Chapter 1 - Evidence-Based Assessment
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Questions and Answers

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.

    False (B)

    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.

    <p>emergency</p> Signup and view all the answers

    Match the described level of priority with the correct level:

    <p>Emergent and life threatening situations = 1st Level Those requiring intervention to prevent further deterioration = 2nd Level Long term problems = 3rd Level</p> Signup and view all the answers

    A nurse is assessing a patient with a long-term mobility issue, which level of priority is this assessment?

    <p>Third Level (C)</p> Signup and view all the answers

    A novice practitioner operates with an intuitive understanding of a clinical situation.

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

    Which of these best describes a 'Proficient' practitioner in the Clinical Judgment Model?

    <p>Understands a patient situation as a whole (C)</p> Signup and view all the answers

    Signup and view all the answers

    Flashcards

    Assessment Data

    Data gathered from a patient regarding their health status.

    Purpose of Assessment

    The purpose of assessment is to gather information about the patient to make an informed judgement or diagnosis.

    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

    The Clinical Judgement Model is a framework that guides nurses in developing their clinical decision-making skills.

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    Priority Setting in Assessment

    Priority setting in assessment means identifying the most urgent health issues that need immediate attention.

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    Complete Database

    A comprehensive assessment that gathers information about all aspects of a patient's health.

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    Focused Database

    A focused assessment that collects data about specific problems or symptoms.

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    Follow-Up Database

    An assessment that follows up on previously identified health problems.

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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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    Description

    This quiz covers key concepts in nursing assessment, including the nursing process steps and the clinical judgment model. Understand the importance of combining subjective and objective data for patient care, along with priority setting in assessment. Enhance your skills in making accurate judgments in clinical practice.

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