Health Assessment Ch. 1 Evidence
Based Assessment & Physical
Examination) Questions And Answers
Diagnostic breasoning b- bcorrect banswers✔✔the bprocess bof banalyzing bhealth bdata
band bdrawing bconclusions bto bidentify bdiagnoses. b4 bparts.
1. battending bto bavailable bcues b(signs, bsymptoms, blabs)
2. bFormulating bdiagnostic bhypotheses b(tentative bexplanations bfor bfurther
binvestigation
3. bgathering bdata
4. bevaluating beach bhypothesis bwhich bleads bto bfinal bdiagnosis
Subjective bdata b- bcorrect banswers✔✔things ba bperson btells byou babout bthat byou
bcannot bobserve bthrough byour bsenses; bsymptoms
Objective bdata b- bcorrect banswers✔✔What byou bas bthe bhealth bprofessional bobserve
bby binspecting, bpercussing, bpalpating, band bauscultating bduring ba bphysical
bexamination.
The bNursing bProcess bsix bphases: b- bcorrect banswers✔✔1. bassessment
2. bdiagnosis b
3. boutcome bidentification
4. bplanning
5. bimplementation
6. bevaluation
Assessment b- bcorrect banswers✔✔the bcollection bof bsubjective band bobjective bdata
babout ba bpatients bhealth
purpose: bmake ba bjudgment bor bdiagnosis
Diagnosis b- bcorrect banswers✔✔identification bof ba bdisease
- bcompare bclinical bfindings bwith bnormal band babnormal bvariations band
bdevelopmental bevents
- binterpret bdata
- bvalidate bdiagnoses
- bdocument bdiagnoses
, Outcome bIdentification b- bcorrect banswers✔✔Identify bexpected boutcomes,
bindividualize bto bthe bperson, bculturally bappropriate, brealistic band bmeasurable,
binclude ba btimeline
Planning b- bcorrect banswers✔✔It binvolves bdetermining boutcome bcriteria band
bdeveloping ba bplan.
Implementation b- bcorrect banswers✔✔involves bcarrying bout bthe bplan.
Evaluation b- bcorrect banswers✔✔Involves bassessing bwhether boutcome bcriteria bhave
bbeen bmet band brevising bthe bplan bas bnecessary.
First-level bpriority bproblems b- bcorrect banswers✔✔emergent, blife bthreatening, band
bimmediate, bsuch bas bestablishing ban bairway bor bsupporting bbreathing.
Second-level bpriority bproblems b- bcorrect banswers✔✔those bthat bare bnext bin
burgency—those brequiring byour bprompt bintervention bto bforestall bfurther bdeterioration
b(e.g., bmental bstatus bchange, bacute bpain, bacute burinary belimination bproblems,
buntreated bmedical bproblems, babnormal blaboratory bvalues, brisks bof binfection, bor
brisk bto bsafety bor bsecurity).
Third-level bpriority bproblems b- bcorrect banswers✔✔those bthat bare bimportant bto bthe
bpatient's bhealth bbut bcan bbe baddressed bafter bmore burgent bhealth bproblems bare
baddressed. bInterventions bto btreat bthese bproblems bare bmore blong bterm, band bthe
bresponse bto btreatment bis bexpected bto btake bmore btime.
Collaborative bproblems b- bcorrect banswers✔✔those bin bwhich bthe bapproach bto
btreatment binvolves bmultiple bdisciplines. bCollaborative bproblems bare bcertain
bphysiologic bconditions bin bwhich bnurses bhave bthe bprimary bresponsibility bto
bdiagnose bthe bonset band bmonitor bthe bchanges bin bstatus.
For bexample, bC.D.'s bdata bregarding bdiabetes brepresent ba bcollaborative bproblem.
bWith bthis bproblem bthe bsudden bimbalance bof binsulin band bblood bsugar bhas
bprofound bimplications bon bthe bcentral bnervous band bgastrointestinal b(GI) bsystems.
bHer bcare bwill bbe bmonitored bby bnurses, bdoctors, bdietitians, band bcase bmanagers.
bOr banother bpatient bwith ban balcohol-use bdisorder bpresents bto bthe bhospital bfor
bunrelated bsurgery band bexperiences bsudden balcohol bwithdrawal bsymptoms. bThis
bcauses brebound beffects bon bthe bcentral bnervous band bcardiovascular bsystems bthat
bmust bbe bmanaged bby ba bteam bof bclinicians.
evidence-based bpractice b- bcorrect banswers✔✔systematic bapproach bto bpractice
busing bbest bevidence, bclinicians bexperience, band bpatient bpreferences band bvalues
bto bmake bdecisions babout bcare band btreatment
Four bdatabases b- bcorrect banswers✔✔complete
Based Assessment & Physical
Examination) Questions And Answers
Diagnostic breasoning b- bcorrect banswers✔✔the bprocess bof banalyzing bhealth bdata
band bdrawing bconclusions bto bidentify bdiagnoses. b4 bparts.
