Podcast
Questions and Answers
In which setting would a physician typically conduct a complete physical examination upon a client's admission?
In which setting would a physician typically conduct a complete physical examination upon a client's admission?
- Doctor's Office
- Community Clinic
- Home
- Hospital (correct)
What is the primary purpose of an ongoing or partial assessment?
What is the primary purpose of an ongoing or partial assessment?
- To establish a baseline of the client's health status.
- To identify new health concerns.
- To collect subjective data only.
- To monitor changes in the client's health status since the initial assessment. (correct)
What type of data refers to the client's perception of their own health?
What type of data refers to the client's perception of their own health?
- Anthropometric data
- Functional data
- Objective data
- Subjective data (correct)
Which of these professionals is NOT typically involved in data collection during a comprehensive assessment?
Which of these professionals is NOT typically involved in data collection during a comprehensive assessment?
What type of data is collected during a musculoskeletal examination?
What type of data is collected during a musculoskeletal examination?
How frequently comprehensive assessments are conducted depends on:
How frequently comprehensive assessments are conducted depends on:
What kind of data is represented by a patient's blood pressure reading?
What kind of data is represented by a patient's blood pressure reading?
What is the main goal of gathering baseline data during the initial assessment?
What is the main goal of gathering baseline data during the initial assessment?
Which of the following is NOT a correct type of Nursing Diagnosis?
Which of the following is NOT a correct type of Nursing Diagnosis?
What is the main purpose of the Assessment step in the nursing process?
What is the main purpose of the Assessment step in the nursing process?
A patient has a surgical incision. What type of nursing diagnosis would be most appropriate for this situation?
A patient has a surgical incision. What type of nursing diagnosis would be most appropriate for this situation?
What is the difference between a possible nursing diagnosis and a potential nursing diagnosis?
What is the difference between a possible nursing diagnosis and a potential nursing diagnosis?
What is the purpose of Intervention in the nursing process?
What is the purpose of Intervention in the nursing process?
What was a key development in nursing roles in the last 20 years?
What was a key development in nursing roles in the last 20 years?
What are critical pathways or care maps primarily used for?
What are critical pathways or care maps primarily used for?
How is the physical self characterized in nursing assessments?
How is the physical self characterized in nursing assessments?
What does the psychological domain primarily involve?
What does the psychological domain primarily involve?
Which dimension addresses the daily practices of a specific group of people?
Which dimension addresses the daily practices of a specific group of people?
In nursing, what is the sociological dimension focused on?
In nursing, what is the sociological dimension focused on?
How is spirituality described in this context?
How is spirituality described in this context?
What roles have advanced practice nurses adopted in recent years?
What roles have advanced practice nurses adopted in recent years?
Which type of assessment focuses on a specific health concern and does not replace a complete assessment?
Which type of assessment focuses on a specific health concern and does not replace a complete assessment?
In what type of situation would an emergency assessment be performed?
In what type of situation would an emergency assessment be performed?
If a nurse is assessing a patient who has just been admitted to the hospital with lung cancer, what type of assessment would they likely perform?
If a nurse is assessing a patient who has just been admitted to the hospital with lung cancer, what type of assessment would they likely perform?
What is the core focus of an emergency assessment?
What is the core focus of an emergency assessment?
Which of the following is NOT a characteristic of a comprehensive health assessment?
Which of the following is NOT a characteristic of a comprehensive health assessment?
What is the primary purpose of a reassessment?
What is the primary purpose of a reassessment?
During a focused assessment of a patient with a headache, which aspect would NOT be a priority to assess?
During a focused assessment of a patient with a headache, which aspect would NOT be a priority to assess?
Which factor MOST influences the frequency of reassessments for a patient?
Which factor MOST influences the frequency of reassessments for a patient?
According to the ANA in 1995, what is the primary focus of nursing as a science and an art?
According to the ANA in 1995, what is the primary focus of nursing as a science and an art?
What is the primary focus of the ANA's definition of nursing?
What is the primary focus of the ANA's definition of nursing?
Which of the following is NOT a key characteristic of the nursing profession as outlined by the ANA in 1995?
Which of the following is NOT a key characteristic of the nursing profession as outlined by the ANA in 1995?
Which of the following statements accurately reflects Florence Nightingale's view on nursing?
Which of the following statements accurately reflects Florence Nightingale's view on nursing?
What is the primary goal of the "analysis phase" of the nursing process?
What is the primary goal of the "analysis phase" of the nursing process?
How has the nurse's role in assessment evolved over time?
How has the nurse's role in assessment evolved over time?
Which phase of the nursing process involves gathering and interpreting data about the patient's health status?
Which phase of the nursing process involves gathering and interpreting data about the patient's health status?
Which of the following is NOT an essential feature of the nursing profession as outlined by the ANA in 1995?
Which of the following is NOT an essential feature of the nursing profession as outlined by the ANA in 1995?
Which of the following is NOT a fundamental philosophical belief in nursing, as described in the text?
Which of the following is NOT a fundamental philosophical belief in nursing, as described in the text?
What is the primary purpose of the nursing process?
What is the primary purpose of the nursing process?
Health assessment is described as a thinking, doing, and feeling process. What does this mean?
Health assessment is described as a thinking, doing, and feeling process. What does this mean?
Which of the following is NOT a key aspect of the nursing process as described in the text?
Which of the following is NOT a key aspect of the nursing process as described in the text?
What is the significance of 'learning the normal' within the context of health assessment?
What is the significance of 'learning the normal' within the context of health assessment?
What is the primary purpose of the therapeutic nurse-client relationship?
What is the primary purpose of the therapeutic nurse-client relationship?
What is the meaning of "GOSH approach" in relation to the nursing process?
