Module 01: Data Analysis and Assessment (Part 02) Flashcards
According to this, a nurse’s scope of practice puts emphasis on diagnosis and treatment of human responses based on accurate client assessments.
American Nurses Association, 2010
According to the American Nurses Association, 2010, a nurse’s scope of practice puts emphasis on diagnosis and treatment of human responses based on this.
Accurate Client Assessments
What is standard 1 under the American Nurses Association, 2010 anent the role of nurses in health assessment
Collects comprehensive data pertinent to the patient’s health or situation
What falls under standard 1 under the American Nurses Association, 2010 anent the role of nurses in health assessment?
(1) Collects data in a systematic and ongoing process
(2) Involves the patient, family and other health care providers and environment in holistic data collection
(3) Prioritizes data collection activities based on immediate condition, or anticipated needs
(4) Uses appropriate evidence-based assessment techniques and instruments
(5) Uses analytical models and problem-solving tools
(6) Synthesizes available data, information and knowledge relevant to the situation to identify patterns
(7) Documents relevant data in a retrievable format
What falls under standard 2 under the American Nurses Association, 2010 anent the role of nurses in health assessment?
Analyzes the assessment data to determine diagnoses or issues
What falls under standard 2 under the American Nurses Association, 2010 anent the role of nurses in health assessment?
(1) Derives the diagnosis based on assessment data
(2) Validates the diagnoses or issues with the client, family or health care providers
(3) Document diagnoses or issues to facilitate determination of outcomes and plans
What is the most marketable nurses?
The most marketable nurses will continue to be those with STRONG ASSESSMENT and CLIENT TEACHING ABILITIES as well as those who are TECHNOLOGICALLY SAVVY
What are the trends?
(1) Increased focus on primary care
(2) Increasing complexity of acute care
(3) Growing aging population
(4) Intensifying mental health issues
(5) Expanding service networks
What is the purpose of health assessment in nursing?
The purpose of nursing assessment differs greatly from that of a medical or other type of health care assessment
PURPOSE: collect HOLISTIC. Subjective and objective data to determine OVERALL LEVEL OF FUNCTIONING in order to make a PROFESSIONAL CLINICAL JUDGMENT a
What should the nurse do during health assessment?
The nurse collects physiologic, psychological, sociocultural, developmental and spiritual data about the client
This is used to organize information and promote the collection of holistic data
Framework
What are the generic sections under the nursing framework?
(1) History of Present Health Concern
(2) Personal Health History
(3) Family History
(4) Lifestyle and Health Practices
What are the four (4) types of health assessment?
(1) Initial Comprehensive Assessment
(2) Ongoing/ Partial Assessment
(3) Focused/Problem-Oriented Assessment
(4) Emergency Assessment
What does Initial Comprehensive Assessment include?
(1) Subjective data about client’s perception of health
(2) Past health history
(3) Family history, lifestyle and health practices
(4) Objective data gathered from Physical Examination
This is the health assessment is needed when the client FIRST enters a health care system and periodically thereafter.
Initial Comprehensive Assessment
Initial Comprehensive Assessment depends on what?
(1) Age
(2) Risk Factors
(3) Health Status
(4) Health Promotion
(5) Lifestyle
This consists of data collection that occurs after the comprehensive database is established. This is also known as a mini overview of the client’s body systems and holistic patterns as a follow-up on health status
Ongoing or Partial Assessment
This is also known as the reassessment of health problems detected to determine changes and detect any new problems and is also performed whenever the nurse encounters a client
Ongoing or Partial Assessment
Ongoing or Partial Assessment is determined by what?
The acuity of the client
This is performed when a comprehensive database exists for a client who comes to a healthcare facility with specific health concern.
Focused or Problem Oriented Assessment
This consists of thorough assessment of a particular client problem and does not address areas not related to the problem
Focused or Problem Oriented Assessment
This is very rapid assessment performed in life-threatening situations to provide prompt treatment and is used to determine the status of the client’s life-sustaining physical functions.
Emergency Assessment
