NYU HAP Midterm Questions and Answers Rated A

NYU HAP Midterm Questions and Answers Rated A Nursing Process Steps Assessment Diagnosis Planning Implementation Evaluation Assessment Primary Components Health History, Physical Assessment, Psychosocial Subjective Data Information from patient or patient family, symptoms Objective Data Findings from direct observation using your senses, SIGNS How do you collect objective data? Inspection, Palpation, percussion, Auscultation What are the types of assessments? Comprehensive, Episodic, Shift Assessment, Focused Assessment, Emergency ______ of assessments depends on patient needs, setting can be ICU, long term, post treatment, etc. Frequency ______ of info gathered depends on content of care, patient need, expertise of nurse Amount _____ based on assessments, life threatening is #1 – patient’s #1 complaint should be one of your highest priorities Prioritize PES Problem, Etiology, Signs and Symptoms Evaluation Judgment of effectiveness of nursing care in meeting patient goals and outcomes Primary Prevention Optimize health and disease prevention through promotion of healthy lifestyle Secondary Prevention identifying at early stage before too much damage Tertiary Prevention Minimize effects of disease Phases of The Interview pre-interaction, beginning, working, closing Health History Patient's statement of current and past health, problems, biographic data Review of Systems Evaluation of past and present health state of each body system, subjective information General Inspection Always comes first, visual examination of patient including physical appearance, body structure, mobility, mental health Palpation Use to assess temperature, texture, moisture, organ location/size, vibration, abnormal lumps or masses Percussion Produces sound or elicits tenderness Resonant (sound) Low pitched, hollow, heard over normal lung tissue Hyper Resonant (sound) Abnormal adult lung (emphysema, COPD) or normal child lung