NSG 3133 EXAM 1 STUDY GUIDE
Health assessment - ANSWER A systematic approach to gathering, analyzing,
and interpreting patient health data.
Subjective data are the patient's stated symptoms, feelings, and impressions.
Objective data - ANSWER Observable, measurable facts obtained through a
physical examination and diagnostic test.
What is the purpose of data documentation? Ensures continuity of care,
maintains a legal record, enables communication among healthcare
practitioners, and aids in quality improvement and research.
Comprehensive assessment - ANSWER A detailed examination of numerous
aspects of health. (New patient examination) example: the person who is
admitted to a long-term facility.
Focused assessment: ANSWER Concentrated on a single topic (respiratory
difficulties). For example, consider someone who is ignorant of their elevated
serum glucose levels.
Episodic/Follow-up assessment: ANSWER Following up on a previously
discovered issue (after surgery). For example, consider a person who is
undergoing rehabilitation following knee replacement surgery.
Shift assessment: ANSWER Each shift, the nurse checks to see if there have
been any changes from the baseline. For example, a person who underwent
abdominal surgery yesterday.
Screening assessment: ANSWER Disease detection was the primary goal.
Health assessment - ANSWER A systematic approach to gathering, analyzing,
and interpreting patient health data.
Subjective data are the patient's stated symptoms, feelings, and impressions.
Objective data - ANSWER Observable, measurable facts obtained through a
physical examination and diagnostic test.
What is the purpose of data documentation? Ensures continuity of care,
maintains a legal record, enables communication among healthcare
practitioners, and aids in quality improvement and research.
Comprehensive assessment - ANSWER A detailed examination of numerous
aspects of health. (New patient examination) example: the person who is
admitted to a long-term facility.
Focused assessment: ANSWER Concentrated on a single topic (respiratory
difficulties). For example, consider someone who is ignorant of their elevated
serum glucose levels.
Episodic/Follow-up assessment: ANSWER Following up on a previously
discovered issue (after surgery). For example, consider a person who is
undergoing rehabilitation following knee replacement surgery.
Shift assessment: ANSWER Each shift, the nurse checks to see if there have
been any changes from the baseline. For example, a person who underwent
abdominal surgery yesterday.
Screening assessment: ANSWER Disease detection was the primary goal.
