Chapter 1 Flashcards
According to the holistic model, a narrow definition of holistic health includes:
the absence of disease.
What type of database is most appropriate when rapid collection of data is required and often compiled concurrently with lifesaving measures?
Emergency
A medical diagnosis is used to evaluate:
the cause of disease.
An example of subjective data is:
left knee has been swollen and hot for the past 3 days.
What type of database is most appropriate for an individual who is admitted to a long-term care facility?
Complete
Which of the following is an example of objective data?
Alert and oriented
An example of objective data is:
crepitation in the left knee joint
A nursing diagnosis is best described as:
a concise statement of actual or potential health concerns or level of wellness.
A complete database is
used to perform a thorough or comprehensive health history and physical examination.
A patient admitted to the hospital with asthma has the following problems identified based on an admission health history and physical assessment. Which problem is a first-level priority?
Impaired gas exchange
The concept of health and healing has evolved in recent years. Which is the best description of health?
Health depends on an interaction of mind, body, and spirit within the environment
Which would be included in the database for a new patient admission to a surgical unit
All subjective and objective, and data gathered from a patient and the results of any laboratory or diagnostic studies completed
You are reviewing assessment data of a 45 y/o male patient and note pain of 8 on a scale of 10, labored breathing, and pale skin color on the electronic health record. This documentation is an example of
data cluster
A patient is in the emergency department with nausea and vomiting. What would you include in the database
A diet and GI history
A patient has recently received health insurance and would like to know how often he should visit the provider. How do you respond
“your visits may vary depending on your level of wellness
You are reviewing concepts related to steps in the nursing process for determining prioritization and developing patient outcomes. To what are these actions attributed?
planning
Which describes evidence-based nursing practice
Combining clinical expertise with the use of nursing research to provide the best care for patients while considering the patients values and circumstances
What can be determined when the nurse clusters data as part of the critical thinking process
the nurse recognizes relevant info among the data
A patient says she is very nervous and nauseated, and feels like she will vomit. This data would be what type of data?
subjective
The expert nurse differs from the novice nurse by acting without consciously thinking about the actions. This is referred to as
intuition
Which would be considered a risk diagnosis
Identify potential problems the individual may develop
Which would be included in a holistic model of assessment
a patients perception of his or her health status
The nurse uses health promotion activities with a new patient. What would this focus include
The nurse would empower the patient to choose a healthier lifestyle
2-x5-cm scar present on the right lower forearm is an example of what kind of data
objective
During the evaluation phase of the nursing process, which action would be included
providing info to the patient and family members
Assessment
The collection of data about an individuals health state
Biomedical model
the Western European/ North American tradition that views health as the absence of disease
Complete database
a complete health history and full physical exam
Critical thinking
simultaneously problem solving while self-improving ones own thinking ability
Diagnostic reasoning
a method of collecting and analyzing clinical info with the following components: 1. attending to initially available cues 2. formulating diagnostic hypotheses 3. gathering data relative to the tentative hypothesis 4. evaluating each hypothesis with the new data collected and 5. arriving at a final diagnosis
Emergency database
rapid collection of the database, often compiled concurrently with lifesaving measures
Environment
the total of all the conditions and elements that make up the surroundings and influence the development of a person
EBP
a systematic approach emphasizing the best research evidence, the clinicians experience, patient preferences and values, physical exam, and assessment
Focused database
used for a limited or short-term problem, concerns mainly one problem, one cue complex, or one body system
F/u database
used in all settings to monitor progress of short-term or chronic health problems
holistic database
the view that the mind, body, and spirit are interdependent and function as a whole within the environment
medical diagnosis
used to evaluate the cause and etiology of disease; focus is on the function or malfunction of a specific organ system
nursing diagnosis
used to evaluate the response of the whole person to actual or potential health problems
objective data
what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical exam
prevention
any action directed toward promoting health and preventing the occurrence of disease
subjective data
what the person says about himself or herself during history taking
wellness
a dynamic process and view of health, a move toward optimal functioning
