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- ATI HEALTH ASSESSMENT

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Ati health assessment final exam 2020.
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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.
Initial comprehensive
Ongoing or partial assessment
Focused or problem-oriented
Emergency assessment
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
Intervention
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
Implementation
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)
Objective Data
Subjective Data
Referral Problem
Collaborative Problem
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
Risk Factors
Health Status
Health promotion practices and lifestyle
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purpose of health assessment. 1. gathering information about the patient's health status. 2. analyzing and synthesizing data collected. 3. making judgments about nursing interventions. 4. evaluation of patient care outcomes. subjective data. what a patient says about himself or herself during history taking. objective data.
A: avoid touching the nasal septum with the speculum. Q: During assessment of a 20 year old patient with a three day history of nausea and vomiting, the nurse notes dry mucosa and a deep fissure on the tongue. This is reflective of. A: dehydration. Q: When assessing heart sounds, which of the following is the correct technique.
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Study with Quizlet and memorize flashcards containing terms like An elderly patient is admitted to the hospital. While performing a skin assessment, the nurse discovers bruises in various stages of healing all over the patient's body. Why is it important for the nurse to promptly document and report these findings? a.The patient may have been abused. b.The patient is elderly. c.The patient may ...
Study with Quizlet and memorize flashcards containing terms like A physician tells the nurse that a patients vertebra prominens is tender and asks the nurse to reevaluate the area in 1 hour. The area of the body the nurse will assess is: a. Just above the diaphragm. b. Just lateral to the knee cap. c. At the level of the C7 vertebra. d. At the level of the T11 vertebra., A mother brings her 2 ...
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A patient who is admitted with acute anxiety has the following arterial blood gas (ABG) values: pH, 7.60; partial pressure of arterial oxygen (PaO2), 90 mm Hg; partial pressure of arterial carbon dioxide (PaCO2), 28 mm Hg; and bicarbonate (HCO3-), 24 mEq/L. Based on these values, the nurse suspects: respiratory acidosis.
Study with Quizlet and memorize flashcards containing terms like _____ data typically consist of the client's name, age, occupation, ethnicity, and support systems or resources. A. Family History B. Biographic C. Review of Systems D. Personal Health, _____ data are sensations or symptoms, feelings, perceptions, desires, preferences, beliefs, ideas, values, and personal information that can be ...
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PAINAD: Pain Assessment IN Advanced Dementia. -used for dementia patients since they manifest their pain through their behavior so this is another *behavioral tool for dementia patients. -looks at breathing, negative vocalization, facial expression, body language, and consoliability. Study with Quizlet and memorize flashcards containing terms ...
Final Exam Study Guide Health Assessment I NR302; Health Assess I Exam 2 Concepts-1; NR283 Unit 5, 6, 7 Pre-Class Questions; ... Study online at quizlet/_b4a5ua. Eye assessment. Eyes, eyelids, eyebrows - position, shape, symmetry, movement, ptosis Periorbital area - edema, erythema, le- sions Conjunctiva - clarity, discharge, inflam- mation ...
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Health Assessment (Final Exam Review; Jarvis 6th Ed.) 1. A 45-year-old mother of two children is seen at the clinic for complaints of "losing my urine when I sneeze." The nurse documents that she is experiencing: A. enuresis. B. stress incontinence. C. urinary frequency. D. urge incontinence. 2.
View Test prep - ATI health assessment exam 1, 2 and final.docx from NUR 304 at Montgomery College. Search Create Upgrade to Quizlet Plus jeszoequiz 30 terms Vanessa_Gonzalez49 Health Assessment ATI ... Search Create Upgrade to Quizlet Plus jeszoequiz 30 terms Vanessa_Gonzalez49 Health Assessment ATI EXAM 1 STUDY LEARN FLASHCARDS WRITE SPELL ...
Number of pages 25. Written in 2021/2022. Type Exam (elaborations) Contains Questions & answers. health assessment ati exam 1. a nurse is introducing herself to a client as the first step of a comprehensive physical examination which of the following strategies should the nurse use with this clie.
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Report an issue. 53 plays. 51. LESSON. 18 Qs. 1.6K plays. 5th - 6th. Health Assessment in Nursing Practice quiz for University students. Find other quizzes for Science and more on Quizizz for free!
Subjective Health Interview. "When a client is having complete, head-to-toe- physical assessment, collection of subjective data usually requires that the nurse take. Physical Health Assessment Summary. Concerns that the student nurse would want to monitor for would be signs of decreased cardiac output and lack of blood flow to his peripheral ...
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