Intro To Health Assessment Flashcards

1
Q

overview of what health assessment is

A
  • Data
    • Collection (objective and subjective)
    • Clinical Judgment
    • Evaluation
  • Comprehensive or Focused
  • Plan of Care (specific to them)
  • Health Record
  • Skills
  • Body Systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the nursing process and the steps (Exam)

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

basic skills of health assessment (Exam)

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

therapeutic communication in health assessment

A

verbal
nonverbal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ISBARR

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

assessment techniques for health assessment

A

inspection
auscultation
palpation
percussion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

documentation in health assessment

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

comprehensive versus focused assessment

A
  • 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)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

inspection
auscultation
palpation
percussion

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when would you auscultate before palpate

A

GI
- belly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly