ANSWERS LATEST UPDATE. BUY
QUALITY MATERIALS!
Assessment
Collection of data to inform action
Nursing Assessment
Systematic collection of client's health data for care planning
Subjective Data
Information from the client
Objective Data
Observable data like physical exam findings
Primary Source
Information from the client
Secondary Source
Information from a family member
Health History Data
Information influencing care planning
Three Generations of Family Health History
Data from grandparents, parents, siblings, children etc.
Focused Assessment
Addressing a specific issue or concern
Comprehensive Assessment
Providing a full picture during annual exams
Review of Systems (ROS)
Identifying past and present status of body systems
Open-ended Questions
Encourage sharing of information
Closed-ended Questions
Obtain specific information quickly
Verbal Communication
Communication through spoken words and sounds
Nonverbal Communication
Communication through gestures, posture, etc.
General Survey
Assessment of the whole person
Diaphragm (Stethoscope)
Best for higher pitched sounds like breath and bowel sounds
Bell (Stethoscope)
Best for lower pitched sounds like murmurs
Hearing-Impaired Patients
May require sign language interpreter or written communication