Health Assessment test #1 Utica
College 1-10 Jarvis
Chapter=1=Evidence=based=assessment=-=ans--
Subjective=data=-=ans--
what=the=person=says=about=himself=or=herself=during=history=taking
objective=data=-=ans--
what=you=as=the=health=professional=observe=by=inspecting,=percussing,=palpating,=an
d=auscultating=during=the=physical=examination
together=with=the=patients=record=and=laboratory=results,=these=elements=form=the=___
_=-=ans--database
From=the=database=you=make=a=clinical=judgement=or=diagnosis=about=the=individuals=
health=state,=response=to=actual=or=potential=health=problems=and=life=processes.=Thus
=the=purpose=purpose=of=an=assessment=is=to=make=_____=-=ans--
a=judgement=or=diagnosis
An=organized=assessment=is=the=starting=point=of=____=-=ans--
diagnosis=reasoning.=because=all=health=care=diagnoses,=decisions=and=treatments=ar
e=based=on=the=data=you=gather=during=assessment,=it=is=paramount=that=your=assess
ment=be=factual=and=complete
Diagnosis=reasoning=is=-=ans--
the=process=of=analyzing=health=data=and=drawing=conclusions=to=identify=diagnoses.
Novice=examiners=most=often=use=a=diagnostic=process=involving=____=-=ans--
hypothesis=forming=and=deductive=reasoning
This=hypothetic-deductive=process=has=4=major=components=-=ans--1-
=attending=to=initially=available=cues
2-=formulating=diagnostic=hypothesis=
3-=gather=data=relative=to=the=tentative=hypothesis=
,4-
=evaluating=each=hypothesis=with=the=new=data=collected=thus=arriving=at=a=final=diagn
osis
A=cue=is=-=ans--
a=piece=of=information,=a=sign=or=symptom,=or=a=piece=of=laboratory=data
a=hypothesis=is=-=ans--
a=tentative=explanation=for=a=cue=or=a=set=of=cues=the=can=be=used=as=a=basis=for=furt
her=investigation
once=you=complete=a=data=collection=-=ans--
develop=a=preliminary=list=of=significant=signs=and=symptoms=for=all=patient=health=nee
ds.=Cluster=or=group=together=the=assessment=data=that=appear=to=be=causal=or=assoc
iated
Nursing=process=-=ans--the=standards=of=practice=in=nursing
Nursing=process=includes=six=phases=-=ans--
assessment,=diagnosis,=outcome=identification,=planning,=implementation,=evaluation
the=novice=has=-=ans--
no=experience=with=a=specified=patient=population=and=uses=rules=to=guide=performanc
e
it=takes=2-3=years=-=ans--
in=similar=clinical=situations=to=achieve=competence=in=which=you=see=actions=in=the=c
ontext=of=arching=goals=or=daily=plans=for=patients
with=more=time=and=experience,=the=____=nurse=understands=a=patient=situation=as=a=
whole=rather=than=a=list=of=tasks=-=ans--
Proficient=nurse.=At=this=level=you=can=see=long=term=goals=for=the=patient
expert=nurses=-=ans--Vault=over=steps=and=arrive=at=a=clinical=judgement=in=one=leap=
-
the=expert=had=an=intuitive=grasp=of=a=clinical=situation=and=zeros=in=on=the=accurate=s
olution
First-level=priority=problems=-=ans--emergent,=life-
threatening,=and=immediate,=such=as=establishing=an=airway=or=supporting=breathing
Second-level=priority=problems=-=ans--
those=that=are=next=in=urgency=requiring=your=prompt=intervention=to=forestall=further=d
eterioration.=(mental=status=change,=acute=pain,=acute=urinary=elimination=problem,=unt
reated=medical=problems,=abnormal=lab=test=results
, Third-level=priority=problems=-=ans--
are=important=to=the=patient's=health=but=can=be=addressed=after=more=urgent=problem
s=are=addressed.=Examples=include=lack=of=knowledge=or=family=coping.=Interventions=
to=treat=these=problems=are=more=long=term=and=the=response=to=treatment=is=expecte
d=to=take=more=time
collaborative=problems=-=ans--
are=those=in=which=the=approach=to=treatment=involves=multiple=disciplines.=
ex.=diabetic=patient=with=the=sudden=imbalance=of=insulin=and=blood=sugar=has=profou
nd=implications=on=the=CNS=and=GI=systems.=her=condition=will=be=monitored=by=dr,=n
urse,=dietitians,=and=case=managers
Principles=of=setting=priorities=-=ans--
1.=Make=a=complete=list=of=current=medications,=medical=problems,=allergies,=and=reas
ons=for=seeking=care.=Refer=to=them=frequently=because=they=may=affect=how=you=set=
priorities.
