NUR2092 Health Assessment Exam 1 study guide / NUR 2092 Health Assessment Test 1 study guide (New, 2020)( Version 1): Rasmussen College

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Health Assessment Study Guide

What are the 6 steps of the nursing process?

1. Assessment
2. Diagnosis
3. Outcome
4. Planning
5. Implementation
6. Evaluation

Assessment Definition (nursing process)

1. Collect data
2. Use evidence-based assessment techniques
3. Document relevant data

Diagnosis Definition (nursing process)

1. Compare clinical findings with normal and abnormal variation and
developmental events
2. Interpret data-- make & test hypotheses
3. Validate diagnoses
4. document diagnoses

Outcome Identification Definition (nursing process)

1. Identify expected outcomes
2. Individualize to the person
3. Culturally appropriate
4. realistic and measurable
5. include a timeline

Planning Definition (nursing process)

1. ESTABLISH PRIORITIES
2. Develop Outcomes
3. Set timelines for outcomes
4. IDENTIFY interventions

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5. Integrate evidence-based trends and research
6. Document plan of care

Implementation Definition (nursing process)

1. Implement in a safe and timely manner
2. Use evidence-based interventions
3. Collaborate with colleagues
4. use community resources
5. coordinate care delivery
6. provide health teaching and health promotion
7. document implementation and any modifications.

Evaluation Definition (nursing process)

1. Progress toward outcomes
2. conduct systematic, ongoing, criterion-based evaluation.
3. Include patient and significant others
4. use ongoing assessment to revise diagnoses, outcomes, plan
5. distribute results to patient and family

Acute pain

1. Is short term and self-limiting, often follows a predictable trajectory, and
dissipates after an injury heals.
2. Self-protective purpose; it warns the individual of actual or threatened tissue
damage.

Chronic Pain

1. Over 6 months in duration
2. Adaptive responses

Phantom pain

1. Pain where limb used to exist

Malignant pain Vs nonmalignant pain