HEALTH ASSESSMENT - INTRO - S2 Flashcards

1
Q
  • essential nursing function
  • helps identify clinical needs and problems
A

HEALTH ASSESSMENT

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2
Q

state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity (WHO, 1948)

A

HEALTH

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3
Q

collecting data about client’s health status

A

HEALTH ASSESSMENT

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4
Q

evaluation of health status by performing physical exam

A

ASSESSMENT

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5
Q

HEALTH HISTORY + PHYSICAL EXAMINATION =

A

HEALTH ASSESSMENT

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6
Q

a response of a person to a disease

A

ILLNESS

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7
Q

4 CLASSIFICATION OF ILLNESS

A
  • ACUTE
  • CHRONIC
  • TERMINAL
  • AGE-RELATED ILLNESS
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8
Q

collects holistic subj and obj data to determine a client’s overall level of functioning

A

HOLISTIC NURSING ASSESSMENT

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9
Q

focuses on client’s physiologic development status

A

PHYSICAL MEDICAL ASSESSMENT

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10
Q

corresponding to his state of health without discrimination within the limits of the resources

A

RIGHT TO APPROPRIATE MEDICAL CARE

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11
Q

right to clear, truthful and substantial explanation

A

RIGHT TO INFORMED CONSENT

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12
Q

EXAMPLES OF EXCEPTION OF INFORMED CONSENT

A
  1. Emergency cases of imminent risk of physical injury
  2. When the health population is dependent
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13
Q

informed consent shall be obtained

A

spouse
child of legal age
parents
bro/sis
guardian

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14
Q

privacy of the patient must be assured at all stages of his treatment

A

RIGHT TO PRIVACY AND CONFIDENTIALITY

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15
Q

in the course of treatment, the patient or his legal guardian has the right to be informed of the result of evaluation

A

RIGHT TO INFORMATION

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16
Q

free to choose medical practitioner that will serve him/her

A

RIGHT TO CHOOSE HEALTH CARE PROVIDER AND FACILITY

17
Q

right to avail himself of any recommended diagnostic and treatment

A

RIGHT TO SELF DETERMINATION

18
Q

right to refuse medical treatment/procedures which may be contrary to his religious beliefs

A

RIGHT TO RELIGIOUS BELIEFS

19
Q

entitle to a summary of his medical history and condition

A

RIGHT TO MEDICAL RECORDS

20
Q

right to leave the hospital

A

RIGHT TO LEAVE

21
Q

has the right to be advised if the health ace provider plans to involve him/her in medical research

A

RIGHT TO REFUSE PARTICIPATION IN MEDICAL RESEARCH

22
Q

right to communicate with relatives and other persons and to receive visitors

A

RIGHT TO CORRESPONDENCE AND TO RECEIVE VISITORS

23
Q

right to express complaints about the care and services

A

RIGHT TO EXPRESS GRIEVANCES

24
Q

duty of any health care institution to inform their patients of his right

A

RIGHT TO BE INFORMED OF HIS RIGHTS AND OBLIGATIONS AS A PATIENT

25
Q

5 PHASES OF NURSING PROCESS

A

ASSESSMENT, DIAGNOSIS, PLANNING, IMPLEMENTATION, EVALUATION

26
Q

collecting subj and obj data (COLLECTION)

A

ASSESSMENT

27
Q

analyzing subj and obj data to make nursing judgement (nursing diagnosis) (ANALYSIS)

A

DIAGNOSIS

28
Q

determining outcome criteria and developing a plan (PLAN SOLUTION)

A

PLANNING

29
Q

carrying out the plan (TAKE ACTIONS)

A

IMPLEMENTATION

30
Q

assessing whether outcome criteria have been met and revise plan if necessary (ASSESS OUTCOME)

A

EVALUATION

31
Q

2 comprehensive HA

A
  • HEALTH HISTORY
  • PHYSICAL EXAMINATION
32
Q

from patient (SYMPTOMS)

A

SUBJ

33
Q

seen by examiner (SIGNS)

A

OBJ

34
Q

4 TYPES OF HA

A

INITIAL COMPRE
ONGOING/PARTIAL
FOCUSED OR PROBLEM ORIENTED
EMERGENCY ASSESSMENT

35
Q

3 STEPS OF HA

A
  1. COLLECTION (SUBJ & OBJ)
  2. VALIDATION OF DATA COLLECTED
  3. DOCUMENTATION OF DATA