Exam 1 - Advanced Health Assessment Fall 2024 AGMSN

Exam 1 - Advanced Health Assessment Fall 2024 AGMSN Identify essential components of the health history - Answer -a. Identifying data and source of the history b. Chief complaint - use "quotes" from patient c. Present illness - chronological order! • Medications, allergies, tobacco use, alcohol and drug use • 7 attributes (OLD CARTS) d. Past illness • Medical, surgical, Obstetric/gynecological, psychiatric • Health maintenance e. Family history f. Personal and social history g. Review of systems - Go through each one! Discuss scope of nursing assessment - Answer -Can be either: 1. Comprehensive Assessment 2. Focused Assessment What are the indications for and what is included in a Comprehensive Assessment? - Answer -a. Comprehensive assessment - a complete assessment. • Includes all elements of the health history and a complete physical assessment. • This is useful for new patients. • Gives a good baseline for future assessments. • Opportunity for health promotion. • Gives you a lot of information about the patient and also gives you time to build a relationship.What are the indications for and what is included in a Focused Assessment? - Answer -b. Focused assessment - is focused on the concern or the problem the patient presents with • Restricted to a specific body system or two • May be useful for an ongoing relationship once you established a baseline if there are no new concerns. Components of the Health History: Identifying Data and Source of the History; Reliability - Answer -a. Identifying data and source of the history: age, gender, occupation, marital