Exam 1 - Therapeutic Health
Assessment Questions and Answers
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what are the steps of the nursing process? Ans: -
assessment
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- diagnosis
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- planning
Expert
- implementation
- evaluation
what is assessment? what is included in
assessment? Ans: - collecting subjective and
objective data
- assessment is ongoing and continuous
throughout all phases of the nursing process
- analyzing and synthesizing data, making
judgments about the effectiveness of nursing
interventions, and evaluating client care
outcomes
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what is diagnosis? what is included in diagnosis?
Ans: analyzing subjective and objective data to
make a prioritize professional clinical judgments
(client concerns, collaborative problems, or
referral)
what is planning? what is included in planning?
Ans: generating solutions, developing a plan,
and determining which outcomes need to be met
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first
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what is implementation? what is included in
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implementation? Ans: - taking action
- prioritizing and implementing the planned
interventions
what is evaluation? what is included in
evaluation? Ans: assessing whether outcomes
have been met and revising the plan if the
interventions did not make a difference
what is the purpose of a nursing assessment?
Ans: - to collect holistic subjective and objective
data to determine a client's overall level of
functioning in order to make a professional
clinical judgment
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- nurse collects physiological, psychological,
sociocultural, developmental, and spiritual data
about the client
what are the types of assessments? Ans: - initial
comprehensive
- ongoing or partial
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- focused or problem oriented
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- emergency
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what occurs in an initial comprehensive
assessment? Ans: - Involves collection of
subjective data about the client's perception of
their health of all body parts or systems, past
health history, family history, and lifestyle and
health practices as well as objective data
gathered during a step by step physical
examination
- frequency of a comprehensive assessment
depends on age, risk factors, health status,
health promotion practices, lifestyle
- it is needed when the client first enters a health
care system and periodically there after to
establish baseline data against which future
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health status changes can be measured and
compared
what is an ongoing or partial assessment and
what occurs during it? Ans: - Consists of data
collection that occurs after the comprehensive
database is established.
- Consists of a mini overview of client's body
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systems and holistic health patterns
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- any problems that were initially detected in the
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client's body system or holistic health patterns
are reassessed to determine any changes from
baseline data
- detect any new problems
- performed whenever and wherever the nurse or
another health care professional has an
encounter with the client
- frequency determined by the acuity of the
client
what is a focused or problem oriented
assessment? what occurs during this
assessment? Ans: - Performed when a
comprehensive database exists for a client who