What is the meaning of "GOSH approach" in relation to the nursing process?
Flashcards
Assessment
Assessment
Systematic collection of data about patient strengths and limitations, continuously performed during nursing.
Diagnosis
Diagnosis
Clinical judgment about a human response to health conditions, identifying problems to treat.
Actual Nursing Diagnosis
Actual Nursing Diagnosis
Identifies an occurring health problem for a patient based on assessment data.
Risk Nursing Diagnosis
Risk Nursing Diagnosis
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Health Promotion Nursing Diagnosis
Health Promotion Nursing Diagnosis
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Nursing Process
Nursing Process
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ADPIE
ADPIE
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Therapeutic relationship
Therapeutic relationship
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Critical thinking
Critical thinking
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Human dignity
Human dignity
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Goal-oriented care
Goal-oriented care
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Quality health care
Quality health care
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Health Assessment
Health Assessment
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Holistic Nursing Assessment
Holistic Nursing Assessment
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Phases of Nursing Process
Phases of Nursing Process
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Analysis Phase
Analysis Phase
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Role of Nurse in Assessment
Role of Nurse in Assessment
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Importance of Nursing Process
Importance of Nursing Process
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Essential Features of Nursing Practice
Essential Features of Nursing Practice
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Brief Reassessment
Brief Reassessment
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Focused Assessment
Focused Assessment
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Comprehensive Health Assessment
Comprehensive Health Assessment
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Acuity of the Client
Acuity of the Client
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Emergency Assessment
Emergency Assessment
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ABC Assessment
ABC Assessment
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Skin Assessment Frequency
Skin Assessment Frequency
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Problem-Oriented Questions
Problem-Oriented Questions
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Nurses' Role in Holistic Assessment
Nurses' Role in Holistic Assessment
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Critical Pathways
Critical Pathways
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Advanced Practice Nurses
Advanced Practice Nurses
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Physical Self
Physical Self
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Psychological
Psychological
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Sociological
Sociological
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Cultural
Cultural
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Spiritual
Spiritual
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Initial Comprehensive Assessment
Initial Comprehensive Assessment
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Subjective Data
Subjective Data
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Objective Data
Objective Data
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Comprehensive Assessment Frequency
Comprehensive Assessment Frequency
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Ongoing Assessment
Ongoing Assessment
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Holistic Health Patterns
Holistic Health Patterns
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Baseline Data
Baseline Data
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Multi-disciplinary Data Collection
Multi-disciplinary Data Collection
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Study Notes
Course Unit: Health Assessment
- Course Module 1, Course Unit 1, Week 1
- Covers Overview of Nursing Process (ADPIE), Health Assessment in Nursing Practice, & Nurse's Role in Health Assessment
- Students should read course and unit objectives, study guide, required learning resources, engage in classroom discussions, participate in weekly discussion board activities, and submit course unit tasks.
Unit Expected Outcomes (UEOs)
- Cognitive:
- Discuss the need for assessment skills in all nursing situations.
- Differentiate holistic from physical medical assessments.
- Identify phases of the nursing process involving assessment.
- List and describe steps in the nursing process, noting overlaps/repetitions.
- Explain the analysis phase of the nursing process.
- Explain how the nurse's role in assessment has evolved over the past century.
- Affective:
- Understand the significance of the nursing process within nursing.
- Actively participate and listen respectfully during class discussions.
- Accept and respond openly to comments, opinions, and ideas of classmates.
- Psychomotor:
- Participate actively in class discussions
- Confidently express personal opinions and thoughts in class.
Overview of the Nursing Process (ADPIE)
- Definition of Nursing: Nursing is the diagnosis and treatment of human responses to health and illness (ANA 1995)
- Nursing as a Science and Art: Nursing involves both scientific knowledge and the art of caring for the individual's physical, psychological, sociological, cultural, and spiritual needs.
Fundamental Philosophical Beliefs in Nursing
- Clients possess inherent worth and dignity.
- Humans possess a unified mind, body, and spirit.
- Basic human needs must be met.
- When needs aren't met, intervention may be necessary, allowing the patient to regain responsibility.
- Nursing involves context and cultural understanding.
- Patients have the right to quality care with compassion, competence, and a focus on wellness.
- Therapeutic nurse-client relationships are integral to the nursing process.
What is the Nursing Process?
- Combines artful nursing with systematic theory to resolve problems, providing a quality, individualized care.
- Synonymous with the problem-solving approach.
- Involves determining nursing care needs, planning care, executing care, and evaluating the outcomes.
- The nursing process consists of a systematic problem-solving approach (GOSH).
- Goal-oriented, organized, systematic, humanistic care.
5 Steps of the Nursing Process (ADPIE)
- Assessment: Systematic collection of patient data. Includes strengths, limitations, and ongoing status changes. Performed continuously.
- Types of Diagnosis: Problem-focused ND, Risk ND, Health Promotion ND, Syndrome ND.
- Diagnosis: Clinical judgment concerning a human response (health condition/life process or vulnerability) by the nurse.
- Planning: Establishing goals and setting up an individualized plan of care. Goals should be specific, measurable, attainable, realistic, and time-bound.
- Intervention: Implementing the plan of care (the nursing actions). This may involve direct care or indirect care (e.g., delegation, safety protocols).
- Evaluation: Measuring the effectiveness of the nursing care interventions. Data is analyzed to determine if the patient outcomes were effectively achieved. Measures alterations and progress.
Nurse's Role in Health Assessment
- Evolutionary Role: The role of nurses in health assessment has expanded over time. The traditional role relied on basic observation abilities; modern nurses utilize advanced skills and knowledge within multiple settings.
- Critical Roles: Nurses in various settings (acute care, ambulatory care, home health, or public health) play crucial roles in assessment.
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