Health Assessment in Nursing

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Questions and Answers

What is one primary purpose of health assessment?

  • To only focus on medical history.
  • To perform invasive procedures.
  • To diagnose all known health problems.
  • To provide a holistic view of the client. (correct)

Which type of assessment is performed within a specified time after admission to a hospital?

  • Initial Assessment (correct)
  • Focused Assessment
  • Time-lapsed Assessment
  • Emergency Assessment

What is the purpose of a focused assessment?

  • To closely examine a specific problem or disease. (correct)
  • To evaluate all aspects of a patient's health.
  • To establish rapport with the patient.
  • To provide life-saving measures.

What does a time-lapsed assessment compare?

<p>The client's current status to previously obtained baseline data. (B)</p> Signup and view all the answers

Which of the following is NOT a method of assessment?

<p>Predicting (B)</p> Signup and view all the answers

During which type of assessment is rapid evaluation critical to life-saving?

<p>Emergency Assessment (D)</p> Signup and view all the answers

Observing during a health assessment involves using which of the following?

<p>A combination of vision, smell, hearing, and touch. (B)</p> Signup and view all the answers

What is a common characteristic of interviewing in health assessments?

<p>It is a planned communication with a specific purpose. (A)</p> Signup and view all the answers

Flashcards

Initial Assessment

A complete health assessment, often conducted upon admission to a hospital, helps to establish a baseline for the patient's health status.

Focused Assessment

A focused assessment is a targeted examination of a specific health problem or symptom, often conducted by a specialist.

Emergency Assessment

Performed when there is a risk of immediate danger to the patient's life, this rapid assessment focuses on critical signs like breathing, heart rate, and circulation.

Time-lapsed Assessment

A routine assessment conducted several days after an initial assessment to see if there have been changes in the patient's health status.

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Observing

Gathering information through direct observation of visual, auditory, tactile, and olfactory cues.

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Interviewing

A structured conversation with a patient to gather information about their health history and current concerns.

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Examining

The process of systematically physically examining a patient to identify signs of health problems.

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Study Notes

Overview of Health Assessment

  • Health assessment is a crucial nursing function, forming the basis for high-quality care and interventions.

Purposes of Health Assessment

  • Establish a database of a client's normal abilities, risk factors, and current functional alterations.
  • Develop strategies to maintain positive health habits, prevent issues, and address existing health problems.
  • Understand the client holistically.
  • Create a problem statement, such as a nursing diagnosis.
  • Gather data on the client's health status (subjective and objective).
  • Identify deviations from normal health.
  • Identify actual health problems.
  • Build rapport with the client and family.

Types of Health Assessment

  • Initial Assessment: Typically performed by a physician or admitting nurse soon after admission, reviewing patient history, previous medical issues, social history, and other relevant details. This often includes a nursing admission assessment.
  • Focused Assessment: A focused examination of a specific problem or illness, often based on the patient's symptoms. Specialists may be consulted if needed. Examples include hourly assessments of fluid intake and output.
  • Time-lapsed Assessment: An assessment conducted several days after an initial assessment to compare the current status to baseline data previously gathered. This can be used to monitor changes in the patient's condition.
  • Emergency Assessment: A life-saving assessment performed to address immediate, life-threatening issues, such as identifying airway, breathing, and circulation problems, during a cardiac arrest.

Methods of Assessment

  • Observing: A deliberate and organized process using the senses (sight, smell, hearing, touch).
  • Interviewing: A planned communication process with a specific purpose, such as taking a patient history.
  • Examining: A systematic method of collecting information and using observational skills to identify potential health problems. Assessment can involve inspection, auscultation, palpation, and percussion.

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