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21 Cards in this Set
- Front
- Back
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ANA defines Assessment as ?
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comprehensive data pertinent to the patient's health or the situation
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3 Components of health Assessment are ?
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Health history
physical examination documentation of data |
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Data comes from ?
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signs and symptoms
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Symptoms are ?
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subjective-what the client feels/communicates and they can come from various sources.
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Signs are ?
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Objective- clinical findings
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We find out about the symptoms during what part of the assessment?
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Health History
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We see the signs during which part of the assessment?
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Physical Exam
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When you are done collecting data you should ?
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document
document document! |
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When we need to get a little more info from the pt. about their problem we should use the acronym POLDCARTS?
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Previous History
Onset Location Duration Character Alleviating/Aggravating Radiation Timing Severity/Self treatment |
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We should make our assessments into a ? method
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systematic
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When asking about location of pain, how can you ask the pt to show you where it is located?
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show me with one finger where your pain is!
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What are we asking when we are asking about the character of the pain?
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Sharp, Dull, aching
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The amount of info gained during a health assessment depends on several factors including?
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Context of Care
Client need Expertise of the nurse |
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Client needs vary widely, the nurse must be prepared to conduct appropriate level of assessment. What are some determining factors?
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Age
general level of health presenting problems knowledge level support systems |
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Expertise of the nurse is gained with ? within a given area of practice.
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specialization
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Documentation is a ? record
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permanent
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Data organization involves organizing or clustering data that allows problems to be clearly ?
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apparent
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Health promotion and health protection is the ? component of nursing
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central
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Health promotion and Health protection begins with the ? assessment.
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health
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Interpretation of data allows the nurse to ? health promotion needs.
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target
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The order for physical assessment, for every body part accept for the abdomen are?
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Inspection
Palpation Percussion Auscultation |
