HEALTH ASSESSMENT FINAL STUDY GUIDE 2022/2023

HEALTH ASSESSMENT • • Assessment – Point of Entry In an Going Process (Chapter 1) • Subjective Data: Information that a patient says about self. • Objective data: What the health professional observes by inspecting, percussing, palpating and auscultating during physical examination. • (You need to know the definition of both to answer test questions) • Nursing process (Chapter 1) o Assessment: collection of data about person’s health state. ▪ Collect Data: Review of the clinical record, health history, physical examination, functional assessment, risk assessment, review of literature ▪ Use evidence-based assessment techniques ▪ Document relevant data. Comprehensive assessment: is usually the initial assessment it very thorough and includes detailed health history and physical examination and examine the client's overall health status. Focused assessment: is problem oriented and may be the initial assessment or an ongoing assessment. Problem focus assessment collects data about a problem that has already been identified. This type of assessment has a narrower scope and a shorter time frame than the initial assessment. In focus assessments, nurse determine whether the problems still exist and whether the status of the problem has changed (i.e. improved, worsened, or resolved). This assessment also includes the appraisal of any new, overlooked or misdiagnosed problems. In intensive care units, may perform focus assessment every few minutes. o Diagnosis: