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HEALTH ASSESSMENT > WEEK 1 > Flashcards

WEEK 1 Flashcards

1
Q

quoted “The very elements of nursing are all but unknown”

A

florence nightingale, 1859

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2
Q

is both A SCIENCE and AN ART that is concerned with the individual’s: Physical, Psychological, Sociological, Cultural, Spiritual

A

nursing

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3
Q

ESSENTIALS FEATURES OF THE NURSING PRACTICE

A

Full range of human experiences and responses to health and illness w/o restriction to a problem
focused orientation

Caring relationship that facilitates health and healing

Understanding and integration of objective data based on the client’s subjective experience

Knowledge for diagnosis and treatment

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4
Q

first step of the Nursing Process, The most important because it DIRECTS the rest of the process

A

Health assessment

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5
Q

“Combines the most desirable elements of the art of nursing with the most relevant elements of systems
theory, using the scientific method”

A

NURSING PROCESS, (shore, 1988)

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6
Q

This process incorporates an interactive/interpersonal approach with a problem solving and decision making process

A

nursing process, peplau 1952

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7
Q

nursing process is synonymous with the ___ approach

A

problem solving

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8
Q

gosh approach

A

goal oriented
organized
systemized
humanistic care

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9
Q

5 steps of the Nursing Process

A
  1. ASSESSMENT
  2. DIAGNOSIS
  3. PLANNING
  4. INTERVENTION
  5. EVALUATION
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10
Q

Systematic collection of data, The most important step, Sets the tone for the rest of the process, and the rest of the process flows from it, Identifies your patient’s strengths and limitations and is performed not just once, but continuously
throughout the nursing process

A

ASSESSMENT

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11
Q

Clinical judgment concerning a human response to health conditions / life processes, or
vulnerability for that response by an individual, family or community that the nurse is licensed and
competent to treat

A

diagnosis

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12
Q

s identifies an occurring health problem for your patient.

A

actual nursing diagnosis

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13
Q

identifies a high-risk health problem that most likely will
occur unless preventive measures are taken.

A

potential nursing diagnosis

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14
Q

one that needs further data to support it

A

possible nursing diagnosis

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15
Q

types of nursing diagnosis

A

problem focused
risk
health problem
syndrome

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16
Q

parts of nursing diagnosis

A

problem, etiology, signs and symptoms

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17
Q

Problem + Etiology + Signs and Symptoms

A

problem focused ND

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18
Q

Problem + Etiology

A

risk ND

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19
Q

problem only ND

A

health ND

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20
Q

Specific cluster of nursing diagnosis that occur together and have similar nursing
interventions to resolve the siyuation

A

syndrome ND

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21
Q

Observable assessment cues such as patient behavior, physical signs

A

defining characteristics

22
Q

Etiological cause or causative factor for diagnosis

A

etiology.related factor

23
Q

desired outcomes in the ADPIE, Appropriate interventions that Involves setting goals and outcomes, Individualized plan of care for your patient

A

planning

24
Q

Ordering of nursing diagnoses or patient problems using notions of urgency and
importance to establish a preferential order for nursing interventions

A

priority setting

25
Q

Broad statement that describes a desired change in a patient’s condition, perceptions or behavior

A

goals

26
Q

objective behavior or response that you expect a patient to achieve over a
longer period, usually over several days, weeks or months

A

long term goals

27
Q

objective behavior or response that you expect the patient to achieve in
short time usually few hours or less than a week

A

short term goals

28
Q

Defined as any treatment based on clinical judgment and knowledge that a nurse performs to
enhance patient outcomes, Putting the plan of care into action

A

intervention/implementation

29
Q

intervention approahces

A

direct
indirect

30
Q

intervention types

A

independent
dependent
collaborative

31
Q

Final step of the nursing process, crucial to determine if the patient’s condition improved or worsen after application of the first four steps of nursing process

A

evaluation

32
Q

CHARACTERISTICS OF THE NURSING PROCESS

A

Dynamic and cyclic
Patient centered
Goal directed
Flexible
Problem oriented
Cognitive
Action oriented
Interpersonal
Holistic
Systematic

33
Q

PURPOSES OF THE NURSING PROCESS

A

To identify a client’s health status; his Actual/Present and potential/possible health problems or
needs.

To establish a plan of care to meet identified needs.

To provide nursing interventions to meet those needs.

To provide an individualized, holistic, effective and efficient nursing care.

34
Q

s the deliberate and systematic collection of data to determine a
client’s current and past health status and functional status and to determine the client’s present and
coping patterns.

A

assessment (carpenito)

35
Q

a part of each activity the nurse does for and
with the patient.

A

assessment (afkinson and murray)

36
Q

four basic types of assessment are:

A

Initial comprehensive assessment
Ongoing or partial assessment
Focused or problem-oriented assessment
Emergency assessment

37
Q

Involves collection of subjective data about the client’s perception of his or her health of all body
parts or systems, past health history, family history, and lifestyle and health practices as well as objective data gathered
during a step-by-step physical examination.

A

initial comprehensive assessment

38
Q

Consists of data collection that occurs after the comprehensive database is established. This
consists of a mini-overview of the client’s body systems and holistic health patterns as a follow up on health status

A

ongoing or partial assessment

39
Q

t does not replace the comprehensive health
assessment. It is performed when a comprehensive database exists for a client who comes to the
health care agency with a specific health concern

A

focused/problem oriented assessment

40
Q

very rapid assessment performed in life-threatening situations. In such
situations

A

emergency assessment

41
Q

performs a focused assessment, and then incorporates
assessment findings with a multidisciplinary team to develop a comprehensive plan of
care

A

acute care nurse

42
Q

need enhanced assessment skills to safely assess
critically ill clients who are outside the structured intensive care environment

A

critical care outreach nurses

43
Q

assess and screen clients to determine the need for physician
referrals.

A

ambulatory care nuses

44
Q

make independent nursing diagnoses and referrals for collaborative
problems as needed.

A

home health nurses

45
Q

assess the needs of communities, school nurses monitor the
growth and health of children, and hospice nurses assess the needs of the terminally ill
clients and their families

A

public health nurse

46
Q

Nurses relied on their natural senses, palpation was used, f independent nursing practice using inspection, palpation, and auscultation

A

LATE 1800s–EARLY 1900s

47
Q

American Journal of Public Health documents routine client and home inspection by public
health nurses
This role of case finding, prevention of communicable diseases, and routine use of assessment
skills i

A

1930–1949

48
Q

Nurses were hired to conduct pre-employment health stories and physical examinations for major
companies, such as New York Telephone, from _____

A

1950–1969

49
Q

s prompted nurses to develop an active role in the provision of primary health
services and expanded the professional nurse role in conducting health histories and physical
and psychological assessments

A

1970–1989

50
Q
A

HEALTH ASSESSMENT (3 decks)

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