Health Assessment testbank 2023 with 100% correct questions and answers

Professional Nursing Assessments determines nursing interventions; directly or indirectly influences their health status. Emphasis - is placed on diagnosis and treatment of human responses. - based on accurate client assessments. Health Assessment - provides foundation for quality nursing care and intervention. - identify client's needs & strengths in promoting health. - evaluates client's responses to health problems and interventions. - analyzing and synthesizing the data thus making judgements. - evaluating client care outcomes. The Nursing Process 1. Assessment 2. Diagnosis 3. Planning 4. Implementation 5. Evaluation Assessment first and most critical phase of nursing process. Comprehensive Health Assessment consists of both a health history and physical examinations. Purpose of Nursing Health Assessment to collect holistic subjective and objective data to determine a client's overall level of functioning in order to make a professional clinical judgement. Framework for Health Assessment in Nursing 1. History of Present Health Concern 2. Personal Health History 3. Family History 4. Lifestyle and Health Practices Basic Types of Health Assessment 1. Initial Comprehensive Assessment 2. On-Going or Partial Assessment 3. Focused or Problem-Oriented Assessment 4. Emergency Assessment Initial Comprehensive Assessment Collection of subjective data about the client's perception of health of all body parts or systems, past medical history, family history, and lifestyle and health practices. On-Going or Partial Assessment Data collection that occurs after the comprehensive database is established. - mini overview; follow up on health status. - reassessed to determine any changes from the baseline data. Focused or Problem-Oriented Assessment Thorough assessment of a particular client problem and does not cover areas not related to the problem Emergency Assessment rapid focused assessment conducted to determine potentially fatal situations Steps of Health Assessment 1. Collection of subjective data 2. Collection of objective data 3. Validation of data 4. Documentation of data Subjective Data personal information that can be elicited and verified only by the client. Major Areas of Subjective Data 1. Biographical Information 2. History of Present Health Concerns 3. Personal Health History 4. Family Health History 5. Health and Lifestyle Practices Objective Data - directly observed by the examiner. - obtained by general observation. Client's Medical/Health record a document that contains information about what other health care professionals observed about the client. Major Areas of Objective Data: 1. Physical Characteristics 2. Body Functions 3. Appearance 4. Behavior 5. Measurements 6. Results of laboratory tests Documentation of Assessment Data / Documenting Data forms and provides data.