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Nurs 1220 Midterm Exam With Complete Solution
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Nurs 1220 Midterm Exam WithComplete Solution
3 Concepts of Health - ANSWER Biomedical model
• Health is absence of disease
• Behavioural model
• Treatment of disease + primary/secondary preventions
• Socioenvironmental model
• Incorporates sociological and environmental aspects
• Social determinants of health
( The social, economic, and political conditions that shape the
health of individuals, families, and communities)
3 levels of prevention - ANSWER • Primary prevention
• Secondary prevention
• Tertiary prevention
Role of nurses is to facilitate this achievement
through _____ - ANSWER up stream approach
Purpose of Health Assessment - ANSWER Obtain data
• Various sources - client, family, friends, caregivers
,• Factual
• Complete
Make clinical judgments or diagnoses
• Individual health state
• Determine response to actual health problems
• Identify risk factors
Clinical Reasoning Models - ANSWER • Diagnostic reasoning
• Nursing process
• Critical thinking
Diagnostic Reasoning - ANSWER The process of analyzing health data
First step is to gather assessment data
Critical Thinking Skills - Process Steps - ANSWER • Identifying assumptions
• Identifying an organized and
comprehensive approach
• Validation
• Distinguishing normal from abnormal
• Making inferences
• Clustering related cues
• Distinguishing relevant from irrelevant
• Recognizing inconsistencies
,• Identifying patterns
• Identifying missing information
• Promoting health
• Diagnosing actual and potential (risk)
problems
• Setting priorities
• Identifying patient-centred expected
outcomes
• Determining specific interventions
• Evaluating and revising thinking
• Determining a comprehensive plan
ABC - ANSWER airway breathing circulation
Critical Thinking and Priority Setting - ANSWER • First-level priority
problems
• Emergent, life-threatening, immediate
• Second level
• Urgent, necessitating prompt intervention
• Third level
• Important, addressed after more urgent problems
• Collaborative problems
, • Treatment involves multiple disciplines
Nursing process - ANSWER slide 32 week 1
Assessment in the Nursing Process - ANSWER Begins with a complete and
accurate health
assessment.
• A health history: subjective data
• What the person says
• A physical assessment: objective data
• What the health care provider observes
• Functional Assessment: objective and subjective
• What a person is able to do (self care) in carrying out activities of daily
living
(ADLs)
Therapeutic Communication and confidentiality is essential!
Frameworks for Physical Health Assessment - ANSWER Functional
assessment
• Focuses on the functional patterns that all humans share
• Head-to-toe assessment
• Most organized
• Body systems approach
• Promotes critical thinking
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