Database - totality of information available about the patient - subjective data - objective data - Pts medical records - lab studies
Purpose of assessment - make judgement or diagnosis
Diagnostic reasoning process of analyzing health data and drawing conclusions to identify diagnoses
4 componen...
NUR 245 Quiz 1 Questions and Solutions
Evidence ✅validates the importance of using the assessment techniques
Subjective Data ✅what the person says about himself or herself during history taking
Objective Data ✅what you as the health professional observe by inspecting,
percussing, palpating, and auscultating during the physical examination
Database ✅the patient's record and laboratory results
Diagnostic Reasoning ✅the process of analyzing health data and drawing conclusions
to identify diagnoses
Nursing Process ✅assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
Critical Thinking Skills ✅1. Identifying Assumptions
2. Identifying an organized and comprehensive approach
3. Validation
4. Distinguishing normal from abnormal
5. Making inferences
6. Clustering related cues
7. Distinguishing relevant from irrelevant
8. Recognizing inconsistencies
9. Identifying patterns
10. Identifying missing information
11. Promoting Health
12. Diagnosing actual and potential risk problems
13. Setting Priorities
14. Identifying patient centered expected outcomes
15. Determining specific interventions
16. Evaluating and correcting thinking
17. Determining a comprehensive plan
Nursing Diagnosis ✅clinical judgments about a person's response to an actual or
potential health state
First Level Priority Problems ✅those that are emergent, life threatening, and
immediate, such as establishing an airway or supporting breathing
Second Level Priority Problems ✅those that are next in urgency-- those requiring your
prompt intervention to forestall further deterioration
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