Health Assessment Module 1
Study online at https://quizlet.com/_irk9pz
1. What is the role of assessment as the starting point of all models of clinical
reasoning?: The purpose of assessment is to make a judgement or diagnosis. All health care diagnoses, decisions,
and treatments are based on the data you gather during the initial assessment of the pt.
2. What is the use of diagnostic reasoning in clinical judgement?: Diagnostic reasoning
is the process of analyzing health data and drawing conclusions to identify diagnoses.
3. How do nurses use the nursing process in clinical judgement?: ADPIE
Assessment- - gather data from the medical record and patient to complete assessment
Diagnosis- Clinical findings are interpreted and clinical judgement is used to determine a diagnosis.
Planning- formulate goals and outcomes in collaboration with the patient
Implementation- Take action
Evaluation- Evaluate results. You may need to reassess or change the original plan.
4. Has no experience with a specified patient population and uses rules to guide
performance.: Novice Practitioner
5. Nurse understands a patient situation as a whole, rather than a list of tasks.
Can see long term goals for patients, and understand how interventions will
help the pt in the future.: Proficient Practitioner
6. Functioning at this level requires using intuition. This entails immediate
recognition of patterns and the ability to act without consciously labeling
it.: Expert Practitioner
7. Why is critical thinking required for sound diagnostic reasoning and clinical
judgement?: Nurses will need to sort through vast amounts of data to make a judgement to manage patient
care.
Data is dynamic, unpredictable, and ever changing. No protocols are able to be applied to every situation.
8. Problems that are emergent, life threatening, and immediate.
Ex: establishing airway or supportive breathing.: First-Level Priority
9. Problems that require prompt intervention to stop further deterioration.
EX: mental status change, acute pain, abnormal lab values: Second-Level Priority
10. Problems that are important to patient's health but can be attended to after
more urgent health problems are addressed.
EX: nproblems that require collaborative effort. Long term outcomes.: Third-Level
Priority
1/6
, Health Assessment Module 1
Study online at https://quizlet.com/_irk9pz
11. How are nurses able to use a conceptual framework to guide their nursing
practices?: 1. Structured Assessments
2. Sharpening Clinical Judgement
3. Supporting the Nursing Process
4. Promote holistic, evidence-based, patient-centered care
12. Disease or pathological condition that identifies what illness or medical
condition is present: Medical Diagnosis
13. Patient's response to health problems or life processes that identifies actual
or potential health needs of the patient: Nursing Diagnosis
14. What are the basic characteristics of culture?: Learned or shared system of beliefs, values,
norms, and behaviors that guide how people perceive the world, make decisions, and respond to health, illnesses, and
healthcare practices.
15. What are the steps to becoming culturally competent?: 1. Examine your own cultural
beliefs and recognize how this may effect pt care.
2. Seek information about different cultures and learn common patterns of these cultures.
3. Collect culturally relevant data during health history and assessment.
4. Engage in direct interactions with patients from diverse backgrounds, avoiding stereotypes.
5. Demonstrate genuine willingness and motivation to become culturally competent.
6.Respect differences and value diversity
16. The degree to which a person's lifestyle reflects the traditions and values of
their cultural heritage, influencing health beliefs, behaviors, and interactions
with the healthcare system.: Heritage Consistency
17. Refers to a shared identity based on common cultural traditions, values,
language, religion, history or ancestry. It reflects a person's connections to a
particular cultural group, and influences lifestyle, beliefs, and health practices.-
: Ethnicity
18. How does the influence of religion and spirituality on health and illness
effect nursing care?: Religion and spirituality influence how patients interpret illness, cope with stress, make
healthcare decisions, express pain, and approach end-of-life care. Assessing these factors helps nurses provide holistic,
patient-centered care that respects individual values and beliefs.
