Introduction to Adult Health Assessment: Nursing Process and Clinical Judgement

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What is the purpose of clustering related cues in health assessment?

To see relationships among the data

In health assessment, what is the purpose of distinguishing relevant from irrelevant information?

To validate the accuracy and reliability of data

What is the purpose of identifying missing information or gaps in data during health assessment?

To make inferences or hypotheses

Why is it important to set priorities when a patient has multiple health issues occurring concurrently?

To distinguish first-level priority problems

What is the distinction between health inequality and health inequity?

Health inequality refers to differences in health status, while health inequity refers to avoidable and unfair differences in health.

What is the main cause of female poverty according to the text?

Labour market inequities

What is the significance of spirituality in people's health according to the text?

It has long been recognized as important for health and healing.

What is the recommended approach for a healthcare provider regarding religious and spiritual traditions?

To convey openness, interest, and acceptance without needing to know specifics of various traditions.

What is the primary purpose of using inspection as a physical examination technique?

Concentrated watching and close scrutiny for abnormalities

What should be avoided during palpation assessments according to the text?

Deep palpation within LPN scope of practice at this time

What is the focus of relational nursing practice?

Emphasizing reflectivity and understanding across differences

What is the difference between medical diagnosis and nursing diagnosis?

Medical diagnosis deals with disease, while nursing diagnosis deals with the patient's response to health problems

What does cultural competence in nursing involve?

Understanding diverse populations and the interconnectedness of cultural, socioeconomic, and political issues

What complex concept does ethnicity encompass?

Ancestry, identity, language, and religious identity

What historical policies have contributed to health disparities for Indigenous peoples in Canada?

Indian Act, reserves, and residential schools

What is included in the Truth and Reconciliation Commission's report?

94 action items, with a call for healthcare to recognize Aboriginal healing practices

Study Notes

Nursing Practice and Indigenous Health in Canada

  • Nursing prioritization: second-level problems are urgent but not immediately life-threatening, while third-level problems are important but can be addressed after more urgent issues.
  • Medical diagnosis deals with disease, while nursing diagnosis deals with the patient's response to health problems.
  • Relational nursing practice considers the social, cultural, and individual contexts of health and illness, emphasizing reflectivity and understanding across differences.
  • Cultural competence in nursing involves understanding diverse populations and the interconnectedness of cultural, socioeconomic, and political issues.
  • Ethnicity is a complex concept encompassing various aspects such as ancestry, identity, language, and religious identity.
  • Indigenous peoples in Canada comprise 3.8% of the population, including First Nations, Métis, and Inuit, facing health disparities due to historical policies like the Indian Act, reserves, and residential schools.
  • Reserves have high poverty levels and limited access to healthcare, with the impact of residential schools still affecting Indigenous culture and health status.
  • Truth and Reconciliation Commission's report includes 94 action items, with a call for healthcare to recognize Aboriginal healing practices.
  • Negative lasting results of the residential school system for Indigenous peoples in Canada include trauma and cultural disconnection.
  • Health disparities for older Indigenous Canadians and visible minorities exist, affected by social, gender, and economic inequities.
  • Religion and spirituality influence health and illness perception among Indigenous peoples.
  • End-of-life care for Aboriginal families involves unique experiences and beliefs, with a need for understanding from healthcare providers.

This module covers the use of the nursing process, specifically focusing on the ADPIE framework, in making clinical judgments about individual health states and responses. It also emphasizes the identification of assumptions, comprehensive assessment approaches, and the validation of data accuracy and reliability.

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