2.=Determine=the=relationships=among=the=problems:=If=problem=Y=causes=problem=Z,=
problem=Y=takes=priority=over=problem=Z
Setting=priorities=is=a=dynamic,=changing=process;=at=times,=the=order=of=priority=chang
es,=depending=on=the=seriousness=and=relationship=of=the=problems
ABCV=-=ans--Airway=problems
Breathing=problems
Cardiac/circulation=problems
Vital=sign=concerns
the=conviction=that=all=patients=deserve=to=be=treated=with=the=most=current=and=best-
practice=techniques=led=to=the=development=of=-=ans--evidence=base=practice=EBP
dr.=Archie=and=the=use=of=corticosteroids=to=treat=women=in=premature=labor=reduced=i
nfant=deaths=by=30-
50%.=Helps=stimulate=fetal=lung.=Takes=up=to=17=years=to=implement=into=practice
EBP=is=a=systematic=approach=to=practice=that=-=ans--
emphasizes=the=use=of=best=evidence=in=combination=with=the=clinicians=experience=a
s=well=as=the=patients=preferences,=and=values=to=make=decisions=about=care=and=tre
atment
Complete=database=-=ans--
a=complete=health=history=and=full=physical=examination.=Describes=the=current=and=pa
st=health=state=and=forms=a=baseline=against=which=all=future=changes=can=be=measur
ed.=Yield=the=first=diagnosis=
College 1-10 Jarvis
Chapter=1=Evidence=based=assessment=-=ans--
Subjective=data=-=ans--
what=the=person=says=about=himself=or=herself=during=history=taking
objective=data=-=ans--
what=you=as=the=health=professional=observe=by=inspecting,=percussing,=palpating,=an
d=auscultating=during=the=physical=examination
together=with=the=patients=record=and=laboratory=results,=these=elements=form=the=___
_=-=ans--database
From=the=database=you=make=a=clinical=judgement=or=diagnosis=about=the=individuals=
health=state,=response=to=actual=or=potential=health=problems=and=life=processes.=Thus
=the=purpose=purpose=of=an=assessment=is=to=make=_____=-=ans--
a=judgement=or=diagnosis
An=organized=assessment=is=the=starting=point=of=____=-=ans--
diagnosis=reasoning.=because=all=health=care=diagnoses,=decisions=and=treatments=ar
e=based=on=the=data=you=gather=during=assessment,=it=is=paramount=that=your=assess
ment=be=factual=and=complete
Diagnosis=reasoning=is=-=ans--
the=process=of=analyzing=health=data=and=drawing=conclusions=to=identify=diagnoses.
