NUR 2065 Physical Assessment in Healthcare CHAPTER 1 Questions And Answers

NUR 2065 Physical Assessment in Healthcare CHAPTER 1 Questions And Answers Assessment - ANSWER- the collection of data about an individual's health state Biomedical Model - ANSWER- the Western European/North American tradition that views health as the absence of disease Complete database - ANSWER- a complete health history and full physical examination Critical thinking - ANSWER- simultaneously problem solving while self-improving ones' own thinking ability Diagnostic reasoning - ANSWER- a method of collecting and analyzing clinical information with the following components: (1) attending to initially available cues (2) formulating diagnostic hypotheses (3) gathering data relative to the tentative hypotheses (4) evaluating each hypothesis with the new data collected (5) arriving at a final diagnosis Emergency database - ANSWER- rapid collection of the database, often compiled concurrently with lifesaving measures Environment - ANSWER- the total of all the conditions and elements that make up the surroundings and influence the development of a person Evidence-based practice - ANSWER- a systematic approach emphasizing the best research evidence, the clinician's experience, patient preferences and values, physical examination, and assessment Focused database - ANSWER- used for a limited or short-term problem; concerns mainly one problem, one cue complex, or one body system Follow-up database - ANSWER- used in all settings to monitor progress of short-term or chronic health problems Holistic health - ANSWER- the view that the mind, body, and spirit are interdependent and function as a whole within the environment Nursing process - ANSWER- a method of collecting and analyzing clinical information with the following components: (1) assessment (2) diagnosis (3) outcome identification (4) planning (5) implementation (6) evaluation Objective data - ANSWER- what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical examination Subjective data - ANSWER- what the person says about himself or herself during history taking Wellness - ANSWER- a dynamic process and view of health; a move toward optimal functioning Prevention - ANSWER- any action directed toward promoting health and preventing the occurrence of disease the purpose of assessment is to - ANSWER- make a judgement or diagnosis cue - ANSWER- a piece of information, a sign or symptom, or a piece of laboratory or imaging data hypothesis - ANSWER- a tentative explanation for a cue or a set of cues that can be used as a basis for further investigation cluster or group together data that - ANSWER- appear to be associated or causal • ex: a person in acute pain, associated data are rapid heart rate, increased BP, and anxiety validate the data you collect - ANSWER- to make sure they are accurate • as you validate your data, look for gaps in data collection identifying missing information - ANSWER- is an essential critical thinking skill novice nurse - ANSWER- no experience with a specified patient population and uses rules to guide performance competent nurse - ANSWER- you see actions in the context of patient goals or plans of care proficient nurse - ANSWER- understands a patient situation as a whole rather than as a list of tasks • you can see long-term goals for the patient expert nurses - ANSWER- vault over the steps and arrive at a clinical judgement in one leap • has an intuitive grasp of a clinical situation • zeros in on the accurate solution assessment - ANSWER- collect date: • review of the clinical record • health history • physical examination • functional assessment • risk assessment • review of the literature - uses evidenced-based assessment techniques - document relevant data the nursing process is a ___ process - ANSWER- iterative • allowing practitioners to move back and forth while caring for the needs of complex patients