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- Chamberlain College Of Nursing
- ATI HEALTH ASSESSMENT
Ati health assessment final exam 2020.
Upgrade to Quizlet Plus jeszoequiz 30 terms Vanessa_Gonzalez49 Health Assessment ATI EXAM 1 STUDY LEARN FLASHCARDS WRITE SPELL TEST PLAY MATCH GRAVITY Upgrade to remove ads Only $1/month SORT A nurse is introducing herself to a client as the first step of a comprehensive physical...
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Health Assessment in Nursing Practice
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It involves collection of subjective data about the client’s perception of his or her health of all body parts or systems, past health history, family history, and lifestyle and health practices (which includes information related to the client’s overall function) as well as objective data gathered during a step-by-step physical examination.
Ongoing or partial assessment
Focused or problem-oriented
According to American Nurses Association (ANA) _______________ defines as "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.
Nursing: Scope and Standards of Practice
"The Registered Nurse collects comprehensive data pertinent to the patient's health or situation."
"The Registered Nurse analyzes the assessment data to determine the diagnoses or issues"
To accomplish this pertinent and comprehensive data, the nurse:
Collects data in a systematic and ongoing process
Uses analytical models and problem-solving tools
Validates the diagnoses or issues with the client, family, and other healthcare providers when possible and appropriate
Uses appropriate evidence-based assessment techniques and instruments in collecting pertinent data
First and most critical phase of Nursing Process
Considered to be the interdependent factors that affect a person's level of health
Validation of assessment data is a crucial part of assessment that often occurs along with collection of subjective and objective data.
It forms the database for the entire nursing process and provides data for all other members of the health care team.
Analysis of data (often called nursing assessment) ?
Carrying out the plan of care
Problem that requires the attention or assistance of other health care professionals.
Physiologic complications that nurses monitors to detect their onset or changes in status.
Assessing whether outcome criteria have been met and revising the plan of care if necessary
Developing a plan of nursing care and outcome criteria
Objective data is finding directly observed or indirectly observed through measurements ( e.g., body temperature)
Clinical judgement about individual ,family or community responses to actual or potential health problems and life processes.
A nursing diagnosis provides the basis for selecting nursing interventions to achieve outcomes for which the nurse is accountable.
Health assessment can be divided into:
collecting subjective data
collecting objective data
validation of data
documentation of data
Sensations or symptoms that can be verified only by clients (e.g.pain)
Types of Nursing Assessment:
Very rapid assessment performed in life-threatening situations
The medical record provides background about
chronic diseases and gives clues to how a present illness may impact the client’s activities of daily living (ADL).
Subjective data is obtained by general observation and
by using the four physical examination techniques: inspection, palpation, percussion, and auscultation.
During this phase, you analyze and synthesize data to determine whether the data reveal a nursing concern (nursing diagnosis), a collaborative concern (collaborative problem), or a concern that needs to be referred to another discipline (referral).
A comfortable, relaxed atmosphere and an attentive interviewer are essential for a successful clinical interview
____________ assessment consists of a thorough assessment of a particular client problem and does not cover areas not related to the problem
Analysis of subjective and objective data to make a professional nursing judgment
In a community clinic, a nurse practitioner may perform the entire physical examination.
Frequency of comprehensive assessments depends on the client’s
Health promotion practices and lifestyle
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