NURS 204: Assessment (Well-enlightened)

The 4 basic types of Nursing Health Assessment are: correct answers • Initial comprehensive assessment • Ongoing or partial assessment • Focused or problem-oriented assessment • Emergency assessment Health assessment can be divided into four steps: correct answers collecting subjective data collecting objective data validation of data documentation of data The complete health history is performed to collect as much subjective data about a client as possible. It consists of eight sections: correct answers 1. Biographic data (name, address, phone, gender, who provided the info—the client or significant others. birth date, Social Security, medical record number, or similar identifying data may be included) NOT occupation. 2. Reasons for seeking health care ("What is your major health problem or concerns at this time?" & "How do you feel about having to seek health care?") 3. History of present health concern (use COLDSPA) 4. Personal health history (illnesses, immunizations, allergies, etc) 5. Family health history, 6. Review of body systems (ROS) for current health problems (skin, hair nails, head, neck, etc) 7. Lifestyle and health practices (social history: Description of Typical Day, Nutrition and Weight Management, Activity Level and Exercise, Sleep and Rest, Substance Use) 8. Developmental level. 4 Basic Physical Assessment Steps in order: correct answers Inspection Palpation Percussion Auscultation Inspection involves correct answers using the senses of vision, smell, & hearing to observe & detect any normal or abnormal findings. Precedes palpation, percussion, & auscultation because the latter techniques can potentially alter the appearance of what is being inspected. Palpation consists of correct answers Palpation consists of using parts of the hand to touch and feel for the following characteristics: • Texture (rough/smooth) • Temperature (warm/cold) • Moisture (dry/wet) • Mobility (fixed/movable/still/vibrating) • Consistency (soft/hard/fluid filled) • Strength of pulses (strong/weak/thready/bounding)