Nurs 125: Class 1 Health Assessment And The Nursin
Nurs 125: class 1 Health assessment and the nursin
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Nurs 125: class 1 Health assessment and the nursing process (Questions + Answers) Solved
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Nurs 125: class 1 Health assessment and the nursin
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Nurs 125: Class 1 Health Assessment And The Nursin
in what situation is each health assessment done? - ️️emergent: life threatening
situation, focuses on health history leading up to injury
Comprehensive: annual exam, health promotion and teaching, review medications,
admission to a hospital and surgery.
Focused: in a clinic setting when so...
Nurs 125: class 1 Health assessment
and the nursing process
in what situation is each health assessment done? - ✔️✔️emergent: life threatening
situation, focuses on health history leading up to injury
Comprehensive: annual exam, health promotion and teaching, review medications,
admission to a hospital and surgery.
Focused: in a clinic setting when someone has a cough, 1-2 body systems.
Health assessment directs the future care, so it must be... - ✔️✔️-complete
-accurate
-current
What are the 5 components of a health assessment? - ✔️✔️health history
physical exam
documentation of findings
data analysis
skillful interviewing and therapeutic communication
what does a complete physical exam include? - ✔️✔️review of all body systems and
regions
What does a focused physical exam include? - ✔️✔️1-2 body systems of concern
What are the 3 types of health assessment based on the situation status? -
✔️✔️emergent, comprehensive, and focused
What are the 5 steps in the nursing process? - ✔️✔️1. assessment
2. nursing diagnosis
3. planning
4. implementing
5. evaluating
What is the purpose of the health assessment? - ✔️✔️-give a baseline review of the
current health status
-identify patterns and trends
-it is the foundation for care planning
What is a nursing diagnosis? - ✔️✔️-An educated judgment about potential and health
related problems.
- identifies the problem and connects it to data in the health assessment.
, -Determine the focus of the care plan during the next steps in the nursing process.
How do we write a nursing diagnosis? PEA - ✔️✔️P: phrase problem: related to...
E: Etiology: as evidenced by...
A: Assessment: list data from physical exam to provide evidence.
What are SMART GOALS? - ✔️✔️Specific, Measurable, Achievable, Realistic, Timely
What steps are taken in the planning of care? - ✔️✔️1. determine the resources
available
2. select the intervention that is appropriate
3. know the patient's needs
4. Promote holistic care
5. communicate/walk through the plan of care with the patient
What are the steps taken in the intervention process? - ✔️✔️1. plan is in action
2. monitor the patient's needs such as if they need new dressings
What is clinical reasoning? - ✔️✔️1. how nurses form clinical judgment
2. process of generating alternatives and weighing them against evidence, choosing the
most appropriate options.
What is clinical judgment? - ✔️✔️1. knowing what the patient's needs are and their
concerns
2. know if intervention is needed
3. decide an approach
When does the general survey begin? - ✔️✔️the first interaction with the patient, in the
health history, and up until the whole assessment is over.
What do we observe in a general survey? - ✔️✔️physical appearance, behaviour,
mobility, their overall impression, etc.
how do we prepare for a physical exam? - ✔️✔️We gather all necessary equipment
and papers. We introduce ourselves and explain the procedure. We perform hand
hygiene and cover the patient as much as possible to avoid discomfort. We also ensure
their is appropriate lighting and the environment is quiet and relaxing.
What is the first step of the physical exam? - ✔️✔️Inspection: adequate exposure of
the body part to be assessed.
What is the technique called when we are assessing the patient through touch? -
✔️✔️palpation
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