Ch. 1 and 3- Evidence Based Assessment/The Interview Flashcards
What is subjective data? (Synonyms)
Pt.’s statements, concerns, sensations.
What is objective data? (Signs)
Observable or Measurable
What are the steps of the Nursing Process?
- Assessment
- Diagnosis
- Outcome Identification
- Planning
- Implementation
- Evaluation
What are the four types of health assessments?
- Complete health assessment
- Episodic or problem-centered assessment
- Follow-up assessment
- Emergency assessment
What is a complete health assessment?
A complete health assessment is a detailed examination that typically includes a thorough health history and comprehensive head-to-toe physical exam.
What is a episodic or problem-centered assessment?
A focused assessment involves a history and examination that are limited to a specific problem or complaint
What is a follow-up assessment?
A follow-up assessment usually is performed when a patient is following up with a healthcare provider for a previously identified problem.
What is a emergency assessment?
During emergency procedures, a nurse is focused on rapidly identifying the root causes of concern for the patient and assessing the airway, breathing and circulation (ABCs) of the patient.
What does assessment mean?
The collection of data about a person’s health.
What does the concept of health include?
- Lifestyle behaviors
- Culture/values
- Family/Social Roles
- Self-care
- Behaviors
- Stressors
What type of view is the concept of health?
Holistic view.
When is the best chance to gain an understanding of the patient’s beliefs, concerns, and perception of their individual health state?
The interview.
What does the interview allow for?
Compilation of subjective data and initial awareness of objective data.
What establishes trust and builds a rapport?
The interview.
What two process are there in communication?
Sending and Receiving.
