Integration of Physical Assessment Timing, Subjective and Objective
Data Analysis, Clinical Manifestations and Diagnostic Interpretation,
Health History Components and Biographical Data Collection,
Developmental Psychology Across the Lifespan (Erikson Stages:
Trust vs Mistrust, Autonomy vs Shame, Initiative vs Guilt, Industry
vs Inferiority, Identity vs Role Confusion, Intimacy vs Isolation,
Generativity vs Stagnation, Ego Integrity vs Despair), Infection
Prevention and Hand Hygiene Standards, Patient Safety Principles
and Informed Consent (“Do No Harm”), Holistic Health Assessment
Documentation and Data Clustering for Nursing Diagnosis
Formation, Complete Health History Structuring Exam Questions
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A physical assessment is completed when....
the nurse collects the data then clusters the data for data analysis, before determining a
nursing diagnosis
3 components of health assessment
the history and physical examination, health promotion teaching, and documentation
Ego Integrity vs. Despair (ELDERLY)
-Integrity = a person's ability to look back on their life with a sense of accomplishment and
fulfillment
-Despair = looking back on life with feelings of regret, shame, or disappointment
,Generativity vs. Stagnation (middle age adult)
Generativity = creating and accomplishing things that make the world a better place
Stagnation= the failure to find a way to contribute/ uninvolved in their community
Intimacy vs. Isolation (young adult)
initmacy = having close, loving relationships
isolation = lonliness (might never share deep intimacy with their partners or might even
struggle to develop any relationships at all)
Ego Identity vs. Role Confusion (adolescent)
Ego Identity = fundamental organizing principal which develops constantly throughout the
lifespan
Role Confusion= Kids who are not allowed to explore and test out different identities
Do No harm
before touching a patient, ask for permission
hand washing is the...
the single most effective way of preventing the spread of infection
, subjective data
symptoms
**more important*****
Obejective Data
signs
signs, symptoms, and diagnostic tests are
clinical manifestations
Complete heath history
recorded assessment data that are objective as well as subjective
Complete heath history consists of ...
biographical data, reasons for seeking health care, history/ present health concerns, past
health history, family health history, review of symptoms for current health problems
biographical data examples
name, gender, DOB, place of birth, occupation