CH 1 Evidence-Based Assessment Flashcards
1
Q
Assessment
A
collection of data (findings) to assess patients state of health
2
Q
Subjective
A
how the patient views their own condition (‘unmeasurable’)
3
Q
Objective
A
information collected during assessment process (‘measurable’)
4
Q
Database
A
entire patient’s findings
5
Q
Diagnostic Reasoning
A
‘Nursing Gut’/ analyze all data and formulate conclusion to identify diagnosis
6
Q
Identify Immediate Priorites
A
First (highest) - URGENT
Ex. ABCs (airway, breathing, circulation)
Second - requires attention as to not become first
Ex. mental status change b/c of low ox levels
Third - important to address but not as urgent
(does not require life-saving measures at the time)
Ex. dementia
7
Q
4 Types of Patient Data
A
Complete Database (complete health history and full PE) Focused Database (history and PE targeted towards specific concern) Follow-up (check status of known issues and verify changes) Emergency (URGENT/collection of data in-line with necessary life-saving measures)