NURSING 123 Health Assessment Study Guide Definitions, Health History & Physical Examination Notes
NURSING 123- HEALTH ASSESSMENT
Includes the definitions of each chapter and the slideshow components that
were referenced during class. Additionally contains the health history and
physical examination components of each system. I will most likely be
making a separate study set with the questions (both short-answer and
multiple choice) from the prep for each week. :)
# Term Definition
1 1. Assessment the collection of data about an individual's
health state, for the purpose of making a
judgement or diagnosis.
2 1. Behavioural model moves health beyond treating disease to
include secondary and primary preventions with
emphasis given to behaviour and lifestyle
changes.
3 1. Biomedical model the predominant Canadian health model; health
is viewed as the absence of disease, with a focus
on disease diagnosis and treatment
4 1. Complete database a complete health history, full physical
examination, laboratory studies and other
diagnostic tests.
5 1. critical thinking a multidimensional thinking process where
nurses learn to assess and modify treatments, if
indicated, before acting
6 1. Cue An assessment finding: a piece of information,
sign, symptom, or a piece of laboratory data
7 1. Diagnostic hypothesis a tentative explanation for a cue or set of cues,
useful as a basis to guide further investigation.
8 1. diagnostic reasoning a method of collecting and analyzing clinical
information with the following components: 1)
attending to initially available cues, 2)
formulating diagnostic hypotheses, 3) gathering
data relative to the tentative hypotheses, and 4)
evaluating each hypothesis with the new data
collected to arrive at a final diagnosis.
9 1. Emergency database rapid collection of the database, often compiled
concurrently with lifesaving measures
,NURSING 123 Health Assessment Study Guide Definitions, Health History & Physical Examination Notes
NURSING 123- HEALTH ASSESSMENT
# Term Definition
10 1. Episodic database Database used for a limited or short term
problem (such as a cue, body system issue etc).
11 1. Evidence-informed practice A systematic approach to making decisions
about patient care that integrates the best
available evidence with assessment data, the
clinician's experience and expertise, and the
individual patient preferences and values, with
the aim to improve outcomes.
12 1. Follow-up database Used in all settings to monitor the progress on
short-term or long-term chronic health
problems
13 1. health promotion a comprehensive social and political process of
enabling people to increase control over the
determinants of health and therefore improve
their health
14 1. medical diagnosis used to evaluate the cause and etiology of a
disease; focus is on the function or malfunction
of a specific organ system
15 1. nursing diagnosis clinical judgement about a person's response to
an actual or potential health state, and
identification of their health concerns, risks and
goals in response to the nurse's analysis of data.
16 1. nursing process a method of collecting and analyzing clinical
information with the following: 1) assessment 2)
nursing diagnosis 3) planning 4)
implementation and 5) evaluation
17 1. Objective data observations by inspecting, palpating,
percussing and auscultating during the physical
examination
18 1. Relational practice recognizes that the meanings of health and
illness are shaped by social, cultural, family and
geographic contexts as well as age, gender,
ability, and other individual factors
19 1. Social determinants of health the social, economic, and political conditions
that shape individual, family and community
health
, NURSING 123 Health Assessment Study Guide Definitions, Health History & Physical Examination Notes
NURSING 123- HEALTH ASSESSMENT
# Term Definition
20 1. Socioenvironmental model incorporates sociological and environmental
aspects of health, as well as biomedical and
behavioural aspects
21 1. Subjective data What the person says about themself during
history taking
22 2. health disparities occur when the combination and interaction fo
the social determinants of health result in
differences in health status between segments
of the population
23 2. health inequities result when health disparities are avoidable but
outside individual control
24 2. health promotion the process of enabling people to increase
control over and improve their health, moving
beyond individual behaviour towards
environmental and social interventions
25 2. moving upstream focusing on the root causes of health conditions
and taking action to avoid a problem before it
occurs; the hallmark of primary prevention
26 2. population health promotion provides a multifaceted approach to consider
model the social determinants of health in nursing
health assessment
27 2. primary prevention the promotion of health and the prevention of
illness by assisting individuals and communities
to prevent known health conditions and
promote psychosocial wellness
28 2. screening early detection of a condition or disease,
possible with an effective tool for detection, the
condition has a long latency period before
symptoms appear, and has an effective
treatment
29 2. secondary prevention early detection of a disease before symptoms
emerge (using disease screening primarily)
NURSING 123- HEALTH ASSESSMENT
Includes the definitions of each chapter and the slideshow components that
were referenced during class. Additionally contains the health history and
physical examination components of each system. I will most likely be
making a separate study set with the questions (both short-answer and
multiple choice) from the prep for each week. :)
# Term Definition
1 1. Assessment the collection of data about an individual's
health state, for the purpose of making a
judgement or diagnosis.