Novice=examiners=most=often=use=a=diagnostic=process=involving=____=-=ans--
hypothesis=forming=and=deductive=reasoning
This=hypothetic-deductive=process=has=4=major=components=-=ans--1-
=attending=to=initially=available=cues
2-=formulating=diagnostic=hypothesis=
3-=gather=data=relative=to=the=tentative=hypothesis=
,4-
=evaluating=each=hypothesis=with=the=new=data=collected=thus=arriving=at=a=final=diagn
osis
A=cue=is=-=ans--
a=piece=of=information,=a=sign=or=symptom,=or=a=piece=of=laboratory=data
a=hypothesis=is=-=ans--
a=tentative=explanation=for=a=cue=or=a=set=of=cues=the=can=be=used=as=a=basis=for=furt
her=investigation
once=you=complete=a=data=collection=-=ans--
develop=a=preliminary=list=of=significant=signs=and=symptoms=for=all=patient=health=nee
ds.=Cluster=or=group=together=the=assessment=data=that=appear=to=be=causal=or=assoc
iated
Nursing=process=-=ans--the=standards=of=practice=in=nursing
Nursing=process=includes=six=phases=-=ans--
assessment,=diagnosis,=outcome=identification,=planning,=implementation,=evaluation
the=novice=has=-=ans--
no=experience=with=a=specified=patient=population=and=uses=rules=to=guide=performanc
e
it=takes=2-3=years=-=ans--
in=similar=clinical=situations=to=achieve=competence=in=which=you=see=actions=in=the=c
ontext=of=arching=goals=or=daily=plans=for=patients
with=more=time=and=experience,=the=____=nurse=understands=a=patient=situation=as=a=
whole=rather=than=a=list=of=tasks=-=ans--
Proficient=nurse.=At=this=level=you=can=see=long=term=goals=for=the=patient
expert=nurses=-=ans--Vault=over=steps=and=arrive=at=a=clinical=judgement=in=one=leap=
-
the=expert=had=an=intuitive=grasp=of=a=clinical=situation=and=zeros=in=on=the=accurate=s
olution
First-level=priority=problems=-=ans--emergent,=life-
threatening,=and=immediate,=such=as=establishing=an=airway=or=supporting=breathing
Second-level=priority=problems=-=ans--
those=that=are=next=in=urgency=requiring=your=prompt=intervention=to=forestall=further=d
eterioration.=(mental=status=change,=acute=pain,=acute=urinary=elimination=problem,=unt
reated=medical=problems,=abnormal=lab=test=results
, Third-level=priority=problems=-=ans--
are=important=to=the=patient's=health=but=can=be=addressed=after=more=urgent=problem
s=are=addressed.=Examples=include=lack=of=knowledge=or=family=coping.=Interventions=
to=treat=these=problems=are=more=long=term=and=the=response=to=treatment=is=expecte
d=to=take=more=time
collaborative=problems=-=ans--
are=those=in=which=the=approach=to=treatment=involves=multiple=disciplines.=
ex.=diabetic=patient=with=the=sudden=imbalance=of=insulin=and=blood=sugar=has=profou
nd=implications=on=the=CNS=and=GI=systems.=her=condition=will=be=monitored=by=dr,=n
urse,=dietitians,=and=case=managers
Principles=of=setting=priorities=-=ans--
1.=Make=a=complete=list=of=current=medications,=medical=problems,=allergies,=and=reas
ons=for=seeking=care.=Refer=to=them=frequently=because=they=may=affect=how=you=set=
priorities.
2.=Determine=the=relationships=among=the=problems:=If=problem=Y=causes=problem=Z,=
problem=Y=takes=priority=over=problem=Z
Setting=priorities=is=a=dynamic,=changing=process;=at=times,=the=order=of=priority=chang
es,=depending=on=the=seriousness=and=relationship=of=the=problems
ABCV=-=ans--Airway=problems
Breathing=problems
Cardiac/circulation=problems
Vital=sign=concerns
the=conviction=that=all=patients=deserve=to=be=treated=with=the=most=current=and=best-
practice=techniques=led=to=the=development=of=-=ans--evidence=base=practice=EBP
dr.=Archie=and=the=use=of=corticosteroids=to=treat=women=in=premature=labor=reduced=i
nfant=deaths=by=30-
50%.=Helps=stimulate=fetal=lung.=Takes=up=to=17=years=to=implement=into=practice
EBP=is=a=systematic=approach=to=practice=that=-=ans--
emphasizes=the=use=of=best=evidence=in=combination=with=the=clinicians=experience=a
s=well=as=the=patients=preferences,=and=values=to=make=decisions=about=care=and=tre
atment
Complete=database=-=ans--
a=complete=health=history=and=full=physical=examination.=Describes=the=current=and=pa
st=health=state=and=forms=a=baseline=against=which=all=future=changes=can=be=measur
ed.=Yield=the=first=diagnosis=
