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Test bank for health assessment in nursing 7th seventh edition by weber kelley.
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Test bank for health assessment in nursing 7th seventh edition by weber kelley.
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Health Assessment Chapters 1,2,3, Weber Kelley Book1. What is the assessment role of the nurse in acute care?: Nurse performs
more focused assessment.
Then the nurse incorporates assessment findings with a multidisciplinary team to
develop a comprehensive plan of care.
2. What is the assessment role of the nurse in critical care?: They have
enhanced assessment skills to safely assess the critically ill clients who are
outside the structured intensive care environment.
3. What is the assessment role of the nurse in ambulatory care?: They assess
and screen patients to determine the need for physician referrals
4. What is the assessment role of the nurse in home health?: They make
independent nursing diagnosis and referrals for collaborative problems as
needed
5. What are the phases of the nursing process?: 1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
6. What Happens in Assessment?: Collecting subjective and objective data
7. What Happens During Diagnosis?: Analyzing subjective and objective data
to make a professional nursing judgement (nursing diagnosis, collaborative
problem, or referral)
8. What Happens During Planning?: Determining outcome criteria and
developing a plan
9. What Happens During Implementation?: Carrying out the plan
10. What Happens During Evaluation?: Assessing whether outcome criteria have
been met and revising the plan as necessary
11. A Comprehensive Health Assessment Consists of Both
__________________________________________________________________
_
: A health history and physical examination
12. What Is The Purpose of A Holistic Nursing Assessment?: The goal is to
collect holistic subjective and objective data to determine a client's overall level
of functioning in order to make a professional clinical judgement.
13. What Data Does The Nurse Collect ABout The Client In a Holistic Data
, Health Assessment Chapters 1,2,3, Weber Kelley Book
Collection?: 1. Physiologic
2. Psychological
3. Sociocultural
4. Developmental
5. Spiritual
14. What Are Considered to be Independent Factors That Affect a Person's
Level of Health?: 1. Mind
2. Body
3. Spirit
15. What Does The Nurse Focus on During the Physical Medical
Assessment?: The nurse focuses primarily on the client's physiologic
development status.
*The nurse in particular, focuses on how the client's health status affects Activities
of Daily Living (ADL) and how those ADL affect the client's health.
16. A Nursing Framework Helps to
__________________________________________________
and __________________________________________________________.:
Organize information
Promotes the collection of holistic data
17. The Assessment Phase of the Nursing Process Has Four Major Steps: 1.
Collection of subjective data
2. Collection of objective data
3. Validation of data
4. Documentation of data
*These steps tend to overlap
18. Subjective Data Is:: Sensations of symptoms, feelings, perceptions, desires,
preferences, beliefs, ideas, values, and personal information that can be elicited
and certified ONLY by the client
19. Major Areas Of Subjective Data Include:: 1. Biographical information
(name,age,religion, occupation)
2. History of present health concern: Physical symptoms related to each body part
of system
, Health Assessment Chapters 1,2,3, Weber Kelley Book
3. Personal health history
4. Family history
5. Health and Lifestyle Practices (Practices that put the client at risk, nutrition,
activity, relationships, cultural beliefs or practices, family structure and function,
community environment)
6. Review of Systems
20. The Examiner Directly Observes Objective Data That Includes:: 1. Physical
characteristics (skin color, posture)
2. Body functions (heart rate, respiratory rate)
3. Appearance (dress and hygiene)
4. Behavior (mood, effect)
5. Measurements (blood pressure, temperature, height, weight)
6. Results of Laboratory Testing (platelet count, x-ray findings)
21. Skills Needed to Obtain Objective Data Include:: 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
22. What Does Validating Assessment Data Ensure?: That the assessment
process is not ended before all relevant data have been collected, and helps to
prevent documentation of inaccurate data
23. Documentation of Assessment Data is an Important Step of Assessment
Because It: Forms the database for the entire nursing process and provides data
for all other members of the health care team
24. A Nursing Diagnosis is Defined As: A clinical judgement concerning a
human response to health conditions/life processes, or a vulnerability for that
response, by an individual, family, group, or community.
25. Data Analysis if THe Phase In Which THe Nurse: Examines and groups the
data collected to make nursing judgements.
*The end result of this data analysis portion of the nursing process is formulation of
nursing diagnoses, collaborative problems, and/or referrals.
26. What Are The Seven Steps of Data Analysis?: 1. Identify abnormal data and
strengths
2. Cluster the data
3. Draw inferences and identify problems
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