2 1. Behavioural model moves health beyond treating disease to
include secondary and primary preventions with
emphasis given to behaviour and lifestyle
changes.
3 1. Biomedical model the predominant Canadian health model; health
is viewed as the absence of disease, with a focus
on disease diagnosis and treatment
4 1. Complete database a complete health history, full physical
examination, laboratory studies and other
diagnostic tests.
5 1. critical thinking a multidimensional thinking process where
nurses learn to assess and modify treatments, if
indicated, before acting
6 1. Cue An assessment finding: a piece of information,
sign, symptom, or a piece of laboratory data
7 1. Diagnostic hypothesis a tentative explanation for a cue or set of cues,
useful as a basis to guide further investigation.
8 1. diagnostic reasoning a method of collecting and analyzing clinical
information with the following components: 1)
attending to initially available cues, 2)
formulating diagnostic hypotheses, 3) gathering
data relative to the tentative hypotheses, and 4)
evaluating each hypothesis with the new data
collected to arrive at a final diagnosis.
9 1. Emergency database rapid collection of the database, often compiled
concurrently with lifesaving measures
,NURSING 123 Health Assessment Study Guide Definitions, Health History & Physical Examination Notes
NURSING 123- HEALTH ASSESSMENT
# Term Definition
10 1. Episodic database Database used for a limited or short term
problem (such as a cue, body system issue etc).
11 1. Evidence-informed practice A systematic approach to making decisions
about patient care that integrates the best
available evidence with assessment data, the
clinician's experience and expertise, and the
individual patient preferences and values, with
the aim to improve outcomes.
12 1. Follow-up database Used in all settings to monitor the progress on
short-term or long-term chronic health
problems
13 1. health promotion a comprehensive social and political process of
enabling people to increase control over the
determinants of health and therefore improve
their health
14 1. medical diagnosis used to evaluate the cause and etiology of a
disease; focus is on the function or malfunction
of a specific organ system
15 1. nursing diagnosis clinical judgement about a person's response to
an actual or potential health state, and
identification of their health concerns, risks and
goals in response to the nurse's analysis of data.
16 1. nursing process a method of collecting and analyzing clinical
information with the following: 1) assessment 2)
nursing diagnosis 3) planning 4)
implementation and 5) evaluation
17 1. Objective data observations by inspecting, palpating,
percussing and auscultating during the physical
examination
18 1. Relational practice recognizes that the meanings of health and
illness are shaped by social, cultural, family and
geographic contexts as well as age, gender,
ability, and other individual factors
19 1. Social determinants of health the social, economic, and political conditions
that shape individual, family and community
health
, NURSING 123 Health Assessment Study Guide Definitions, Health History & Physical Examination Notes
NURSING 123- HEALTH ASSESSMENT
# Term Definition
20 1. Socioenvironmental model incorporates sociological and environmental
aspects of health, as well as biomedical and
behavioural aspects
21 1. Subjective data What the person says about themself during
history taking
22 2. health disparities occur when the combination and interaction fo
the social determinants of health result in
differences in health status between segments
of the population
23 2. health inequities result when health disparities are avoidable but
outside individual control
24 2. health promotion the process of enabling people to increase
control over and improve their health, moving
beyond individual behaviour towards
environmental and social interventions
25 2. moving upstream focusing on the root causes of health conditions
and taking action to avoid a problem before it
occurs; the hallmark of primary prevention
26 2. population health promotion provides a multifaceted approach to consider
model the social determinants of health in nursing
health assessment
27 2. primary prevention the promotion of health and the prevention of
illness by assisting individuals and communities
to prevent known health conditions and
promote psychosocial wellness
28 2. screening early detection of a condition or disease,
possible with an effective tool for detection, the
condition has a long latency period before
symptoms appear, and has an effective
treatment
29 2. secondary prevention early detection of a disease before symptoms
emerge (using disease screening primarily)
