NSG 3133 Physical Assessment Exam 1
health history - - a collection of subjective data that provides information about the
patient's current health status
physical examination - - a collection of objective data using a series of techniques
nursing process - - 1- assessment
2- diagnosis
3- planning
4- implementation
5- evaluation
plan of care - - 1- collect health history
2- perform physical examination
3- document data
4- analyze interpret data
5- develop treatment
signs - - objective data observed, felt, heard, or measured
symptoms - - subjective data perceived and reported by client
assessment - - when the nurse collects pertinent data and information relative to the
health care consumer's health
diagnosis - - when the nurse analyze the assessment data to determine actual or
potential diagnosis, problems, or issues
,NSG 3133 Physical Assessment Exam 1
planning - - when the nurse develops a plan that prescribes strategies to attain
expected, measurable outcomes
implementation - - when the nurse carries out identified plan; coordinates care
delivery
evaluation - - when the nurse assess progress toward attainment of goals and
outcomes
establish baseline - - why is documentation of data important?
comprehensive - - health assessment involving a detailed history and physical
examination at the onset of care
- health promotion
- disease prevention
- assessment for problems associated with known risk factors
problem based - - health assessment limited to a specific problem or complaint
- commonly used in walk-in clinic or emergency
episodic - - health assessment following up with previously identified problem
- ongoing condition
- regular visits to the clinic
shift - - health assessment done each shift by nurse to determine changes from
baseline
screening - - health assessment focused on disease detection
, NSG 3133 Physical Assessment Exam 1
- health fair or provider's office
primary - - health promotion preventing disease from developing through promoting
health lifestyle
secondary - - health promotion screening efforts to promote early detection of
disease
tertiary - - health promotion minimizing severity and disability from disease through
appropriate therapy for chronic disease
clinical judgment - - an interpretation or conclusion about a patient's needs,
concerns, or health problems and/or the decision to take action (or not), use or modify
standard approaches, or improvise new ones as deemed appropriate by the patient's
response.
organize - - after collecting and documenting data, nurses _____ or cluster them so
the problems appear more clearly
-body system format
-conceptual format
pregnancy - - special emphasis on data that may impact _____ outcomes
techniques to enhance - - ______ __ ______the interview:
- active listening
- facilitation
- clarification
- reflection
- confrontation
health history - - a collection of subjective data that provides information about the
patient's current health status
physical examination - - a collection of objective data using a series of techniques
nursing process - - 1- assessment
2- diagnosis
3- planning
4- implementation
5- evaluation
plan of care - - 1- collect health history
2- perform physical examination
3- document data
4- analyze interpret data
5- develop treatment
signs - - objective data observed, felt, heard, or measured
symptoms - - subjective data perceived and reported by client
assessment - - when the nurse collects pertinent data and information relative to the
health care consumer's health
diagnosis - - when the nurse analyze the assessment data to determine actual or
potential diagnosis, problems, or issues
,NSG 3133 Physical Assessment Exam 1
planning - - when the nurse develops a plan that prescribes strategies to attain
expected, measurable outcomes
implementation - - when the nurse carries out identified plan; coordinates care
delivery
evaluation - - when the nurse assess progress toward attainment of goals and
outcomes
establish baseline - - why is documentation of data important?
comprehensive - - health assessment involving a detailed history and physical
examination at the onset of care
- health promotion
- disease prevention
- assessment for problems associated with known risk factors
problem based - - health assessment limited to a specific problem or complaint
- commonly used in walk-in clinic or emergency
episodic - - health assessment following up with previously identified problem
- ongoing condition
- regular visits to the clinic
shift - - health assessment done each shift by nurse to determine changes from
baseline
screening - - health assessment focused on disease detection
, NSG 3133 Physical Assessment Exam 1
- health fair or provider's office
primary - - health promotion preventing disease from developing through promoting
health lifestyle
secondary - - health promotion screening efforts to promote early detection of
disease
tertiary - - health promotion minimizing severity and disability from disease through
appropriate therapy for chronic disease
clinical judgment - - an interpretation or conclusion about a patient's needs,
concerns, or health problems and/or the decision to take action (or not), use or modify
standard approaches, or improvise new ones as deemed appropriate by the patient's
response.
organize - - after collecting and documenting data, nurses _____ or cluster them so
the problems appear more clearly
-body system format
-conceptual format
pregnancy - - special emphasis on data that may impact _____ outcomes
techniques to enhance - - ______ __ ______the interview:
- active listening
- facilitation
- clarification
- reflection
- confrontation
