NUR 310 Health Assessment Exam 1 Information, Health Assessment Test 1 Questions and Verified Answers | Passed | A+

What are the different parts of The Nursing Process? : Assessment, Diagnosis/Analysis, Planning, Implementation, and Evaluation What happens in the "Assessment" portion of The Nursing Process? (This is the first step) : Nurse collects data, and health assessment data is characterized as either subjective or objective What is subjective data? : Data that includes interpretations and information provided by an individual about himself or herself - typically gathered from health history; pt. presents this information to you (ex: "I feel nauseous") 2 What is objective data? : Data that is measurable and observable - typically obtained through physical examination or lab/diagnostic tests - can be observed by someone else **ALWAYS verify information from the patient!! What is a health database? : The patient's laboratory and diagnostic studies, and objective and subjective data collected by the nurse What happens during the "Diagnosis/Analysis" portion of The Nursing Process? (this is the second step) : the nurse analyzes the data collected during the assessment using clinical judgement; nursing diagnosis is formed here; nurse collaborates with patient to develop the plan of care and will identify both actual and potential problems What happens during the "Planning" step of The Nursing Process? (third step) : The nurse establishes priorities based on the patient outcomes and starts to identify interventions that will allow those outcomes to be met within a timeframe 3 - identifies priorities: 1st, 2nd, 3rd level First level priority problems : emergent, life-threatening, and immediate, such as establishing an airway or supporting breathing Second-level priority problems : those that are next in urgency requiring your prompt intervention to prevent further deterioration. (mental status change, acute pain, acute urinary elimination problem, untreated medical problems, abnormal lab test results Third-level priority problems : those that are important to the patient's health but can be addressed after more urgent health problems are addressed. (Knowledge deficit, altered family processes, and low self esteem