Intro To Health Assessment

Question 1

overview of what health assessment is

Answer 1

• Data
  
  • Collection (objective and subjective)
  • Clinical Judgment
  • Evaluation
• Comprehensive or Focused
• Plan of Care (specific to them)
• Health Record
• Skills
• Body Systems

Question 2

what is the nursing process and the steps (Exam)

Answer 2

Problem-Solving Approach
* Steps
* Assessment
* Analysis/Diagnosis
* Planning
* Implementation
* Evaluation
Scope of Practice Variations

Question 3

basic skills of health assessment (Exam)

Answer 3

• Ethical Principles
  
  • Nonmaleficence - cause no harm
  • Beneficence - promote the best for the patient
  • Autonomy - right to self-decision
  • Justice - fairness for all
  • Confidentiality - respecting right and maintaining privacy
• Safety
• Infection Control
• Privacy
• Mandated Reporting
• Communication skills
• Personal factors

Question 4

therapeutic communication in health assessment

Answer 4

verbal
nonverbal

Question 5

ISBARR

Answer 5

Identify (self and patient)
situation
background
assessment
recommendations
read-back orders

Question 6

assessment techniques for health assessment

Answer 6

inspection
auscultation
palpation
percussion

Question 7

documentation in health assessment

Answer 7

General Principles
* what needs to be documented?
* Electronic Records
* Paper Records
* Try to do it in “real-time”

Question 8

comprehensive versus focused assessment

Answer 8

• comprehensive is of the whole body
• focused is likely just what is important to that specific person
  (laboring mom, post surgery, person in the ER)

Question 9

inspection
auscultation
palpation
percussion

Answer 9

inspection - looking
auscultation - listening to body sounds, often with the stethoscope
palpation - examination using the hands and fingers
percussion - striking or tapping and listening to the sounds produced

Question 10

when would you auscultate before palpate

Answer 10

GI
- belly