Assessment - ANSWERS:The collection of subjective and objective data about a patient's health
Subjective data - ANSWERS:Information provided by the
affected individual
Objective data - ANSWERS:Information obtained by the
health care provider through observation and inspecting,
percussing, palpating, and auscultating during the
physical examination
Database - ANSWERS:Totality of information available
about the patient, including subjective data, objective data,
and the patient's medical record and laboratory studies
Purpose of an assessment - ANSWERS:Make a judgement or diagnosis
Diagnostic reasoning - ANSWERS:The process of analyzing health
data and drawing conclusions to identify diagnoses
Cues - ANSWERS:Pieces of information, signs, symptoms, or laboratory data
Hypotheses - ANSWERS:Tentative explanations for a cue or a set cues and can serve as a basis for
further investigation
Steps of diagnostic reasoning - ANSWERS:1. Attending to available cues
2. Formulating hypothesis
3. Gathering data
4. Evaluating hypothesis
Steps of nursing process - ANSWERS:1. Assessment
2. Diagnosis
3. Outcome identification
4. Planning
5. Implementation
6. Evaluation
Novice nurse - ANSWERS:Has no experience with specific patient populations and uses rules to guide
performance
Proficient nurse - ANSWERS:Understands a patient situation as a whole rather than as a list of tasks,
attends to an assessment data pattern, and acts without consciously labeling it
, NUR 2092 Health Assessment Exam 1
Expert nurse - ANSWERS:Has an intuitive grasp of a clinical situation and zeroes in on the accurate
solution
Critical thinking - ANSWERS:The multidimensional thinking process needed for sound diagnostic
reasoning and clinical judgment
First-level priority problems - ANSWERS:Emergent, life-threatening,
and immediate, such as establishing an airway or supporting breathing
Second-level priority problems - ANSWERS:next in urgency; require prompt intervention to prevent
deterioration, and may include a mental status change or acute pain, or abnormal laboratory values
Third-level priority problems - ANSWERS:Important to the patient's health but can be addressed after
more urgent health problems are addressed
Collaborative problems - ANSWERS:Certain physiologic complications in which the approach to
treatment involves multiple disciplines.
Evidence-based practice - ANSWERS:Systematic approach to practice that uses the best evidence, the
clinician's experience, and the patient's preferences and values to make decisions about care and
treatment
The four kinds of databases - ANSWERS:1. Complete
2. Focused
3. Follow-up database
4. Emergency database
Complete database - ANSWERS:A complete health history and full physical examination, yielding the
first diagnoses
Focused database - ANSWERS:Used for a limited or short-term problem; smaller in scope and more
targeted than the complete database
Follow-up database - ANSWERS:Evaluates the status of any identified problem at regular intervals to
follow up on short term or chronic health problems
Emergency database - ANSWERS:Rapid collection of crucial data, which often occurs while performing
life-saving measures
Holistic health model - ANSWERS:Assesses the whole person because it views the mind, body, and spirit
as interdependent and functioning as a whole within the environment. Health depends on all these
factors working together
Health promotion & disease prevention - ANSWERS:Involve changing people's unhealthy behaviors
through a set of positive acts. The focus is on teaching and helping the consumer choose a healthier
lifestyle