Advance Health Assessment Exam 1 Questions and Answers Graded A 2024

Health Assessment refers to - A systematic method of collecting data for the purpose of planning patient centered care. Identify strengths, weaknesses, health problems and deficits. American nurses associations standards of care. The first 6 steps are based on the nursing process. - Assessment, diagnosis, expected outcomes ( goals), planning, Implementation, evaluation. 3 primary components of health assessment. - History ( subjective data) what the pt says. Physical examination ( objective data) what you see. Documentation of data. 1). Health history - subjective data collected during interview. (What the pt says). Current state of health. medications H/O illnesses H/O surgeries Family history. Subjective data acquired directly from the pt. - Considered primary source data. Data acquired from another individual. - Is considered a secondary source data. 2).Physical examination involves - The collection of objective data.( What you find) Inspection, palpatatin, percussion, auscultation for each body system. Ht, Wt, vitals. 3). Documentation of data. - Improves the plan of care. Legal documentation of the pt's health status. Baseline evaluation. Decisions related to pt care. Must be concise, accurate, and without bias or opinion. Types of health assessment - Context of care. Patient need. Nurse expertise. Context of care - Refers to circumstances or situation related to health care delivery. Maybe related to the setting environment.