Questions and Answers
Which approach is suggested for interviewing patients with special needs, particularly those with low health literacy?
In which phase of the patient interview process is the main discussion of symptoms and concerns initiated?
What type of health history is focused on a specific acute problem or symptom?
Which cultural consideration is important for effectively assessing a patient's health?
Signup and view all the answers
What is the World Health Organization's definition of health?
Signup and view all the answers
Which of the following best describes primary prevention?
Signup and view all the answers
In the nursing process, what does the 'Diagnosis' step involve?
Signup and view all the answers
What role does tertiary prevention play in health care?
Signup and view all the answers
Which factor does NOT typically influence an individual's health?
Signup and view all the answers
What is the primary focus of secondary prevention?
Signup and view all the answers
Which component is NOT included in the assessment phase of the nursing process?
Signup and view all the answers
Which of the following represents a key element of health that differs among individuals, families, and communities?
Signup and view all the answers
What is the primary purpose of synthesizing and clustering information in patient care?
Signup and view all the answers
Which of the following characteristics is NOT a component of SMART goals in nursing care planning?
Signup and view all the answers
In the context of the Clinical Judgement Model, what does 'prioritize hypothesis' imply?
Signup and view all the answers
Which cognitive skill involves the use of historical, physical, and lab data to create a treatment plan?
Signup and view all the answers
What is the role of therapeutic communication in nursing care?
Signup and view all the answers
Which psychomotor skill involves listening for sounds in the context of patient assessment?
Signup and view all the answers
What aspect is least emphasized in intuitive thinking (IT) as described in patient assessment?
Signup and view all the answers
Which component of the nursing process is defined as the ongoing assessment of whether goals have been met?
Signup and view all the answers
Which of the following components is NOT included in the OLDCARTS acronym used for pain assessment?
Signup and view all the answers
What aspect of health assessment does the anti-oppressive approach emphasize?
Signup and view all the answers
Which of the following best describes the focus of a health prevention/promotion assessment?
Signup and view all the answers
In a mental health assessment, which of the following would NOT typically be evaluated?
Signup and view all the answers
Which method is NOT considered one of the assessment techniques used in patient evaluations?
Signup and view all the answers
Which of the following factors is NOT assessed in psychosocial evaluations?
Signup and view all the answers
What does the 'R' in OLDCARTS specifically refer to?
Signup and view all the answers
Which vital sign assessment technique specifically evaluates changes due to position?
Signup and view all the answers
What does nutritional assessment NOT typically include?
Signup and view all the answers
Which of the following is a characteristic of inclusive health assessments?
Signup and view all the answers
Study Notes
Understanding Health Assessment
- Health is defined as a state of complete physical, social, and mental well-being; not merely absence of disease (WHO).
- Influenced by biological, environmental, physiological, behavioral, and socio-economic factors.
Levels of Health Prevention
- Primary Prevention: Aims to prevent disease through lifestyle choices and risk reduction (e.g., immunizations, health education).
- Secondary Prevention: Focuses on early detection of diseases in asymptomatic patients (e.g., screenings for cancers, identifying substance abuse risks).
- Tertiary Prevention: Seeks to restore health after illness (e.g., rehabilitation programs for stroke, inpatient treatment for mental health).
Nursing Process and Clinical Judgement Model
- Nursing Process: Comprised of Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE).
- Clinical Judgement Model: Involves recognizing cues, analyzing them, prioritizing hypotheses, generating solutions, taking action, and evaluating outcomes.
Cognitive Skills in Nursing
- Critical Thinking (CT): Involves knowledge recall, identifying deviations from the norm, and reflective problem-solving.
- Clinical Judgement (CJ): Interpreting patient needs and making decisions regarding care strategies.
- Intuitive Thinking (IT): A "gut feeling" that guides clinical decisions, often difficult to articulate.
Introduction to Psychomotor Skills
-
Assessment Techniques:
- Inspection: Visual examination of the patient.
- Percussion: Tapping for underlying structure assessment.
- Palpation: Feeling surface characteristics with hands.
- Auscultation: Listening to internal body sounds.
Therapeutic Communication
- Emphasizes empathy, unconditional regard, genuineness, and respect.
- The CLEAR approach includes centering oneself, listening actively, empathizing, focusing attention, and respecting the individual.
Special Needs Patients
- May have challenges like hearing loss, visual impairments, cognitive issues, or low health literacy, requiring tailored communication strategies.
Cultural Considerations
- Must recognize how diverse beliefs, values, and behaviors impact health perceptions and expressions.
Interviewing the Patient
- Utilizes open-ended questions and structured phases (introductory, working, summary) for effective information gathering.
Completing the Health History
- Types of histories include comprehensive, focused/problem-based, and follow-up.
- Primary Source: The patient; Secondary Source: Family or other proxies.
- Subjective data gathering frameworks include LMNOPQRSTUVW and OLDCARTS for symptoms.
Biographical and Health Information Collection
- Collect demographic data (name, age, occupation), military history, medication use, immunization status, and psychosocial assessments covering various life domains.
Review of Systems
- Conducted through a head-to-toe approach covering general status, various body systems (respiratory, cardiovascular, gastrointestinal, etc.), and specific assessments like mental health and cognitive evaluation.
Nutritional Assessment
- Involves defining nutrition, understanding diagnostics, conducting a nutritional health history, and implementing anthropometric measurements.
Assessment Techniques in Nutritional Assessment
- Emphasizes preparation, standard precautions, and various assessment techniques like inspection, palpation, percussion, and auscultation tailored for nutritional evaluations.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Prepare for your Health Assessment Exam 1 with this comprehensive study guide focusing on major concepts from Chapters 1 to 3. This guide is tailored for Arizona College of Nursing students enrolled in NUR 216. Understand the essential components of health assessment necessary for your upcoming exam.
