Introduction To Health Assessment

Question 1

• a relative state in which a person is able to live to his or her potential and includes the “7 facets”
• sum of these facets and is not solely defined as the absence of disease or eating right, but rather by the contribution of all dimensions.

Answer 1

Health

Question 2

7 facets of health

Answer 2

• Physical health
• Emotional health
• Social well-being
• Cultural influences
• Spiritual influences
• Environmental influences
• Developmental level

Question 3

how the body works and adapts

Answer 3

Physical health

Question 4

positive outlook and emotions channeled in a healthy manner

Answer 4

Emotional health

Question 5

supportive relationships with family and friends

Answer 5

Social well-being

Question 6

favorable connections to promote health

Answer 6

Cultural influences

Question 7

living peacefully, morally, and ethically

Answer 7

Spiritual influences

Question 8

favorable conditions to promote health

Answer 8

Environmental influences

Question 9

how one thinks, solves problems, and makes decisions

Answer 9

Developmental level

Question 10

• entails both a comprehensive health history and a complete physical examination, which are used to evaluate the health and status of a person.
• involves a systematic data collection that provides information to facilitate a plan to deliver the best care for the patient.
• to determine the patient’s health status, risk factors, and need for education as a basis for developing a nursing plan of care.

Answer 10

health assessment

Question 11

• the first part of the health assessment
• incorporates the “7 facets”
• The nurse asks pertinent questions to gather data from the patient and/or family
• Past medical records may also be used to collect additional information.
• Learning about the patient’s physical and psychological issues, social and cultural associations, environment, developmental level, and spiritual beliefs contribute to the history.

Answer 11

health history

Question 12

• The second component of the health assessment
• The nurse uses a structured head-to-toe examination to identify changes in the patient’s body systems.
• An unusual or abnormal finding may support the history data or trigger additional questions.

Answer 12

physical examination.

Question 13

• the ability of the nurse to extrapolate the findings, prioritize them, and finally formulate and implement the plan of care is the overall goal
• to identify patient problems; set a goal and develop an action plan; implement the plan; and evaluate the outcome.

Answer 13

The nursing process

Question 14

The NURSING PROCESS steps

Answer 14

Assessment
Diagnosis
Planning
Implementation
Evaluation

Question 15

• it is the first step of the nursing process
• It is the subjective and objective data gathered during the initial health history and physical examination and collected on each patient encounter.

Answer 15

Assessment

Question 16

• has a nursing focus and is based on real or potential health problems or human responses to health problems.
• The nurse uses clinical reasoning to formulate diagnoses based on the assessment data and the patient’s problem list.

Answer 16

Diagnosis

Question 17

is devising the best course of action to address the patient’s diagnoses
- During this, the nurse and patient select goals for each diagnosis in order to alleviate, decrease, or prevent the problems addressed in the nursing diagnosis.

Answer 17

Planning

Question 18

• can be completed by the patient, the family, or members of the health care team
• The interventions should clearly relate to the nursing diagnosis and the planned goals.

Answer 18

Implementation

Question 19

• is a continuing process to determine if the goals have been attained
• The nursing care plan is revised based on the patient’s condition and whether the goals are realistic or appropriate for the patient.

Answer 19

Evaluation

Question 20

The admission of a new patient to a clinic, hospital, long-term care facility, or visiting nurse agency usually requires a ________

Answer 20

comprehensive health assessment

Question 21

where the nurse focuses on gathering information about the patient’s problem

Answer 21

focused or problem-oriented assessment

Question 22

a form of a focused assessment.

Answer 22

follow-up history

Question 23

is the data collection which focused on the patient’s emergent problem with a systematic prioritization of need beginning with the ABCs of airway, breathing, and circulation.

Answer 23

emergency history