NURS 503 Exam 1 (Passed!)

Describe how and why we perform Health Assessments correct answers It is a methodical way by systems- head-to-toe assessment Completed when patient comes in with problem/used to gather data to lead to a diagnosis/health screenings Describe the Nursing Process, including key components of assessment, diagnosis, and prioritizing for the plan of care correct answers Assessment Diagnosis Planning (Including outcome identification) Implementation Evaluation Discuss how EBP may be used in health care correct answers The emphasis on research, experience, patient preference and assessment (subjective/objective data) Describe the key components of a complete health history correct answers Biographical data Source of history (reliability) Reason for seeking care (chief compliant) History of Present Illness or Present Health Past Health (Past Medical History) Family Medical History Review of Systems Functional Assessment (including Social History) -Perception of health Describe core components of nursing documentation correct answers Subjective Data (History - What the patient says) Objective Data (Physical exam findings Laboratory or diagnostic test results) Assessment (Nursing diagnoses) Plan (what the nurse will do) *Ideal Documentation - be thorough, concise, use appropriate terminology. *Be truthful and factual, use 5 senses - Do NOT say "normal", say "Lung sounds are CLEAR" Define health screenings and give examples correct answers Medical tests used to check for diseases/ health conditions before signs and symptoms appear (ex: caners, obesity, osteoporosis) Discuss National Recommendations for blood pressure screenings correct answers 3-5 years, 18-39 years old, BP130/85