NURS 220: Health Assessment – Nursing Fundamentals Lecture Notes
and Study Guide
the systematic gathering of information related to the physical, mental, spiritual,
socioeconomic, and cultural status of an individual, group, or community - ANS ✔✔What is
assessment?
collecting data (observation, health history)
using a systematic and ongoing process (physical assessment)
categorizing data
recording data - ANS ✔✔What does assessment include?
inspection
palpation
percussion
auscultation - ANS ✔✔What does a physical assessment include?
experienced symptoms
feelings
thoughts
beliefs - ANS ✔✔What are examples of subjective data?
vital signs
lab results (x-ray)
skin color
bowel sounds
lung sounds
, urine color and output - ANS ✔✔What are examples of objective data?
primary data - ANS ✔✔information collected for the specific purpose at hand
secondary data - ANS ✔✔data previously collected for any purpose other than the one at hand
diagnosis - ANS ✔✔data is used to identify the client's actual or potential health problems and
strengths
planning outcomes and interventions - ANS ✔✔data helps you formulate realistic goals and
choose the interventions most likely to be acceptable to and effective for the client
implementation - ANS ✔✔gathering data by observing the client's responses as you perform
interventions
evaluation - ANS ✔✔assess client based on interventions
client responses are *data*
disease and pathology
client's responses to care
changes in the plan of care - ANS ✔✔Medical assessments focus on ___. Nursing assessments
focus on ___ and will initiate ___.
nurse aides or nursing assistive personnel (NAP)
(LPN, CNA) - ANS ✔✔___ may collect information such as temperature, height, and weight.
assign tasks
and Study Guide
the systematic gathering of information related to the physical, mental, spiritual,
socioeconomic, and cultural status of an individual, group, or community - ANS ✔✔What is
assessment?
collecting data (observation, health history)
using a systematic and ongoing process (physical assessment)
categorizing data
recording data - ANS ✔✔What does assessment include?
inspection
palpation
percussion
auscultation - ANS ✔✔What does a physical assessment include?
experienced symptoms
feelings
thoughts
beliefs - ANS ✔✔What are examples of subjective data?
vital signs
lab results (x-ray)
skin color
bowel sounds
lung sounds
, urine color and output - ANS ✔✔What are examples of objective data?
primary data - ANS ✔✔information collected for the specific purpose at hand
secondary data - ANS ✔✔data previously collected for any purpose other than the one at hand
diagnosis - ANS ✔✔data is used to identify the client's actual or potential health problems and
strengths
planning outcomes and interventions - ANS ✔✔data helps you formulate realistic goals and
choose the interventions most likely to be acceptable to and effective for the client
implementation - ANS ✔✔gathering data by observing the client's responses as you perform
interventions
evaluation - ANS ✔✔assess client based on interventions
client responses are *data*
disease and pathology
client's responses to care
changes in the plan of care - ANS ✔✔Medical assessments focus on ___. Nursing assessments
focus on ___ and will initiate ___.
nurse aides or nursing assistive personnel (NAP)
(LPN, CNA) - ANS ✔✔___ may collect information such as temperature, height, and weight.
assign tasks
