P1: Health Assessment (Lecture)

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Questions and Answers

The phase of the nursing process where the nurse establishes both the short-term and the long-term goals for the patient.

Assessment

Diagnosis

Planning (correct)

Diagnosis

What are the 7 facets included in the definition of health?

Physical, emotional, social, cognitive, moral, environmental, developmental

Physical, emotional, cognitive, social, spiritual, environmental, developmental

Physical, emotional, social, cultural, spiritual, environmental, developmental (correct)

Physical, mental, emotional, social, spiritual, environmental, developmental

Which type of health assessment is focused on the patient's emergent problem?

Emergency health assessment (correct)

Cultural health assessment

Spiritual health assessment

Comprehensive health assessment

What is the primary goal of the nursing process?

To formulate and implement the plan of care Signup and view all the answers

What does the ABC (Airway, Breathing, Circulation) connections promote in terms of health?

Physical health Signup and view all the answers

What type of data includes the patient's feelings, emotions, opinions, and personal experiences?

Subjective Data Signup and view all the answers

Which mnemonic can be used to remember the phases of the nursing process in the correct order?

ADPIE Signup and view all the answers

What is the purpose of the Health Assessment in nursing?

To determine risk factors for the patient Signup and view all the answers

Which mnemonic can be used to remember the 7 facets of health?

DESPECS Signup and view all the answers

What does cultural competence in nursing involve?

Understanding and respecting the diverse cultural backgrounds of patients Signup and view all the answers

What type of data is collected during the health history assessment?

Subjective data from the patient Signup and view all the answers

What are vital signs in the context of nursing assessment?

Objective data collected during the assessment Signup and view all the answers

Why is health history collection important in nursing care?

To diagnose potential health issues and develop a care plan Signup and view all the answers

What vital signs are included in a health assessment?

Temperature, pulse rate, and blood pressure Signup and view all the answers

What is the purpose of risk assessment in nursing?

To provide early intervention when needed Signup and view all the answers

In which settings are health assessments performed?

Emergency rooms, annual physical checkups, and outpatient clinics Signup and view all the answers

What is the primary goal of a proper nursing health assessment?

To lead to early intervention and save lives Signup and view all the answers

What informs the nursing care plan during a physical examination?

Self-reported symptoms, visual observation, reported health histories, and a physical medical examination Signup and view all the answers

Which factors are involved in risk assessment in nursing?

Lifestyle choices, genetic predispositions, environmental factors, and socioeconomic status Signup and view all the answers

Study Notes

Planning Phase

In the planning phase, the nurse establishes both short-term and long-term goals for the patient.

Definition of Health

The 7 facets of health include: physical, social, emotional, intellectual, spiritual, environmental, and occupational.

Health Assessment

Focused assessment is a type of health assessment that is focused on the patient's emergent problem.
The primary goal of the nursing process is to promote optimal health outcomes.
ABC (Airway, Breathing, Circulation) connections promote the patient's physiological needs.

Data Collection

Subjective data includes the patient's feelings, emotions, opinions, and personal experiences.
The ADPIE mnemonic can be used to remember the phases of the nursing process in the correct order.
The HEALTH mnemonic can be used to remember the 7 facets of health.

Cultural Competence

Cultural competence in nursing involves providing care that is sensitive to the patient's cultural background.

Health History Assessment

The health history assessment collects subjective data, including the patient's feelings, emotions, opinions, and personal experiences.
Vital signs included in a health assessment are temperature, pulse, respiration rate, blood pressure, and oxygen saturation.
Health history collection is important in nursing care because it helps identify the patient's health problems and risk factors.

Risk Assessment

Risk assessment in nursing involves identifying potential health risks and developing strategies to prevent or minimize them.
Risk assessment factors include age, lifestyle, medical history, and environmental factors.

Settings and Purpose

Health assessments are performed in various settings, including hospitals, clinics, and community health centers.
The primary goal of a proper nursing health assessment is to collect accurate and comprehensive data about the patient's health status.
Physical examination informs the nursing care plan by providing objective data about the patient's health status.