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HA 1st long exam > unit 1a > Flashcards

unit 1a Flashcards

1
Q

the first and most critical step of the nursing process and accuracy of assessment data affects all other phases of the nursing process.

A

Assessment

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2
Q

phases of the nursing process

A

assessment diagnosis planning implementation evaluation

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3
Q

Collecting subjective & objective data

A

Assessment

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4
Q

Analyzing subjective & objective data to make a professional judgment

A

diagnosis

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5
Q

Determining outcome criteria & developing a plan

A

planning

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6
Q

Carrying out the plan

A

implementation

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7
Q

Assessing whether outcome criteria have been met & revising the plan as necessary

A

evaluation

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8
Q

the gathering of information about a patient’s physiological, psychological, sociocultural, developmental & spiritual status

A

assessment

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9
Q

Purpose: to collect subjective & objective data to determine a client’s overall level of functioning in order to make a professional clinical judgment

A

assessment

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10
Q

basic types of assessment

A
  1. Initial Comprehensive Assessment
  2. Ongoing or Partial Assessment
  3. Focused or Problem - Oriented Assessment
  4. Emergency Assessment
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11
Q

collection of subjective data about the client’s perception of ALL body parts or systems, past health hx, family hx & lifestyle & heath practices plus gathering of objective data during a step-by-step physical examination

A

Initial Comprehensive Assessment

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12
Q

data collection after comprehensive assessment

A

Ongoing or Partial Assessment

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13
Q

any problems that were initially detected in the client’s body system are reassessed in less-depth to determine any major
changes from the baseline data

A

Ongoing or Partial Assessment

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14
Q

thorough assessment of a particular client problem & does not cover areas not related to the problem

A

Focused Or Problem - Oriented Assessment

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15
Q

Very rapid assessment performed in life threatening situations (e.g. choking. drowning)

A

Emergency Assessment

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16
Q

an immediate diagnosis is needed to provide prompt treatment

A

Emergency Assessment

17
Q

FOUR (4) MAJOR STEPS OF HEALTH ASSESSMENT

A

Collection of Subjective Data
Collection of Objective Data
Validation of Data
Documentation of Data

18
Q

data which include sensations or symptoms, feelings, perceptions desires, preferences, beliefs, ideas, values & personal information that can be elicited & verified ONLY by the client

A

COLLECTING SUBJECTIVE DATA

19
Q

Method used to obtain data: client interview

A

COLLECTING SUBJECTIVE DATA

20
Q

Major areas of subjective data:

A

a. Biographical information
b. Physical symptoms related to each body part or system c. Past health history
d. Family history
e. Health & lifestyle practices

21
Q

Includes data:
 directly obtained by the nurse / examiner through observation
& PE
 observed by family or SOs about the client
 from client’s health record

A

COLLECTING OBJECTIVE DATA

22
Q

Major areas of objective data

A

a. physical characteristics (e.g. skin color & posture) b. body functions (e.g. HR, RR)
c. appearance
d. behavior
e. measurements (e.g. ht, wt) f. laboratory results

23
Q

collection of subjective data about the client’s perception of ALL body parts or systems, past health hx, family hx & lifestyle & heath practices plus gathering of objective data during a step-by-step physical examination

A

Initial Comprehensive Assessment

24
Q

data collection after comprehensive assessment

A

Ongoing or Partial Assessment

25
Q

Gathering information (e.g. biographical data such as age, sex, religion, occupation & important documented information) before actually meeting the client

A

PREPARING FOR THE ASSESSMENT

26
Q

the process of confirming or verifying that the subjective data & objective data you have gathered are reliable & accurate as well as complete

A

VALIDATION OF DATA

27
Q

Methods of Validation

A

a. recheck your own data
b. clarify data w the client (ask additional questions)
c. verify w another healthcare professional
d. compare objective from subjective findings

28
Q

primary reason: to provide the HC team w/a database that becomes the foundation of care for the client helps to identify health problems, formulate nursing diagnoses & plan

A

DOCUMENTATION OF DATA

29
Q

Assessment integral part of nursing ever since the days of Nightingale

A

Past

30
Q

Nurses relied on their natural senses

A

past

31
Q

Role of nurses in health assessment more prevalent today

A

present

32
Q

Role of nurses in health assessment more prevalent today

A

present

33
Q

increased specialization & diversity of assessment skills

A

future

34
Q

Nurses roles to vastly grow w nurses who have strong
assessment & client teaching abilities

A

future

HA 1st long exam (5 decks)

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