19. What are some potential cultural conflicts that may arise between nurses
and patients of different ethnic groups?: 1. Communication barriers
2/6
Study online at https://quizlet.com/_irk9pz
1. What is the role of assessment as the starting point of all models of clinical
reasoning?: The purpose of assessment is to make a judgement or diagnosis. All health care diagnoses, decisions,
and treatments are based on the data you gather during the initial assessment of the pt.
2. What is the use of diagnostic reasoning in clinical judgement?: Diagnostic reasoning
is the process of analyzing health data and drawing conclusions to identify diagnoses.
3. How do nurses use the nursing process in clinical judgement?: ADPIE
Assessment- - gather data from the medical record and patient to complete assessment
Diagnosis- Clinical findings are interpreted and clinical judgement is used to determine a diagnosis.
Planning- formulate goals and outcomes in collaboration with the patient
Implementation- Take action
Evaluation- Evaluate results. You may need to reassess or change the original plan.
4. Has no experience with a specified patient population and uses rules to guide
performance.: Novice Practitioner
5. Nurse understands a patient situation as a whole, rather than a list of tasks.
Can see long term goals for patients, and understand how interventions will
help the pt in the future.: Proficient Practitioner
6. Functioning at this level requires using intuition. This entails immediate
recognition of patterns and the ability to act without consciously labeling
it.: Expert Practitioner
7. Why is critical thinking required for sound diagnostic reasoning and clinical
judgement?: Nurses will need to sort through vast amounts of data to make a judgement to manage patient
care.
Data is dynamic, unpredictable, and ever changing. No protocols are able to be applied to every situation.
8. Problems that are emergent, life threatening, and immediate.
Ex: establishing airway or supportive breathing.: First-Level Priority
9. Problems that require prompt intervention to stop further deterioration.
EX: mental status change, acute pain, abnormal lab values: Second-Level Priority
10. Problems that are important to patient's health but can be attended to after
more urgent health problems are addressed.
EX: nproblems that require collaborative effort. Long term outcomes.: Third-Level
Priority
1/6
, Health Assessment Module 1
Study online at https://quizlet.com/_irk9pz
11. How are nurses able to use a conceptual framework to guide their nursing
practices?: 1. Structured Assessments
2. Sharpening Clinical Judgement
3. Supporting the Nursing Process
4. Promote holistic, evidence-based, patient-centered care
12. Disease or pathological condition that identifies what illness or medical
condition is present: Medical Diagnosis
13. Patient's response to health problems or life processes that identifies actual
or potential health needs of the patient: Nursing Diagnosis
14. What are the basic characteristics of culture?: Learned or shared system of beliefs, values,
norms, and behaviors that guide how people perceive the world, make decisions, and respond to health, illnesses, and
healthcare practices.
15. What are the steps to becoming culturally competent?: 1. Examine your own cultural
beliefs and recognize how this may effect pt care.
2. Seek information about different cultures and learn common patterns of these cultures.
3. Collect culturally relevant data during health history and assessment.
4. Engage in direct interactions with patients from diverse backgrounds, avoiding stereotypes.
5. Demonstrate genuine willingness and motivation to become culturally competent.
6.Respect differences and value diversity
16. The degree to which a person's lifestyle reflects the traditions and values of
their cultural heritage, influencing health beliefs, behaviors, and interactions
with the healthcare system.: Heritage Consistency
17. Refers to a shared identity based on common cultural traditions, values,
language, religion, history or ancestry. It reflects a person's connections to a
particular cultural group, and influences lifestyle, beliefs, and health practices.-
: Ethnicity
18. How does the influence of religion and spirituality on health and illness
effect nursing care?: Religion and spirituality influence how patients interpret illness, cope with stress, make
healthcare decisions, express pain, and approach end-of-life care. Assessing these factors helps nurses provide holistic,
patient-centered care that respects individual values and beliefs.
19. What are some potential cultural conflicts that may arise between nurses
and patients of different ethnic groups?: 1. Communication barriers
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