Holistic Assessments

Question 1

Define holistic care

Answer 1

A nursing approach that considers the biological, psychological, social and spiritual component of health. Caring for the whole person rather than just the clinical diagnoses.

Question 2

What is the NMCs model of the holistic approach (Includes 7 parts)

Answer 2

• Biological
• Behavioural
• Psychological
• Cognitive
• Social
• Spiritual
• Wider determinants

Question 3

What is the definition of person- centered care?

Answer 3

A collaborate approach that involves both health professionals and the patient to make care decisions that are in line with patients values.

Question 4

What are the stages of the nursing process?

Answer 4

Assessment
Diagnoses (nursing)
Planning
Intevention
Evaluation

Question 5

To ensure success in the “Assessment” section of the nursing process, what must the nurse do?

Answer 5

• Utilise clinical judgement
• Use assessment tools
• Build relationships
• Gather information

Question 6

What are Roper, Logan and Tierney 12 activities of daily living (ADLs)?

Answer 6

• Maintaining a safe environment
• Communicating
• Breathing
• Eating and drinking
• Controlling body temperature
• Washing and dressing
• Working and playing
• Mobilising
• Eliminating
• Expressing sexuality
• Sleeping
• Dying

Question 7

In roper, Logan Tierney’s Model of Nursing, what are the influencing factors?

Answer 7

• Physical
• Psychological
• Sociocultural
• Environmental
  -Policitco- economic

Question 8

In Roper, Logan and Tierneys Model of Nursing, what is the dependence/ independence continuum?

Answer 8

A scale used to assess people’s ability to complete their ADLs, which in turn informs the holistic assessment.

Question 9

Regarding Spirituality, what does FICA mean?

Answer 9

• Faith
• Importance/ Influence
• Community
• Address

Question 10

Give an example of a patient population that may experience a higher spirituality demands

Answer 10

• End of life
• Elderly patients
• Terminal Diagnoses (palliative)

Question 11

List three ways a nurse can gather information about patients

Answer 11

• Talking
• Observations
• Smelling
• Listening
• Looking
• Touching
• Family
• Notes
• MDT

Question 12

What is OBJECTIVE data?

Answer 12

Data that is measured through observation, diagnostic testing or physical examination.

Question 13

What is SUBJECTIVE data?

Answer 13

Secondary source of information: What the patient, person and or MDT state.

Question 14

List three common assessment tools the nurse may use?

Answer 14

• NEWS2/ PEWS
• Waterloo
• Patient handling assessment
• MUST
• Falls risk assessment tool
• Pain scale/ Wong-Baker Faces Scale
• Bed rail assessment
• Bristol Stool Chatt