Health Assessment Fortis Chapter 1 Questions & Answers Solved 100% Correct!!

validates the importance of using assessment techniques - evidence what the person SAYS about himself or herself during history taking - subjective data what you as the health professional OBSERVE by inspecting, percussing, palpating and auscultating during physical examinations - objective data process of analyzing health data and drawing conclusions to identify diagnoses -diagnostic reasoning what can make a clinical judgement or diagnosis about the individuals health state or response to actual or health problems and life processes as well as diagnoses about higher levels of wellness. also with the patients record and laboratory studies form what. - database a piece of information, a sign or symptom, or piece of laboratory data - cue 1. assessment 2. diagnosis 3. outcome identification 4. planning 5. implementation 6. evaluation - 6 phases in the nursing process a problem solving approach to today's nursing - nursing process assessment is what step in the nursing process - 1st step2nd step in the nursing process - diagnosis 3rd step in the nursing process - outcome identification 4th step in the nursing process - planning 5th step in the nursing process - implementation 6th step in the nursing process - evaluation ~collect data review of the clinical record heath history physical examination functional assessment risk assessment review of the literature ~use evidence-based assessment techniques ~document relevant data - assessment (data collection) ~compare clinical findings with normal and abnormal variation and developmental events ~interpret data identify clusters of cues make hypotheses test hypotheses derive diagnoses ~validate diagnoses~document diagnoses - diagnosis ~identify expected outcomes ~individualize to the person ~culturally appropriate ~realistic and measurable ~include a timeline - outcome identification