Introduction to Health Assessment Flashcards
1
Q
what are the 7 principles of health assessment
A
- accurate
- systematic
- respect for person
- developmental stage
- physical, cognitive, psychosocial, behavioural
- database
- factual and complete
2
Q
subjective data
A
- what the PATIENT SAYS about themselves during the health history and symptom analysis
3
Q
objective data
A
- what the HEALTH CARE PROVIDER OBSERVES and measures during inspection, palpation, percussion and auscultation during physical examination
4
Q
What are the 5 steps in the nursing process
A
- assessment
- nursing diagnosis
- planning
- implementation
- evaluation
5
Q
assessment
A
- collect data
- organize data
- validate data
- document data
6
Q
nursing diagnosis
A
- analyze data
- identify health problems, risks, and strengths
- formulate diagnostic statements
7
Q
planning
A
- prioritize problems and diagnoses
- formulate goals and designed health outcomes
- identify nursing intervensions
8
Q
implementation
A
- reassess the patient
- determine the nurses need for assistance
- implement nursing interventions
- supervise delegated care
- document nursing activities
9
Q
evaluation
A
- collect data related to outcomes
- complete data with outcomes
- relate nursing actions to patient goals and outcomes
- draw conclusions about problem status
- continue, modify, or end the patients care plan
10
Q
complete / comprehensive health assessment
A
- health history, physical examination, and database
11
Q
episodic / problem centered health assessment
A
- short term
- system focused
12
Q
follow up health assessment
A
- identified problems evaluated at regular intervals
12
Q
emergency health assessment
A
- rapid data collection
- life saving measures
- ABC’s
13
Q
first level client status
A
priority problems
- emergent, life-threatening, immediate
14
Q
second level client status
A
- urgent, necessitating prompt intervention
