Nursing Assessment Study Guide Health Assessment Notes & Exam Preparation
NURSING ASSESSMENT
# Term Definition
1 GOALS OF NURSING 1. promote 2. prevent 3. treat 4. advocate [Hint:
TAPP]
2 5 rights of patients 1. altruism 2. human dignity 3. autonomy 4.
integrity 5. social justice [Hint: HIS AA]
3 a systematic method of collecting health assessment
data about a client for the
purpose of determining the
client's current and ongoing
health status, predicting risks to
health, and identifying health
promoting activities. Also, to
establish baseline for the patient,
in which all other data collected
can be compared
4 a systematic, problem-solving the nursing process
approach to identifying and
treating human responces to
actual or potential health
difficulties
5 The Nursing Process Assessment Diagnosis Planning Implementation
Evaluation [Hint: ADPIE]
6 patient centered, focused on the nursing process
solving problems, enhancing
strengths. The essence and
method of nurses critical thinking
and diagnostic reasoning
7 knowledge, role, evidence-based critical thinking [Hint: REEK]
practice, ethics
8 NDx nursing diagnosis
9 verbal expression of nurses critical NDx
thinking and diagnostic reasoning
10 AAOx3 awake, alert and oriented to person, place, time
11 Maslow's Hierarchy of needs physicological --> saftey --> belongingness and
love --> esteem needs --> self actualization
, Nursing Assessment Study Guide Health Assessment Notes & Exam Preparation
NURSING ASSESSMENT
# Term Definition
12 components of health assessment 1. health interview 2. physical exam
13 types of health assessment 1. initial 2. problem-focused 3. emergency 4.
ongoing
14 stages of interview 1. preinteraction/introduction 2. working/body 3.
closing
15 SBAR situation background assessment
recommendation
16 primary information from client
17 secondary information from family/friends
18 skin, hair, nails integumentary system
19 techniques for integumentary palpation, observation, odor
assessment
20 assess nails determine curvature and angle; texture; tissue
surronding nails, clubbing
21 natural covering of an organism integument
22 3 skin layers epidermis, dermis, subcutaneous
23 what is hair composed of? keratin rooted in the dermis
24 where does hair get its blood the dermis
supply?
25 made of slow growing, hardened nails
keritin
26 function of skin structure, protection, thermoregulation role in
immune response
27 Skin reflects the status of your... nutrition, hydration, medication, perfusion,
endocrine, digestion
NURSING ASSESSMENT
# Term Definition
1 GOALS OF NURSING 1. promote 2. prevent 3. treat 4. advocate [Hint:
TAPP]
2 5 rights of patients 1. altruism 2. human dignity 3. autonomy 4.
integrity 5. social justice [Hint: HIS AA]
3 a systematic method of collecting health assessment
data about a client for the
purpose of determining the
client's current and ongoing
health status, predicting risks to
health, and identifying health
promoting activities. Also, to
establish baseline for the patient,
in which all other data collected
can be compared
4 a systematic, problem-solving the nursing process
approach to identifying and
treating human responces to
actual or potential health
difficulties
5 The Nursing Process Assessment Diagnosis Planning Implementation
Evaluation [Hint: ADPIE]
6 patient centered, focused on the nursing process
solving problems, enhancing
strengths. The essence and
method of nurses critical thinking
and diagnostic reasoning
7 knowledge, role, evidence-based critical thinking [Hint: REEK]
practice, ethics
8 NDx nursing diagnosis
9 verbal expression of nurses critical NDx
thinking and diagnostic reasoning
10 AAOx3 awake, alert and oriented to person, place, time
11 Maslow's Hierarchy of needs physicological --> saftey --> belongingness and
love --> esteem needs --> self actualization
, Nursing Assessment Study Guide Health Assessment Notes & Exam Preparation
NURSING ASSESSMENT
# Term Definition
12 components of health assessment 1. health interview 2. physical exam
13 types of health assessment 1. initial 2. problem-focused 3. emergency 4.
ongoing
14 stages of interview 1. preinteraction/introduction 2. working/body 3.
closing
15 SBAR situation background assessment
recommendation
16 primary information from client
17 secondary information from family/friends
18 skin, hair, nails integumentary system
19 techniques for integumentary palpation, observation, odor
assessment
20 assess nails determine curvature and angle; texture; tissue
surronding nails, clubbing
21 natural covering of an organism integument
22 3 skin layers epidermis, dermis, subcutaneous
23 what is hair composed of? keratin rooted in the dermis
24 where does hair get its blood the dermis
supply?
25 made of slow growing, hardened nails
keritin
26 function of skin structure, protection, thermoregulation role in
immune response
27 Skin reflects the status of your... nutrition, hydration, medication, perfusion,
endocrine, digestion
