7 Questions
The first step in health assessment is the collection of ______ data through interview and health history
subjective
Nurses play a crucial role in health assessment by collecting both ______ and objective data
subjective
Physical examination techniques include ______, positioning, and IPPA
preparation
Validation of data is an important step to ensure the ______ of the information collected
accuracy
Holistic nursing assessment includes evaluation of general status, vital signs, and ______
mental status
Assessment of pain, violence, culture, and spirituality falls under the ______ aspect of health assessment
psychosocial
Documentation of data can be done through written notes or ______ documentation
electronic
Study Notes
Overview of Nursing Process
- The nursing process is represented by the acronym ADPIE, which stands for Assessment, Diagnosis, Planning, Implementation, and Evaluation.
Health Assessment in Nursing Practice
- There are four types of health assessments:
- Initial or Comprehensive Assessment
- On-going or Partial Assessment
- Focused or Problem-Oriented Assessment
- Emergency Assessment
Nurses' Role in Health Assessment
- The nurses' role in health assessment involves collecting subjective and objective data, validating the data, and documenting the findings.
Steps in Health Assessment
- Collection of Subjective Data:
- Includes interview and health history
- Covers 10 areas:
- Biographic data
- Reason for seeking health care
- Chief complaint
- History of present illness
- Past health history
- Family health history
- Current medications
- Lifestyle
- Developmental level
- Psychosocial history
- Collection of Objective Data:
- Includes physical examination, preparation, positioning, and techniques (IPPA)
- Includes diagnostic tests and procedures
- Includes other sources, such as client charts
- Validation of Data:
- Ensuring accuracy and reliability of collected data
- Documentation of Data:
- Guidelines for documentation include written notes and electronic documentation
- Important for maintaining accurate and reliable records
Holistic Nursing Assessment
- Includes general status and vital signs
- Covers mental status for:
- Children and adolescents
- Adults
- Includes psychosocial, cognitive, and moral development
- Covers pain, violence, culture, and ethnicity
- Covers spirituality and religious beliefs
- Covers nutritional status
- Assessment of the skin or integumentary system
Test your knowledge on health assessment in nursing practice, including types of assessments and the nurse's role in the process. This quiz covers topics such as collection of subjective data through interviews, health history, and the steps involved in health assessment.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
