Chapter 1: Evidence-Based Assessment (Vocab)

Question 1

The collection of data about an individual’s health state

Answer 1

Assessment

Question 2

The Western European/North American tradition that views health as the absence of disease

Answer 2

Biomedical Model

Question 3

A complete health history and full physical examination

Answer 3

Complete Database

Question 4

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 hypotheses
4. Evaluating each hypothesis with new data collected
5. Arriving at a final diagnosis

Answer 4

Diagnostic Reasoning

Question 5

Rapid collection of the database, often compiled concurrently with lifesaving measures

Answer 5

Emergency Database

Question 6

The total of all the conditions and elements that make up the surroundings and influence the development of a person

Answer 6

Environment

Question 7

A systematic approach emphasizing the best research evidence, the clinician’s experience, patient preferences and values, physical examination, and assessment

Answer 7

Evidence-based Practice

Question 8

Database used for a limited or short-term problem; concerns mainly one problem, one cue complex, or one body system

Answer 8

Focused Database

Question 9

Database used in all settings to monitor progress on short-term chronic health problems

Answer 9

Follow-Up Database

Question 10

The view that the mind, body, and spirit are interdependent and function as a whole within the environment

Answer 10

Holistic Health

Question 11

Used to evaluate the cause and etiology of disease; focus is on the function or malfunction of a specific organ system

Answer 11

Medical Diagnosis

Question 12

Used to evaluate the response of the whole person to actual or potential health problems

Answer 12

Nursing Diagnosis

Question 13

a method of collecting and analyzing clinical information with the following components:

1. Assessment
2. Diagnosis
3. Outcome Identification
4. Planning
5. Implementation
6. Evaluation

Answer 13

Nursing Process

Question 14

What the health profession observes by inspecting, palpating, percussing, and auscultating during the physical examination

Answer 14

Objective Data

Question 15

Any action directed toward promoting health and preventing the occurrence of disease

Answer 15

Prevention

Question 16

What the person says about himself or herself during history taking

Answer 16

Subjective Data

Question 17

A dynamic process and view of health; a move toward optimal functioning

Answer 17

Wellness