Health Assessment Final Care Viii 2009 - Critical Thinking - Ch1

Front 1

what the person SAYS about himself/herself during history taking

Back 1

subjective data

Front 2

what you as the health professional OBSERVE by inspecting, percussing, palpating, and auscultating during the physical exam

Back 2

objective data

Front 3

subjective data, objective data, the patient's record and laboratory studies

Back 3

data base

Front 4

from the ____________, you make a clinical judgment or diagnosis about the individual's health state or response to actual or risk health problems and life processes, as well as diagnoses about higher levels of wellness

Back 4

data base

Front 5

the purpose of assessment

Back 5

to make a judgment or diagnosis

Front 6

the starting point of every approach to clinical reasoning

Back 6

an organized assessment

Front 7

the process of analyzing health data and drawing conclusions to identify diagnoses, (based on the scientific method)

Back 7

diagnostic reasoning

Front 8

what are the 4 major components of diagnostic reasoning?

Back 8

1. attending to initially available clues
2. formulating diagnostic hypotheses
3. gathering data relative to the tentative hypotheses
4. evaluating each hypothesis the new data collected, thus arriving at a final diagnosis

Front 9

a piece of information, a sign or symptom, or a piece of laboratory data

Back 9

cue

Front 10

a tentative explanation for a cue or a set of cues that can be used as the basis for further investigation

Back 10

hypothesis

Front 11

diagnostic hypotheses are activated _________ in the reasoning process

Back 11

very early

Front 12

also based on the scientific method, _____________ includes 6 phases

Back 12

the nursing process

Front 13

what are the 6 phases of the nursing process?

Back 13

1. assessment
2. diagnosis
3. outcome identification
4. planning
5. implementation
6. evaluation

Front 14

collection of data about the individual's health state

Back 14

assessment

Front 15

levels of nursing

Back 15

1. novice
2. competent
3. proficient
4. expert

Front 16

the ________ nurse has no experience with a specified patient population and uses rules to guide performance

Back 16

novice

Front 17

the _________ nurse sees actions in the context of arching goals or daily plans for patients

Back 17

competent

Front 18

the _______ nurse understands a patient situation as a whole rather than as a list of tasks. this nurse sees long-term goals for the patient.

Back 18

proficient

Front 19

the __________ nurse vaults over the steps and arrives at a clinical judgment in one leap

Back 19

expert

Front 20

true or false: a nursing model is used along with, not in place of, a medical model

Back 20

true

Front 21

all conceptual (nursing) models deal with the same 4 concepts. what are they?

Back 21

1. human beings
2. environment and society
3. health and illness
4. nursing

Front 22

clinical judgments about a person's response to an actual or potential health state

Back 22

nursing diagnoses

Front 23

existing problems that are amenable to independent nursing interventions

Back 23

actual diagnoses

Front 24

potential problems that an individual does not currently have but is particularly vulnerable to developing

Back 24

risk diagnoses

Front 25

focus on strengths and reflect an individual's transition to a higher level of wellness

Back 25

wellness diagnoses

Front 26

views health as the absence of disease, focuses on the diagnosis and treatment of pathogens and the curing of disease

Back 26

biomedical model

Front 27

a dynamic process, a move toward optimal funcioning

Back 27

wellness

Front 28

consideration of the whole person, views the mind, body, and spirit as interdependent and functioning as a whole within the environment

Back 28

holistic health

Front 29

what are the four types of data?

Back 29

1. complete (total health) data base
2. episodic or problem centered data base
3. follow-up data base
4. emergency data base