13. • Third-level priority problems.: are important to the patient's health but can be addressed after
more urgent problems. Examples: lack of knowledge or family coping.
14. • Evidence-based practice is: a systematic approach to practice that uses research evidence,
clinical
expertise, clinician knowledge, and the patient's preferences and values to make decisions about care
and treatment.
15. • A complete (or total health) database includes a.: complete health history and a full
physical. examination, yielding the first diagnoses.