NUR 2180 Physical Assessment Module 1study guide 2022
NUR 2180 Physical Assessment Module 1study guide 2022
1. Subjective Information:
What the client tells you
2. Objective Information:
What you measure or observe
3. Open Ended Questions:
Allows for the collection for more information for the client to elaborate on
their symptoms or concerns.
4. Closed Ended Questions:
Allows for a yes or no answer only
5. Genogram:
Method of visually portraying family relationships and medical his- tory to see
trends
6. Therapeutic Communication:
a way to communicate with patients and staff while respecting values
7. Databases:
helps us assess, track, see labs and notes, and give medications. allows
nurses to make clinical judgments and be organized
8. Cultural Competency:
1/7
, NUR 2180 Physical Assessment Module 1study guide 2022
respecting all areas of culture and respecting values of patients specific to
culture
9. Steps of the Nursing Process:
Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
10. Assessment:
Collecting data from medical record, health history, physical exam, functional
assessment, risk assessment while using evidence based prac- tice
11. Diagnosis:
Compare clinical findings with normal and abnormal variations and
developmental events. interpret data and create hypothesis and nursing
diagnosis
12. Outcome Identification:
Identify expected outcomes, individualize to the per- son, culturally appropriate,
realistic and measurable, include a timeline
13. Planning:
Establish priorities, develop outcomes, set timelines for outcomes, identify
interventions, integrate evidence based practice
14. Implementation:
Must be done in a safe and timely manner using evidence based practice.
Coordinate care and collaborate with other while giving treatment.
2/7
, NUR 2180 Physical Assessment Module 1study guide 2022
15. Evaluation: Progress towards outcomes. Must be systemic and ongoing. Can
be revised and must include patient and family.
16. Novice Nurse:
Starting out in an area of learning and using rules to guide practice
3/7
NUR 2180 Physical Assessment Module 1study guide 2022
1. Subjective Information:
What the client tells you
2. Objective Information:
What you measure or observe
3. Open Ended Questions:
Allows for the collection for more information for the client to elaborate on
their symptoms or concerns.
4. Closed Ended Questions:
Allows for a yes or no answer only
5. Genogram:
Method of visually portraying family relationships and medical his- tory to see
trends
6. Therapeutic Communication:
a way to communicate with patients and staff while respecting values
7. Databases:
helps us assess, track, see labs and notes, and give medications. allows
nurses to make clinical judgments and be organized
8. Cultural Competency:
1/7
, NUR 2180 Physical Assessment Module 1study guide 2022
respecting all areas of culture and respecting values of patients specific to
culture
9. Steps of the Nursing Process:
Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
10. Assessment:
Collecting data from medical record, health history, physical exam, functional
assessment, risk assessment while using evidence based prac- tice
11. Diagnosis:
Compare clinical findings with normal and abnormal variations and
developmental events. interpret data and create hypothesis and nursing
diagnosis
12. Outcome Identification:
Identify expected outcomes, individualize to the per- son, culturally appropriate,
realistic and measurable, include a timeline
13. Planning:
Establish priorities, develop outcomes, set timelines for outcomes, identify
interventions, integrate evidence based practice
14. Implementation:
Must be done in a safe and timely manner using evidence based practice.
Coordinate care and collaborate with other while giving treatment.
2/7
, NUR 2180 Physical Assessment Module 1study guide 2022
15. Evaluation: Progress towards outcomes. Must be systemic and ongoing. Can
be revised and must include patient and family.
16. Novice Nurse:
Starting out in an area of learning and using rules to guide practice
3/7
