NUR 2092 Health Assessment Exam 1 Study Guide

NUR 2092 Health Assessment Exam 1 Study Guide Health Assessment Exam 1 Study Guide 1. What are the steps in the Nursing Process? a. Assessment- collection of data from multiple sources (physical exam, health history, review records) b. Diagnosis- cluster data that seems to be associated, validate info, look for gaps in info, interpret data and identify problems c. Outcome identification- Identify expected outcomes set a SMART goal d. Planning- establish priorities, document plan of care, set time frames for meeting goals e. Implementation- provide teaching and health promotion, use evidence based interventions f. Evaluation- evaluate individuals condition and compare actual outcomes to expected outcomes, and possibly modify plan 2. What is subjective Data? a. What the patient says about him or herself. 3. What is objective Data? a. What we observe when inspecting and assessing the patient 4. What is a SMART goal? a. Specific b. Measurable c. Attainable d. Relevant e. Time-Bound 5. What is evidence based clinical decision making? a. Review of research and literature, providers clinical expertise, patients preferences and values 6. What are the two parts to communicating? a. Sending- verbal and nonverbal b. Receiving- interpretation based on past experiences, culture, and self-concept; physical and emotional state. 7. What is the key with communication? a. Is the receiver receiving the information the way you want it to come across? 8. How do you prepare for an interview? a. Privacy b. No interuptions c. Physical environment i. Temperature ii. Noise level