CHAPTER 1 - INTRODUCTION TO HEALTH ASSESSMENT

CHAPTER 1 - INTRODUCTION TO HEALTH ASSESSMENT Components of a Health Assessment - CORRECT ANSWER -1) Health History 2) Physical Examination 3) Documentation of Data Subjective Data - CORRECT ANSWER -- SYMPTOM - data comes from the patient - considered a primary source - ex: pain, itching, nausea Objective Data - CORRECT ANSWER -- SIGN - measurable data (feel, hear) - ex. rash, enlarged lymph nodes, swelling Standards of Nursing Practice - CORRECT ANSWER -1) Assessment 2) Diagnosis 3) Outcome Identification 4) Planning 5) Implementation 6) Evaluation Clinical Manifestations - CORRECT ANSWER -signs and symptoms Comprehensive Assessment - CORRECT ANSWER -- detailed history and physical exam - performed at onset of care - health promotion, disease prevention, assessment for problems associated with known risk factors or age and gender-specific health problems - primary care setting, on admission to hospital, or long-term care facility Problem-based/Focus Assessment - CORRECT ANSWER -- history and ph