41 Questions
What type of questions should be used to obtain facts and focus on specific information?
CLOSED-ENDED QUESTIONS
When should closed-ended questions be used?
To clarify or obtain more accurate information
What should one assess before examining the client?
Own feelings and anxieties
What equipment is needed for a thoracic & lung examination?
Specific equipment for thoracic & lung examination
Why is it important to wash hands before beginning the examination?
To prevent the transmission of infectious agents
What should be done if a pin is used to assess sensory perception?
Discard the pin and use a new one for the next client
What are the three main components that a health assessment helps to identify?
A. The strengths of the clients in promoting health. B. Client’s needs and clinical problems. C. Responses of each person to health problems and intervention.
According to Arkinson & Muray (1991), what role does assessment play in nursing?
Assessment is a part of each activity the nurse does for and with the patient.
Where can obtaining the patient's history and performing physical assessment be carried out?
a. Acute care setting b. Clinic or outpatient office c. School d. Long-term care facility e. Home
What are the cognitive skills required for health assessment?
Critical thinking and clinical decision making - uses knowledge and experience.
What are the problem-solving skills required for health assessment?
Scientific methods, experience, and intuition (with experience).
What type of skills are involved in the psychomotor aspect of health assessment?
Assessment is doing.
What is the role of affective/interpersonal skills in health assessment?
Assessment is feeling trust and mutual respect.
How should the nurse demonstrate ethical skills in health assessment?
By being responsible and accountable for their practice.
What additional aspects should nursing assessment cover apart from the client's physical health?
Client's perceived needs, health problems related experience, health practices values, and lifestyles.
What is the purpose of deep palpation in physical examination?
Allows to feel very deep organs or structures covered by thick muscle
How is bimanual palpation performed?
Use two hands, placing one on each side of the body part being palpated
What is the purpose of percussion in a physical examination?
Eliciting pain, determining location, size, shape, density, and detecting abnormal masses
Describe the types of percussion techniques.
Direct, blunt, indirect/mediate
What is the key aspect to keep in mind during percussion?
Withdraw finger immediately to avoid damping the tone
What is auscultation in physical assessment?
Listening with a stethoscope for heart sounds, blood movement, bowel sounds, and air movement
What are the components of nursing health history?
Biographical data, Chief complaint, Present health concern, Past history, Family history, Review of systems, Patient profile
How has the nurse's role in health assessment evolved over time?
From using senses to assess clients in the past to using communication and physical assessment techniques today.
What is critical thinking in health assessment?
Reasonable reflective thinking focused on deciding what to believe or do.
Define culture and its role in health assessment.
Culture is the totality of socially transmitted patterns, beliefs, and values that guide decision making. It influences beliefs about health & illness.
What are the elements of critical thinking in health assessment?
Keeping an open mind, using rationale for decisions, reflecting on thoughts, and building knowledge from past experiences.
What is the first and most critical phase of the nursing process?
Assessment
What is the purpose of the initial comprehensive assessment?
To collect subjective data about the client's perception of health when they first enter the health care system.
When is a focused or problem-oriented assessment done?
For a patient with a specific problem that needs thorough assessment.
What is the role of the family in health assessment?
The family's beliefs about health and illness can affect each member's behavior and health status.
What are the steps of the health assessment in the nursing process?
Assessment, Diagnosis, Planning, Implementation, Evaluation
What is the purpose of tailoring a care plan to the unique characteristics and preferences of the client?
To meet the specific needs of the client.
In a basic two-part nursing diagnosis statement, what does 'P' stand for?
Problem (client's response).
What is the significance of including collaborative activities in a care plan?
To facilitate coordinated care among healthcare professionals.
What key component is included in a basic three-part nursing diagnosis using the PES format?
Signs and symptoms (S).
According to the ANA Code of Ethics, what is the nurse's duty regarding patient information?
To maintain confidentiality of all patient information.
What is the purpose of a Problem-Oriented Medical Record (POMR)?
To organize data, problem lists, and care plans.
What is the main focus of Focus Charting (FDAR) documentation system?
Client concerns and strengths.
What does KARDEX primarily focus on in terms of organizing client information?
Concise recording of client data and pertinent information.
What is the purpose of using flow sheets in nursing documentation?
To record specific data like intake, output, medication administration, and progress.
Why is legal prudence important when documenting patient care?
To ensure adherence to legal standards and protect patient privacy.
Explore the importance of health assessment in nursing, including identifying client strengths, needs, and responses to health problems. Learn about the role of a nurse in conducting accurate and thorough health assessments as a foundation for quality nursing care.
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