NURS 220 - Health Assessment
The systematic gathering of information related to the physical, mental, spiritual,
socioeconomic, and cultural status of an individual, group, or community - answer What
is assessment?
collecting data (observation, health history)
using a systematic and ongoing process (physical assessment)
categorizing data
recording data - answer What does assessment include?
inspection
palpation
percussion
auscultation - answer What does a physical assessment include?
experienced symptoms
feelings
thoughts
beliefs - answer What are examples of subjective data?
vital signs
lab results (x-ray)
skin color
bowel sounds
lung sounds
urine color and output - answerWhat are examples of objective data?
primary data - answerinformation collected for the specific purpose at hand
secondary data - answerdata previously collected for any purpose other than the one at
hand
diagnosis - answerdata is used to identify the client's actual or potential health problems
and strengths
planning outcomes and interventions - answerdata helps you formulate realistic goals
and choose the interventions most likely to be acceptable to and effective for the client
implementation - answergathering data by observing the client's responses as you
perform interventions
evaluation - answerassess client based on interventions
, client responses are *data*
disease and pathology
client's responses to care
changes in the plan of care - answerMedical assessments focus on ___. Nursing
assessments focus on ___ and will initiate ___.
nurse aides or nursing assistive personnel (NAP)
(LPN, CNA) - answer___ may collect information such as temperature, height, and
weight.
assign tasks
validate data collected
conduct the interview
complete the physical assessment - answerWith delegation, it is a nurse's responsibility
to ___.
Obtain patient's vital signs, height, and weight - answerA CNA can ___.
Conduct a focused assessment on a stable patient - answerAn LPN can ___.
initial
ongoing
comprehensive
focused
special needs - answerWhat are the types of assessments?
first impression of patient (nonverbal/verbal cues)
observe and assess general appearance
identify priority needs or concerns at this time - answerWhat should be done in an initial
general survey of a patient?
First Level Priority/Problems - answerairway
breathing
circulation/cardiac
Second Level Priority/Problems - answermental status changes
acute pain
risk for infection/safety/security
abnormal lab values
elimination issues
untreated medical conditions
Third Level Priority/Problems - answeractivity
mobility
rest
The systematic gathering of information related to the physical, mental, spiritual,
socioeconomic, and cultural status of an individual, group, or community - answer What
is assessment?
collecting data (observation, health history)
using a systematic and ongoing process (physical assessment)
categorizing data
recording data - answer What does assessment include?
inspection
palpation
percussion
auscultation - answer What does a physical assessment include?
experienced symptoms
feelings
thoughts
beliefs - answer What are examples of subjective data?
vital signs
lab results (x-ray)
skin color
bowel sounds
lung sounds
urine color and output - answerWhat are examples of objective data?
primary data - answerinformation collected for the specific purpose at hand
secondary data - answerdata previously collected for any purpose other than the one at
hand
diagnosis - answerdata is used to identify the client's actual or potential health problems
and strengths
planning outcomes and interventions - answerdata helps you formulate realistic goals
and choose the interventions most likely to be acceptable to and effective for the client
implementation - answergathering data by observing the client's responses as you
perform interventions
evaluation - answerassess client based on interventions
, client responses are *data*
disease and pathology
client's responses to care
changes in the plan of care - answerMedical assessments focus on ___. Nursing
assessments focus on ___ and will initiate ___.
nurse aides or nursing assistive personnel (NAP)
(LPN, CNA) - answer___ may collect information such as temperature, height, and
weight.
assign tasks
validate data collected
conduct the interview
complete the physical assessment - answerWith delegation, it is a nurse's responsibility
to ___.
Obtain patient's vital signs, height, and weight - answerA CNA can ___.
Conduct a focused assessment on a stable patient - answerAn LPN can ___.
initial
ongoing
comprehensive
focused
special needs - answerWhat are the types of assessments?
first impression of patient (nonverbal/verbal cues)
observe and assess general appearance
identify priority needs or concerns at this time - answerWhat should be done in an initial
general survey of a patient?
First Level Priority/Problems - answerairway
breathing
circulation/cardiac
Second Level Priority/Problems - answermental status changes
acute pain
risk for infection/safety/security
abnormal lab values
elimination issues
untreated medical conditions
Third Level Priority/Problems - answeractivity
mobility
rest
