What are the 6 steps of the nursing process? - -Correct
answer-ADOPIE
Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
What are the types of Health Assessment? - -Correct
answer-1) Comprehensive assessment
2)Problem-based/Focused assessment
3) Episodic/follow-up assessment
4)Shift Assessment
5) Screening Assessment
What are the 3 primary components of Health
Assessment? - -Correct answer-History (subjective data)
Physical examination (objective data)
Documentation of data
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Why do we document all of our data? - -Correct answer-
Improves plan of care
It is a legal document of patient's health
Draws a baseline for future evaluations
It must be accurate, concise, and without bias
T/F If it is not documented you did not do it. - -Correct
answer-True
What is context of care? - -Correct answer-it refers to
circumstance or situation related to health care delivery.
1) may be related to setting or environment
2) may be related to physical, psychological, or SES
circumstances involving the pt.
What is a comprehensive assessment? - -Correct answer-A
detailed H&P exam performed at the onset of care in a
primary care setting or on admission to a hospital or long-
term facility.
What is a Problem-based/focused assessment? - -Correct
answer-the problem-based or focused assessment
involves a history and examination that are limited to a
specific problem or complaint. This type of assessment is
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most commonly used in a walk-in clinic or emergency
department, but it may also be applied in other outpatient
setting.
What is a Episodic/follow-up assessment? - -Correct
answer-This type of assessment is usually done when a
patient is following up with a health care provider for a
previously identified problem. For example, a patient
treated by a health care provider for pneumonia might be
asked to return for a follow-up visit after completion of
anti0abiotics.
What is Shift assessment? - -Correct answer-When
individuals are hospitalized, nurses conduct assessments
each shift. The purpose is is to identify changes in a
patients' condition from baseline.
What is a screening assessment? - -Correct answer-a short
examination focused on disease detection. usually
conducted in health fairs.
What is Health promotion? - -Correct answer-Behavior
motivated by desire to increase well-being and actualize
health potential.
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What is Health protection? - -Correct answer-Behavior
motivated by desire to avoid illness, detect illnesses early,
and maintain functioning when ill.
What are the 3 levels of health promotion? - -Correct
answer-Primary= preventing disease from developing
through promoting a healthy lifestyle.
Secondary= Screening efforts to promote early detection
of disease.
Tertiary= minimizing disability from acute or cronic
illness or injury and allowing for most productive life
within lilmitations.
What are examples for the 3 levels of health promotion? - -
Correct answer-Primary= Immunizations
Secondary= Mammogram
Tertiary = The disease is already present: Hypertension
management.
A mother of three is being seen for a screening
assessment. While planning the initial part of the visit with
this patient, the nurse needs to ensure that:
a)The patient receives a refill for her thyroid medication.
b)The patient is instructed on preventive measures for
hypertension.
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