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NUR 2092 ( LATEST 2024 / 2025 ) HEALTH ASSESSMENT EXAM 1 MUSKUS 1 | A SOLVED 100% CORRECT
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NUR 2092 ( LATEST 2024 / 2025 ) HEALTH ASSESSMENT EXAM 1 MUSKUS 1 | A SOLVED 100% CORRECT
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NUR 2092 Health Assessment Exam 1 Muskus 11. 6 steps of nursing process
Answer
Assessment Diagnosis
Outcome identification Planning Implementation Evaluation
2. Assessment
Answer
Interview, health history, ROS, physical examination, functional assessment, spiritual and
cultural assessment
3. Subjective data
Answer
What patient SAYS
4. Objective data
Answer
What you OBSERVE
5. SMART component in outcome identification
Answer
Specific Measurable
Attainable Relevant Time bound
6. evidence-based assessement
-depends on all four factors
Answer
*Best evidence from a critical review of research literature
, *The patient's own preferences
*The clinician's own experience and expertise
*Physical examination and assessment.
7. Principles of setting priorities
Answer
1. Make a complete list of current medications, medical problems, allergies, and reasons for
seeking care. Refer to them frequently because they may affect how you set priorities.
2. Determine the relationships among the problems
Answer
If problem Y causes problem Z, problem Y takes priority over problem Z
Setting priorities is a dynamic, changing process; at times, the order of priority changes,
depending on the seriousness and relationship of the problems
8. Second level priority
Answer
requires attention to avoid further deterioration
metal status change, prior medical problems, acute pain, abnormal labs, risk of infection, subtle
difference
9. First level priority
-exception
Answer
Emergent situations, life threading and needs immediate attention
• Airway problems
• Breathing problems
• Cardiac/circulation problems
• Vital sign concerns (e.g., high fever)
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