NUR 3065 Health Assessment Across the Lifespan FINAL
EXAM 2024/2025 QUESTIONS AND ANSWERSD
STUDYGUIDE GRADED A+ (UCF)
5 Steps of Nursing Process
1. Assess
2. Diagnose
3. Plan
4. Implement
5. Evaluate
Benefits of the Nursing Process
-method for achieving scientifically based holistic and individualistic care
-systematic method for planning and providing care
-consistent language for nursing profession
-facilitates documentation of care
-emphasizes nurses' independence while promoting collaborative care with other health practitioners
Nursing process -->
nursing care plan
,NUR 3065 UNIVERSITY OF CENTRAL FLORIDA
Assessment (Definition and Goal)
-systematic, continuous collection, validation, analysis, and communication of patient data
-goal is to establish a complete database for problem identification and care planning
Assessment: Collecting Data
-collect data (assess level of health, inquire about risk factors, head-to-toe assessment, listen to
patient's comments and concerns, observe actions and reactions)
-identify patterns and test first impressions
-validate data
-organize and cluster data
-report and record data
-continuous update the database
Assessment Considerations
-introduce self, and purpose of interview
-environment should be comfortable and private
-ensure patient confidentiality
-allow adequate time
-provide for patient's needs before starting
-also ethnic, cultural, and spiritual considerations (biological variations, communication patterns, beliefs,
etc.)
Medical Model
,NUR 3065 UNIVERSITY OF CENTRAL FLORIDA
-primarily systems focused
-biomedical model
-regards disease as deviations from normal functioning
Nursing Diagnosis
-based on nursing knowledge and patient history
-developed from nursing perspective and separate from MD treatment plan
-identifies patient's needs
-diagnosis --> nursing plan of care
-describe patient problems that nurses can treat independently
Nursing Diagnosis Tasks
-interpret and analyze data
-identify patient strength and weaknesses
-formulate and validate nursing diagnoses
-develop prioritized list
-detect and refer signs and symptoms
Predict, Prevent, Manage and Promote
-in presence of known problems, predict the most common and dangerous complications, take action to
prevent them
-look for evidence of risk factors (aim to reduce/control)
-promote optimum function, independence, and well-being
, NUR 3065 UNIVERSITY OF CENTRAL FLORIDA
Medical vs. Nursing Diagnoses
-Medical: Cerebrovascular Attack (CVA/Stroke)
-Nursing: impaired verbal communication, risk for falls, interrupted family processes, powerlessness
Planning
-nurse determine what outcomes are important to resolve patient problems
-derived from nursing assessment and diagnosis
-measurable goals (can be short or long term)
-work with patient/family to prevent, reduce, or resolve problems
-mutually agreed upon
Planning Steps
-establish priorities
-write measurable goals/outcomes with/for client
-determine related nursing interventions/actions that are most likely to be beneficial
-choose nursing interventions
-set time frame
-develop evaluation strategy
Planning: Short-Term Goals
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