Assessment - ANSWER Collection of data about an individual's health state
What is the purpose of an assessment? - ANSWER To give the HCP the
information needed to make a judgement or diagnosis on the basis of data
from various sources
Subjective data - ANSWER What the person says about him/herself (data
elicited or verified by the patient) & health history
Objective data - ANSWER What is observed by the healthcare provider by
inspecting, percussing (to gentely , palpating and auscultating (listening to
the internal sounds of the body) during the physical exam
What is the role of the nurse in a health assessment? - ANSWER To collect
information and make a judgement
What are the six parts of the nursing process - ANSWER 1. Assessment 2.
Diagnosis 3. Outcome identification 5. Planning 5. Implementation 6.
Evaluation
What some components of a patients health history? - ANSWER Biographical
data, reason for seeking care, present/past health or history of present
illness, family history, functional assessment or ADLs
List the information that is collected in a persons biographical data. -
ANSWER Age
, DOB
Sex
Marital status
Address
Phone #
Name
Race
Ethnic Origin
Occupation
What are some reasons for a patient to seek care? - ANSWER They are
experiencing signs and symptoms.
Signs - Something quantifiable through a lab test or something that is
visually seen by the health care provider
Symptoms - Subjective, a irmeasurable sensation experienced by the patient
When collecting subjective data what are some of the symptomatic
characteristics the HCP are assesing? - ANSWER Character or quality
Location
Timing
Setting
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