Nursing Assesment Exam 1 Flashcards

1
Q

What is Health Assessment?

A

The process of gathering, verifying, analyzing, communicating data about a patient

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2
Q

Purpose of a Health Assessment

A

To establish a database about the patient’s level of wellness, health practices, past illness, related experiences, health care goals
Basis for the patient’s individualized plan of care

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3
Q

Complete or comprehensive data

A

Total health data base- includes complete health history, full physical examination, laboratory and diagnostic test results, documentation of data. Describes current and past health state and forms baseline to measure all future changes, yields first diagnoses

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4
Q

Episodic or focused data

A

Problem-centered data base. For mimited or short-term problem, collect “mini” data base, smaller scope and more focused than complete data base, concerns mainly one problem, one cue complex, or one body system;History and exam follow direction of presenting concern:acute or chronic onset, as located with fever, local or generalized

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5
Q

followup database

A

Status of all identified problems should be evaluated at regular and appropriate intervals, note changes that have occurred , evaluate whether problem is getting better or worse, identity coping strategies being used.

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6
Q

Emergency data base

A

Rapid collection of data, often compiled concurrently with life saving measures, diagnosis must be swift and sure: person is questioned simultaneously while his or her airway, breathing, circulation, level of consciousness and disability are being assessed

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7
Q

Nursing Process

A

Assessment, diagnosis, outcome identification, planning, implementation, Evaluation

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8
Q

Collect data

A

Review of clinical record, interview, health history, physical exam, functional assessment, cultural and spiritual assessment, consultation, review of the literature

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9
Q

three levels of health promotion

A

Primary, secondary and Tertiary

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10
Q

Primary

A

Preventing disease from developing through promoting healthy lifestyle

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11
Q

secondary

A

Screening efforts to promote early detection of disease

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12
Q

tertiary

A

Treating to minimize disability from acute or chronic illness or injury and allowing for most productive life within limitations

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13
Q

Critical thinking

A

disciplined thinking that is clear, rational, open-minded and informed by evidence

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14
Q

critical thinking components

A

Scientific knowledge base, experience, competencies, attitudes, standards.

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