Types of Health Assessment
- -1. Initial Comprehensive Assessment
2. Ongoing or partial assessment
3. Focused/problem-oriented assessment
4. Emergency Assessment
-Initial Comprehensive Assessment –
-- Subjective Data
- Objective Data
- Past medical history
- Family History
- Lifestyle/Health practices
-Ongoing/partial Assessment - -
- Mini-overview
- Holistic health patterns
- Determines deterioration/improvement
- Detects new problems
-Focused/problem-oriented Assessment - -Focuses on a specific problem
-Emergency Assessment - -Rapid- performed in life-threatening situations
Example: Cardiac arrest
-Possible HESI question:
A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses the client's skin color and temperature of the extremities.
What is the purpose of this ongoing or partial assessment?
a) To collect subjective data related to the client's overall health
b) To evaluate whether outcomes of treatment are met
c) To determine any changes from the baseline data
d) To perform a rapid assessment for prompt treatment - -ANS: C
, Feedback: Ongoing or partial assessments help to determine any major changes from the baseline data. The nurse collects subjective data related to the client's
overall health and conducts a comprehensive health assessment during the initial comprehensive assessment to determine baseline data.
-Steps of Health Assessment –
-1. Collection of subjective data
2. Collection of objective data
3. Validation of data
4. Documentation of data
-Subjective Data - -Information given to you by the patient
- Sensations/symptoms
- Feelings
- Perceptions
- Desires
- Preferences
- Beliefs
- Ideas
- Values
- Personal information
-objective Data - -Done by observation
- Assessment (inspection, palpation, percussion, auscultation)
- Body functions
- Appearance
- Behavior
- Measurements (numbers)
- Results of testing
-Possible HESI question:
A nurse is collecting subjective data from a client as part of the assessment process. Which behavior is most appropriate for the nurse to display in this
situation?
a) Remaining standing during the interview