HHA Exam 1 UTA Study Guide with Complete Solutions

HHA Exam 1 UTA Study Guide with Complete Solutions Definition of nursing by the American Nurses Association - Ans:-"the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human responses and advocacy in the care of individuals, families, communities and populations." The emphasis is on diagnosis and treatment which is based on accurate client assessments American Nurses Association definition of assessment - Ans:-Assessment is collection by the RN of comprehensive data pertinent to the patient's health or situation. Scope and Standards of Practice: The RN - Ans:-Collects data in a systematic manner, prioritizes data collection; involves the patient and family Uses evidence-based assessment techniques Synthesizes data and documents findings GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 2/29 Derives diagnoses based on assessment data CUSD Texas Board of Nursing: Definition of assessment and role of the RN - Ans:-"The comprehensive assessment is the first step, and lays the foundation for the nursing process.....is the initial and ongoing, extensive collection, analysis and interpretation of data." Evolution of the Nurse's Role in Health Assessment: FUTURE - Ans:-2010 IOM Report on Nursing proposed an expansion of nurse roles and responsibilities: assess clients across the continuum of health, use telecommunication systems, perform in-depth physiologic and psychosocial assessments. Rapidly evolving roles of the nurse and assessment - Ans:-perform focused assessments and develop nursing diagnoses work with multidisciplinary team determine the need for physician referrals GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 3/29 holistic health nursing - Ans:-Nurse collects holistic subjective & objective data to determine a client's overall level of functioning in order to make a professional clinical judgment physical medical assessment - Ans:-Physician focuses primarily on the client's physiologic status ADPIE - Ans:-Assesment Diagnosis Planning Implementation Evaluation Steps are interchangeable: can go back and forth. Benner's Model - Ans:-Novice: no experience, uses rules to guide performance Competent: takes 2-3 years in similar clinical situations, sees actions in context of goals for pts Proficient: understands a patient situation as a wholev. a list of tasks, sees long-term goals GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 4/29 Expert: arrives at a clinical judgement quickly, intuitive grasp of situation. Framework for health assessment - Ans:-History of Present Health concern (cheif complaint) Personal Health History Family History Lifestyle and Health Practices 4 types of assessment - Ans:-Initial comprehensive assessment Ongoing or partial assessment Focused/problem oriented assessment Emergency assessment GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 5/29 Initial comprehensive assessment - Ans:-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. First meeting and data collection Ongoing or partial assessment - Ans:-Data collection that occurs after the comprehensive database is established. Continueous monitoring: ex. diabetis, HF Focused/problem-oriented assessment - Ans:-Thorough assessment of a particular client problem, which does not cover areas not related to the problem. History and exam focus on problem: Ex. pain, upper respiratory problem Emergency assessment - Ans:-Very rapid assessment performed in life-threatening situations. Immediate assessment: ABC's GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 6/29 Steps of health assessment - Ans:-Collection of subjective data Collection of objective data Validation of assessment data for accuracy Documentation of data which forms the database for communication with the health team Preparing for assessment (to go see patient) - Ans:-Review the client's record FIRST Educate yourself about diagnoses, tests Avoid premature judgments Gather supplies for assessment Collection of subjective data - Ans:-Biographical information History of present health concern Personal health history Family history Health and lifestyle practices collection of objective data - Ans:-Physical characteristics (skin color, posture) Body functions (vital signs) Appearance GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 7/29 Behavior Measurements Results of laboratory or diagnostic testing Difference between subjective and objective data - Ans:-Subjective- data given by the patient. Objective- data observed through measurement by the nurse Steps in analysis of data - Ans:-Identify abnormal data and strengths. Cluster the data. Draw inferences and identify problems. Propose possible nursing diagnoses. Check for defining characteristics of those diagnoses