CHAP 1 Flashcards
which type of assessment focuses primarily on the clients physiologic development status
Medical assessment
this assessment collects subjective and objective data to determine a clients overall functioning to make clinical judgement
Nursing assessment
what are the 5 phases of nursing process
Assessment
Diagnosis
Planning
Implementation
Evaluation
in this phase, the nurse collects subjective and objective data
Assessment
in this phase, the nurse generate solutions, develop a plan and determine which outcomes need to be met first
Planning
in this phase, the nurse analyzes subjective and objective data to make clinical judgements
Diagnosis
in this phase, the nurse takes action on the planned interventions
Implementation
in this phase the nurse assess whether outcomes have been met and revise plan if it did not
evaluation
this is the collection of subjective data about the client’s perception of health of all body parts or systems
Initial Comprehensive assessment
What consists the initial comprehensive assessment
past medical history & physical examination
Family history
Lifestyle and health practices
past surgery, allergies are under what
medical history
genetic conditions are under
family history
your diet, excercise and alcohol consuming is under
lifestyle and health practices
4 types of assesment
initial
ongoing or partial assessment
problem oriented assessment
emergency assessment
assessment of a particular client problem
Problem oriented assessment
this assessment consist of data collection that occurs after comprehensive data base is established
Ongoing/partial assessment
partial assessment is done when client first enters a health care facility
False. (partial ass occurs after comprehensive database is established. after client is admitted to health care facility.)
these are very rapid assessments performed in life threatening situations
emergency assessment
the assessment of the carotid pulse belongs on what type of assesment
Emergency assessment
A focused or problem-oriented assessment does not replace the comprehensive
health assessment. (T/F)
True
What are the 4 major steps of the assessment phase
Collection of Subjective data
Collection of Objective data
Validation of data
Documentation of data
past health history is what type of data
subjective
physical symptoms related to each body part is what type of data
subjective
biographical informations is what type of data
subjective
body functions is what type of data
objective
Nurses back then relied on what
Natural senses
what part of assessment occurs along with collection of subjective and objective data
Validation of assessment data
this is an important step of assessment because it forms the database for the entire nursing process and provides data
Documenting Data
diagnostic reasoning skills in data analysis is also called
Critical thinking
