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Health assessment - ANSWER ✔✔Systemic data collection to guide
nursing care
Nursing Process (ADPIE) used to - ANSWER ✔✔- Promote health
- Prevent illness
- detect early changes
- Support clinical judgment
Nursing Process (ADPIE) = A - ANSWER ✔✔- Assessment
,- Collect subjective & objective data
Nursing Process (ADPIE) = D - ANSWER ✔✔- Diagnosis
- Identify patient response (NOT medical diagnosis)
Nursing Process (ADPIE) = P - ANSWER ✔✔- Planning
- Set measurable, patient-centered goals
Nursing Process (ADPIE) = I - ANSWER ✔✔- Implementation
- Perform interventions
Nursing Process (ADPIE) = E - ANSWER ✔✔- Evaluation
- Determine if goals were met
Assessment - ANSWER ✔✔Data collection only
ADPIE - ANSWER ✔✔- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
Subjective - ANSWER ✔✔- patient reports
- Assessment of risk factors, health history, patient education
,Objective - ANSWER ✔✔- Measured or observed
- General survey, BP, pulse, weight, temperature, oxygen saturation, etc.
Types of Nursing Assessment - ANSWER ✔✔- Emergency/urgent
- Comprehensive
- Focused
Nursing Assessment = Emergency/Urgent - ANSWER ✔✔Life-
threatening --> ABCs first
Nursing Assessment = Comprehensive - ANSWER ✔✔Full history +
full physical
Nursing Assessment = focused - ANSWER ✔✔After treatment or for
specific problem
Framework of health assessment - ANSWER ✔✔- Functional
- Head-to-toe
- Body system
Framework of health assessment Functional - ANSWER ✔✔- Daily
living patterns
- Emphasizes subjective data
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, Framework of health assessment = Head-to-toe - ANSWER ✔✔-
organized sequence
- Prevents missed findings
Framework of health assessment = Body system - ANSWER ✔✔- By
system (CV, Resp, etc.)
- Promotes critical thinking
Four levels of prevention - ANSWER ✔✔- Primary
- secondary
- tertiary
- Quaternary
Primary - ANSWER ✔✔- Prevent disease
- vaccines
Secondary - ANSWER ✔✔- Early detection
- BP screening
Tertiary - ANSWER ✔✔- Manage established disease
- BP meds
Quaternary - ANSWER ✔✔- Avoid over-treatment