NUR 2092 Health Assessme nt Exam 1

NUR 2092 Health Assessme nt Exam 1 Assessment (Answer)- The collection of subjective and objective data about a patient's health Subjective data (Answer)- Information provided by the affected individual Objective data (Answer)- Information obtained by the health care provider through observation and inspecting, percussing, palpating, and auscultating during the physical examination Database (Answer)- Totality of information available about the patient, including subjective data, objective data, and the patient's medical record and laboratory studies Purpose of an assessment (Answer)- Make a judgement or diagnosis Diagnostic reasoning (Answer)- The process of analyzing health data and drawing conclusions to identify diagnoses Cues (Answer)- Pieces of information, signs, symptoms, or laboratory data Hypotheses (Answer)- Tentative explanations for a cue or a set cues and can serve as a basis for further investigation Steps of diagnostic reasoning (Answer)- 1. Attending to available cues

• Formulating hypothesis
• Gathering data
• Evaluating hypothesis

Steps of nursing process (Answer)-

• Assessment
• Diagnosis
• Outcome identification
• Planning
• Implementation
• Evaluation

Novice nurse (Answer)- Has no experience with specific patient populations and uses rules to guide performance Proficient nurse (Answer)- Understands a patient situation as a whole rather than as a list of tasks, attends to an assessment data pattern, and acts without consciously labeling it 1 / 2

Expert nurse (Answer)- Has an intuitive grasp of a clinical situation and zeroes in on the accurate solution Critical thinking (Answer)- The multidimensional thinking process needed for sound diagnostic reasoning and clinical judgment First-level priority problems (Answer)- Emergent, life-threatening, and immediate, such as establishing an airway or supporting breathing Second-level priority problems (Answer)- next in urgency; require prompt intervention to prevent deterioration, and may include a mental status change or acute pain, or abnormal laboratory values Third-level priority problems (Answer)- Important to the patient's health but can be addressed after more urgent health problems are addressed Collaborative problems (Answer)- Certain physiologic complications in which the approach to treatment involves multiple disciplines.Evidence-based practice (Answer)- Systematic approach to practice that uses the best evidence, the clinician's experience, and the patient's preferences and values to make decisions about care and treatment The four kinds of databases (Answer)-

• Complete
• Focused
• Follow-up database
• Emergency database

Complete database (Answer)- A complete health history and full physical examination, yielding the first diagnoses Focused database (Answer)- Used for a limited or short-term problem; smaller in scope and more targeted than the complete database Follow-up database (Answer)- Evaluates the status of any identified problem at regular intervals to follow up on short term or chronic health problems Emergency database (Answer)- Rapid collection of crucial data, which often occurs while performing life-saving measures Holistic health model (Answer)- Assesses the whole person because it views the mind, body, and spirit as interdependent and functioning as a whole within the environment. Health depends on all these factors working together

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