Chapter 1: Intro to Health Asses Flashcards

1
Q

Health assessment refers to

A

A systematic method of collecting and analyzing data for the purpose of planning patient-centered care.

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2
Q

When collecting health data you should take into account the patient’s…

A

age, gender, culture, ethnicity, physical, psychological, and socioeconomic status. Alao the patient’s strengths, weaknesses, health problems, and deficits. Lastly, the patient’s knowledge, motivation, support systems, coping ability, and preferences.

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3
Q

What are the six standards listed within the American Nurses Association’s Standards of Practice?

A

Assessment, diagnosis, outcome identification, planning, implementation, and evaluation.

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4
Q

What are the five core competencies identified by the institute of medicine?

A

Provide patient-centered care, work in interdisciplinary teams, use evidence-based practice, apply quality improvements, and use informatics.

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5
Q

Are symptoms objective or subjective?

A

Subjective

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6
Q

Are signs objective or subjective?

A

objective

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7
Q

How are you gathering objective data during a physical assessment?

A

Inspections, palpation, percussion, auscultation.

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8
Q

What objective data are you gathering during a physical assessment?

A

Height, weight, blood pressure, temperature, pule rate, respiratory rate, oxygen saturation

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9
Q

What is clinical manifestation?

A

a term used to describe the presenting signs and symptoms experienced by the patient.

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10
Q

Standards of Practice: Define Assessment

A

RN collects pertinent data/info relative to the consumer’s health or the situation.

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11
Q

Standards of Practice: Define Diagnosis

A

RN analyzes the assessment data to determine actual or potential Dx, problems, or issues.

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12
Q

Standards of Practice: Define Outcome Identification

A

RN identifies expected outcomes specifically for the health care consumer/situation

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13
Q

Standards of Practice: Define Planning

A

RN develops a plan that prescribes strategies to attain expected, measurable outcomes

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14
Q

Standards of Practice: Define Implementation

A

RN implements identified plan through COORDINATION OF CARE and HEALTH TEACHING AND HEALTH PROMOTION

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15
Q

Standards of Practice: Define Evaluation

A

RN evaluates progress toward attainment of goals and outcomes

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16
Q

5 steps to plan care?

A

Collect health history, perform phys exam, document data, analyze/interpret data, develop plan of care.

17
Q

What are the five types of health assesments?

A

Comprehensive, problem-based/focused, episodic/follow up, shift, screening

18
Q

Health Assessments: Comprehensive

A

Involves detailed hist and phys exam performed at onset of care (primary setting) or admission to hosp/long term care facility. Encompasses: health promotion, disease prevention, and assessment for problems associated with known risk factors, asses for age/gender specific

19
Q

Health Assessments: Problem-Based/Focused

A

Req hist and phys exam that is limited to a specific problem or complaint. Commonly used in walk-in clinics or emergency dpt, outpatient. Must also consider whether underlying health will impact issue at hand.

20
Q

Health Assessments: Episodic/Follow up

A

FUV w/ health care provider.

21
Q

Health Assessments: Shift

A

Assessments conducting by nurses each shift in a hospital environment. Assessment is usually focused around issue at hand

22
Q

Health Assessments: Screening

A

short exam focused on disease detect. performed at provider’s office as part of comp exam (BG screening, BP screening, cholesterol screening)

23
Q

How do nurses make judgments

A

Under an umbrella of context (nurse’s knowledge, experience, ethical perspective, and knowing the patient) a nurse interprets and reflects on info and goes between noticing and responding.