HAP Exam 1
What is biomedical health - Answer--BP
-"levels"
-scientific health
-Eliminates social, psychological, and mental health
What is hollistic health - Answer-The biomedical health plus more like mental, spiritual, and relationship
health
What is wellness - Answer-Quality of life outside of illness
Goal is that even someone who is terminally ill can still be "Well" as long as we can help ensure their
quality of life remains
What is the definition of health - Answer-A state of complete physical, mental, and social well-being and
not merely the absence of disease and infirmity
What are the steps of the nursing process in order - Answer-1. Assessment
2. Diagnosis
3. Plan
4. Implementation
5. Evaluation
What are the primary components of the "assessment" phase of the nursing process - Answer--Health
history (subjective data)
-Physical assessment (obkective data)
,-Other factors (psychological, sociocultural, spiritual, economic, lifestyle)
-DOCUMENTATION
Are signs or symptoms considered subjective data - Answer-symptoms
Where do we get subjective data from - Answer--Information the patient tells you
-From health history
Information the patient's family, significnat other, EMT, etc. tells you
Are signs considered subjective or objective data - Answer--Objective
Where do we get objective data from - Answer--From physical examination
-The findings resulting from direct observation using all of your senses
-Using techniques of inspection, palpation, percussion, and auscultation
-Any measured values/ lab values
-Anything YOU observe
What are 2 different types of notes/communication used in the nursing field -
Answer--Narrative/Written (SOAP)
-Verbal (SBAR)
What are the 4 different types of problems that can be found during assessment - Answer-First level
priority problems
Second level priority problems
Third-level priority problems
Collaborative problems
,What are the first level priority problems - Answer--Airway problems
-Breathing problems
-Cardiac/circulation problems
vital sign concern (ex: high fever)
What are examples of second level priority problems - Answer--Abnormal lab values
-Acute pain
-Sudden confusion/ altered mental status
What are examples of third level priority problems - Answer--Knowledge deficit
-Things that can be dealt with later
-Teaching moments
What are examples of collaborative problems - Answer--Need to be addressed with another provider
such as physician, physical therapist, speech therapist
What is diagnostic reasoning - Answer-Looking at all available cues from patient and formulating a
diagnostic hypothesis
Most informed educated guess about what the patient's diagnosis is
Medical diagnosis - Answer-Disease condition based on specific evaluation of signs and symptoms
Nursing diagnosis - Answer-Judgement about the patient in response to an actual or potential health
problem
, Collaborative diagnosis - Answer-an actual or potential physiological complication that nurses mointor
to detect the onser of changes in patient's status
What are the 3 different types of nursing diagnoses - Answer--Actual :patient actually posesses
-Risk
-Wellness
What are the 4 components of evidence based practice - Answer--Evidence from research and evidece-
based theories
-Physical examination and assessment of patient
-Patient preferenves and values
-Clinical expertise
Take all of these into account when deciding on goals and interventions for your patients
What are the components of a complete health history - Answer--Biographic data (name, DOPB, sex,
etc)
-Source of history
-Reason for seeking care
-Present health/ history of present illness
-Past health
-Family history
-Review of systems
-Functional assessment (can they care for themselves)
-Perception of health
What is health promotion - Answer-Behavior motivated by desire to increase well-being and actualize
health potential
What is biomedical health - Answer--BP
-"levels"
-scientific health
-Eliminates social, psychological, and mental health
What is hollistic health - Answer-The biomedical health plus more like mental, spiritual, and relationship
health
What is wellness - Answer-Quality of life outside of illness
Goal is that even someone who is terminally ill can still be "Well" as long as we can help ensure their
quality of life remains
What is the definition of health - Answer-A state of complete physical, mental, and social well-being and
not merely the absence of disease and infirmity
What are the steps of the nursing process in order - Answer-1. Assessment
2. Diagnosis
3. Plan
4. Implementation
5. Evaluation
What are the primary components of the "assessment" phase of the nursing process - Answer--Health
history (subjective data)
-Physical assessment (obkective data)
,-Other factors (psychological, sociocultural, spiritual, economic, lifestyle)
-DOCUMENTATION
Are signs or symptoms considered subjective data - Answer-symptoms
Where do we get subjective data from - Answer--Information the patient tells you
-From health history
Information the patient's family, significnat other, EMT, etc. tells you
Are signs considered subjective or objective data - Answer--Objective
Where do we get objective data from - Answer--From physical examination
-The findings resulting from direct observation using all of your senses
-Using techniques of inspection, palpation, percussion, and auscultation
-Any measured values/ lab values
-Anything YOU observe
What are 2 different types of notes/communication used in the nursing field -
Answer--Narrative/Written (SOAP)
-Verbal (SBAR)
What are the 4 different types of problems that can be found during assessment - Answer-First level
priority problems
Second level priority problems
Third-level priority problems
Collaborative problems
,What are the first level priority problems - Answer--Airway problems
-Breathing problems
-Cardiac/circulation problems
vital sign concern (ex: high fever)
What are examples of second level priority problems - Answer--Abnormal lab values
-Acute pain
-Sudden confusion/ altered mental status
What are examples of third level priority problems - Answer--Knowledge deficit
-Things that can be dealt with later
-Teaching moments
What are examples of collaborative problems - Answer--Need to be addressed with another provider
such as physician, physical therapist, speech therapist
What is diagnostic reasoning - Answer-Looking at all available cues from patient and formulating a
diagnostic hypothesis
Most informed educated guess about what the patient's diagnosis is
Medical diagnosis - Answer-Disease condition based on specific evaluation of signs and symptoms
Nursing diagnosis - Answer-Judgement about the patient in response to an actual or potential health
problem
, Collaborative diagnosis - Answer-an actual or potential physiological complication that nurses mointor
to detect the onser of changes in patient's status
What are the 3 different types of nursing diagnoses - Answer--Actual :patient actually posesses
-Risk
-Wellness
What are the 4 components of evidence based practice - Answer--Evidence from research and evidece-
based theories
-Physical examination and assessment of patient
-Patient preferenves and values
-Clinical expertise
Take all of these into account when deciding on goals and interventions for your patients
What are the components of a complete health history - Answer--Biographic data (name, DOPB, sex,
etc)
-Source of history
-Reason for seeking care
-Present health/ history of present illness
-Past health
-Family history
-Review of systems
-Functional assessment (can they care for themselves)
-Perception of health
What is health promotion - Answer-Behavior motivated by desire to increase well-being and actualize
health potential
