Nursing Assessment Study Guide Health Assessment Notes, Flashcards & Exam Review
NURSING ASSESSMENT
# Term Definition
1 What is health assessment? Health assessment means a nurse collecting
patients health history information I.e subject
data and also doing a physical examination
(objective data) on the patient and documenting
the findings.
2 What is a health history ? A health history is the subjective collection of
data during an interview.
3 What is physical exam? Physical exam is the collection of objective data
from a pt.
4 What is documentation of data? Documentation of data is documenting all the
health assessment and the status of health of the
pt at the time of interaction is recorded so that all
other members of the health care team can use
the information.
5 What are standards of nursing Assessment Diagnosis Outcome identificationthe
practice ? nurse identifies expected outcomes for a plan
individualized situation Planning Implementation
Evaluation
6 What are signs? Signs are objective data that are observed, felt,
measured or heard.
7 What is symptoms ? Symptoms are subjective data reported by the pt.
8 What is clinical manifestation ? Clinical manifestation is presenting signs and
symptoms experienced by a pt.
9 What is context of care? Context of care is situation associated with an
event.
10 What is context of care? Context of care is situation associated with an
event.
11 What is comprehensive Is a detailed physical examination that's done at
assessment? d onset of care in a hospital or a long term
facility.
12 What is context of care? Context of care is situation associated with an
event.
NURSING ASSESSMENT
# Term Definition
1 What is health assessment? Health assessment means a nurse collecting
patients health history information I.e subject
data and also doing a physical examination
(objective data) on the patient and documenting
the findings.
2 What is a health history ? A health history is the subjective collection of
data during an interview.
3 What is physical exam? Physical exam is the collection of objective data
from a pt.
4 What is documentation of data? Documentation of data is documenting all the
health assessment and the status of health of the
pt at the time of interaction is recorded so that all
other members of the health care team can use
the information.
5 What are standards of nursing Assessment Diagnosis Outcome identificationthe
practice ? nurse identifies expected outcomes for a plan
individualized situation Planning Implementation
Evaluation
6 What are signs? Signs are objective data that are observed, felt,
measured or heard.
7 What is symptoms ? Symptoms are subjective data reported by the pt.
8 What is clinical manifestation ? Clinical manifestation is presenting signs and
symptoms experienced by a pt.
9 What is context of care? Context of care is situation associated with an
event.
10 What is context of care? Context of care is situation associated with an
event.
11 What is comprehensive Is a detailed physical examination that's done at
assessment? d onset of care in a hospital or a long term
facility.
12 What is context of care? Context of care is situation associated with an
event.
