Podcast
Questions and Answers
Which of the following best describes the primary purpose of conducting an assessment?
Which of the following best describes the primary purpose of conducting an assessment?
- To establish long term goals of care
- To collect data for diagnosis and judgment (correct)
- To evaluate the effectiveness of interventions
- To implement a care plan
A 'focused' database is the most comprehensive type of health assessment.
A 'focused' database is the most comprehensive type of health assessment.
False (B)
List the five steps of the Nursing Process in the correct order separated by commas.
List the five steps of the Nursing Process in the correct order separated by commas.
Assessment, Diagnosis, Planning, Implement, Evaluation
A clinical setting which involves an urgent and rapid collection of information is called an ______ database.
A clinical setting which involves an urgent and rapid collection of information is called an ______ database.
Match the described level of priority with the correct level:
Match the described level of priority with the correct level:
A nurse is assessing a patient with a long-term mobility issue, which level of priority is this assessment?
A nurse is assessing a patient with a long-term mobility issue, which level of priority is this assessment?
A novice practitioner operates with an intuitive understanding of a clinical situation.
A novice practitioner operates with an intuitive understanding of a clinical situation.
Which of these best describes a 'Proficient' practitioner in the Clinical Judgment Model?
Which of these best describes a 'Proficient' practitioner in the Clinical Judgment Model?
Flashcards
Assessment Data
Assessment Data
Data gathered from a patient regarding their health status.
Purpose of Assessment
Purpose of Assessment
The purpose of assessment is to gather information about the patient to make an informed judgement or diagnosis.
Nursing Process
Nursing Process
The nursing process is a systematic approach to providing patient care, consisting of 5 steps: Assessment, Diagnosis, Planning, Implementation, and Evaluation.
Clinical Judgement Model
Clinical Judgement Model
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Priority Setting in Assessment
Priority Setting in Assessment
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Complete Database
Complete Database
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Focused Database
Focused Database
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Follow-Up Database
Follow-Up Database
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Study Notes
Evidence-Based Assessment
- Assessment gathers data about a patient's health status.
- Assessment aims to make a judgment or diagnosis.
- Subjective and objective data combined form a database to facilitate patient care.
Nursing Process Steps
- Assessment: Collecting data.
- Diagnosis: Identifying problems based on assessment.
- Planning: Determining interventions to address problems.
- Implementation: Executing the care plan.
- Evaluation: Assessing the effectiveness of care.
Clinical Judgment Model
- The model structures nursing education to improve clinical judgment in new practitioners.
- Novice practitioners need clear rules for actions due to limited experience.
- Competent practitioners consider patient goals and care plans.
- Proficient practitioners view patient situations holistically, not as lists of tasks.
- Expert practitioners have an intuitive understanding of situations, focusing on accurate solutions.
Priority Setting in Assessment
- Level 1: Emergent, life-threatening issues (e.g., airway, breathing).
- Level 2: Problems requiring intervention to prevent further deterioration (e.g., mental status changes, acute pain, abnormal lab results, elimination problems, safety risks).
- Level 3: Important but less urgent issues (e.g., mobility, knowledge deficits, family coping).
Types and Frequencies of Assessments
- Complete Database (Total Health): Comprehensive health history and physical examination, commonly used in primary care.
- Focused or Problem-Centered Database: Limited to a specific, short-term problem; a smaller, targeted database, used in various settings.
- Follow-Up Database: Tracks the status of previously identified problems (short-term or chronic conditions), used in all settings.
- Emergency Database: Urgent and rapid collection of crucial information often requiring immediate life-saving actions. Swift diagnosis is essential.
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