1. battending bto bavailable bcues b(signs, bsymptoms, blabs)
2. bFormulating bdiagnostic bhypotheses b(tentative bexplanations bfor bfurther
binvestigation
3. bgathering bdata
4. bevaluating beach bhypothesis bwhich bleads bto bfinal bdiagnosis
Subjective bdata b- bcorrect banswers✔✔things ba bperson btells byou babout bthat byou
bcannot bobserve bthrough byour bsenses; bsymptoms
Objective bdata b- bcorrect banswers✔✔What byou bas bthe bhealth bprofessional bobserve
bby binspecting, bpercussing, bpalpating, band bauscultating bduring ba bphysical
bexamination.
The bNursing bProcess bsix bphases: b- bcorrect banswers✔✔1. bassessment
2. bdiagnosis b
3. boutcome bidentification
4. bplanning
5. bimplementation
6. bevaluation
Assessment b- bcorrect banswers✔✔the bcollection bof bsubjective band bobjective bdata
babout ba bpatients bhealth
purpose: bmake ba bjudgment bor bdiagnosis
Diagnosis b- bcorrect banswers✔✔identification bof ba bdisease
- bcompare bclinical bfindings bwith bnormal band babnormal bvariations band
bdevelopmental bevents
- binterpret bdata
- bvalidate bdiagnoses
- bdocument bdiagnoses
, Outcome bIdentification b- bcorrect banswers✔✔Identify bexpected boutcomes,
bindividualize bto bthe bperson, bculturally bappropriate, brealistic band bmeasurable,
binclude ba btimeline
Planning b- bcorrect banswers✔✔It binvolves bdetermining boutcome bcriteria band
bdeveloping ba bplan.
Implementation b- bcorrect banswers✔✔involves bcarrying bout bthe bplan.
Evaluation b- bcorrect banswers✔✔Involves bassessing bwhether boutcome bcriteria bhave
bbeen bmet band brevising bthe bplan bas bnecessary.
First-level bpriority bproblems b- bcorrect banswers✔✔emergent, blife bthreatening, band
bimmediate, bsuch bas bestablishing ban bairway bor bsupporting bbreathing.
Second-level bpriority bproblems b- bcorrect banswers✔✔those bthat bare bnext bin
burgency—those brequiring byour bprompt bintervention bto bforestall bfurther bdeterioration
b(e.g., bmental bstatus bchange, bacute bpain, bacute burinary belimination bproblems,
buntreated bmedical bproblems, babnormal blaboratory bvalues, brisks bof binfection, bor
brisk bto bsafety bor bsecurity).
Third-level bpriority bproblems b- bcorrect banswers✔✔those bthat bare bimportant bto bthe
bpatient's bhealth bbut bcan bbe baddressed bafter bmore burgent bhealth bproblems bare
baddressed. bInterventions bto btreat bthese bproblems bare bmore blong bterm, band bthe
bresponse bto btreatment bis bexpected bto btake bmore btime.
Collaborative bproblems b- bcorrect banswers✔✔those bin bwhich bthe bapproach bto
btreatment binvolves bmultiple bdisciplines. bCollaborative bproblems bare bcertain
bphysiologic bconditions bin bwhich bnurses bhave bthe bprimary bresponsibility bto
bdiagnose bthe bonset band bmonitor bthe bchanges bin bstatus.
For bexample, bC.D.'s bdata bregarding bdiabetes brepresent ba bcollaborative bproblem.
bWith bthis bproblem bthe bsudden bimbalance bof binsulin band bblood bsugar bhas
bprofound bimplications bon bthe bcentral bnervous band bgastrointestinal b(GI) bsystems.
bHer bcare bwill bbe bmonitored bby bnurses, bdoctors, bdietitians, band bcase bmanagers.
bOr banother bpatient bwith ban balcohol-use bdisorder bpresents bto bthe bhospital bfor
bunrelated bsurgery band bexperiences bsudden balcohol bwithdrawal bsymptoms. bThis
bcauses brebound beffects bon bthe bcentral bnervous band bcardiovascular bsystems bthat
bmust bbe bmanaged bby ba bteam bof bclinicians.
evidence-based bpractice b- bcorrect banswers✔✔systematic bapproach bto bpractice
busing bbest bevidence, bclinicians bexperience, band bpatient bpreferences band bvalues
bto bmake bdecisions babout bcare band btreatment
Four bdatabases b- bcorrect banswers✔✔complete
