Nurs 2000 Exam 4-questions Solved 100% Correct
CHAPTER 1
THE NURSE'S ROLE IN HEALTH ASSESSMENT
Focus on Managed Care:
-Acute care
-Critical care
-Ambulatory care
-Home health care
Holistic nursing assessment
collects holistic subjective and objective data to determine a client’s overall level
of functioning in order to make a professional clinical judgment
Steps of the Nursing Process:
I: Assessment
II: Diagnosis
III: Planning
IV: Implementation
V: Evaluation
Physical medical assessment
focuses primarily on the client’s physiologic development status
Assessment (I)
,collecting subjective and objective data
Diagnosis (II)
analyzing subj/obj data to make and prioritize professional clinical judgments
-concerns, collaborative problems, referral
Each step of the nursing process depends on the _________ of the preceding step.
ACCURACY
*The steps may overlap
Planning (III)
generating solutions, developing a plan, and determining which outcomes need to be met first
Implementation (IV)
taking action and prioritizing the planned interventions
Evaluation (V)
assessing whether outcomes have been met and revising the plan if interventions didn't make a
difference
Preparing for assessment:
-Review client's record
-Review client's status with other health care team members
-Educate about client's diagnosis and tests performed
Collecting Subjective Data
,1. Biographical info
2. History of present health concern (symptoms)
3. Personal health history
4. Family history
5. Review of systems
6. Health and lifestyle practices
Collecting Objective Data
1. Physical characteristics
2. Body functions
3. Appearance
4. Behavior
5. Measurements
6. Results of lab testing
Phase 1 in the Nursing Process:
Assessment
Comprehensive health assessment:
1) Health history
2) Physical examination
Holistic data collection
physiological, psychological, sociocultural, developmental, and spiritual data
Nursing health history:
, -History of present heath concern
-Personal health history
-Family history
-Lifestyle and health practices
What is the end result of a nursing assessment?
-identified problems requiring care
-identified collaborative problems that require interdisciplinary care
-identified medical problems that require immediate referral
-client teaching for health promotion
4 Types of Health Assessment:
1) Initial comprehensive assessment
2) Ongoing or partial assessment
3) Focused or problem-oriented assessment
4) Emergency assessment
Initial Comprehensive Assessment
collection of subjective data about the client's perception of health of:
-all body parts or systems
-past medical history
-family history
-lifestyle and health practices
CHAPTER 1
THE NURSE'S ROLE IN HEALTH ASSESSMENT
Focus on Managed Care:
-Acute care
-Critical care
-Ambulatory care
-Home health care
Holistic nursing assessment
collects holistic subjective and objective data to determine a client’s overall level
of functioning in order to make a professional clinical judgment
Steps of the Nursing Process:
I: Assessment
II: Diagnosis
III: Planning
IV: Implementation
V: Evaluation
Physical medical assessment
focuses primarily on the client’s physiologic development status
Assessment (I)
,collecting subjective and objective data
Diagnosis (II)
analyzing subj/obj data to make and prioritize professional clinical judgments
-concerns, collaborative problems, referral
Each step of the nursing process depends on the _________ of the preceding step.
ACCURACY
*The steps may overlap
Planning (III)
generating solutions, developing a plan, and determining which outcomes need to be met first
Implementation (IV)
taking action and prioritizing the planned interventions
Evaluation (V)
assessing whether outcomes have been met and revising the plan if interventions didn't make a
difference
Preparing for assessment:
-Review client's record
-Review client's status with other health care team members
-Educate about client's diagnosis and tests performed
Collecting Subjective Data
,1. Biographical info
2. History of present health concern (symptoms)
3. Personal health history
4. Family history
5. Review of systems
6. Health and lifestyle practices
Collecting Objective Data
1. Physical characteristics
2. Body functions
3. Appearance
4. Behavior
5. Measurements
6. Results of lab testing
Phase 1 in the Nursing Process:
Assessment
Comprehensive health assessment:
1) Health history
2) Physical examination
Holistic data collection
physiological, psychological, sociocultural, developmental, and spiritual data
Nursing health history:
, -History of present heath concern
-Personal health history
-Family history
-Lifestyle and health practices
What is the end result of a nursing assessment?
-identified problems requiring care
-identified collaborative problems that require interdisciplinary care
-identified medical problems that require immediate referral
-client teaching for health promotion
4 Types of Health Assessment:
1) Initial comprehensive assessment
2) Ongoing or partial assessment
3) Focused or problem-oriented assessment
4) Emergency assessment
Initial Comprehensive Assessment
collection of subjective data about the client's perception of health of:
-all body parts or systems
-past medical history
-family history
-lifestyle and health practices
