Updated RATED A+ | 2026
American Nurses ANA 4 broad goals
1. promote health
2. prevent illness
3. treat human responses
health assessment tracks
pa ent improvement
is con nuous
Health Assessment includes
Health history; physical assessment
Addi onal necessary factors assessed
Psychological; sociocultural; spiritual; economic; lifestyle
nursing process begins with
a complete and accurate health assessment
ADPIE - Nursing Process
Assessment
Diagnosis
Planning
Implementa on
Evalua on
Nontherapeu c Communica on Techniques
false reassurance, sympathy, distrac ons, etc
preinterac on phase
compiling exis ng data; preparing for pa ent interview from exis ng medical records
beginning phase
introduc on; state purpose for interview
, working phase of interview
-Data-gathering phase
-Verbal skills include ques ons to pa ent and your responses to what is said
closing phase
summarizing, sta ng most important two to three problems or pa.erns
inspec on
observing pa ent visually for general appearance or specific details
palpa on
clinical touching of specific body areas to assess characteris cs
percussion
tapping on a surface to determine the difference in the density of the underlying structure
Ausculta on
using a stethoscope to assess movement of air or fluid within specific body systems
deep palpa on should not be performed on
enlarged spleen
inflamed appendix
contact transmission of hep to pt is most common form of transmission because
microorganisms from one pt is spread to another pt
Quality Assurance
The maintenance of a desired level of quality in a service or product, agency reviewing
pa ent medical records can be used in
civil or criminal court
eMAR
electronic medica on administra on record
electronic pa ent medical records increases
safety
batch char ng