CH 1 Evidence-Based Assessment Flashcards

1
Q

Assessment

A

collection of data (findings) to assess patients state of health

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2
Q

Subjective

A

how the patient views their own condition (‘unmeasurable’)

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3
Q

Objective

A

information collected during assessment process (‘measurable’)

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4
Q

Database

A

entire patient’s findings

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5
Q

Diagnostic Reasoning

A

‘Nursing Gut’/ analyze all data and formulate conclusion to identify diagnosis

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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

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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)
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