Nursing 110 Unit 1: Assessment

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david20x6
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283348
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Nursing 110 Unit 1: Assessment
Updated:
2014-09-17 13:23:07
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nursing
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Description:
step 1 of the nursing process
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  1. systematic and continuous collection, organization, validation, and documentation of data
    assessment
  2. characteristics of data (assessment) collection. remember s c c
    systematic, continuous, and complete
  3. what are two types of systematic collection of assessments
    system approach, and head-to-toe approach
  4. type of assessment usually upon admission
    initial assessments
  5. type of assessment that is ongoing, based on patient problem(s)
    problem-focused assessments
  6. type of assessment during a crisis or change in a patient's status
    emergency assessment
  7. type of assessment several months after initial assessment
    time-lapsed reassessment
  8. What of the following assessments would be performed on a patient to gather data about his previously diagnosed liver cancer?
    a. emergency b. focused c. initial comprehensive d. time-lapsed
    D. Time-lapsed
  9. kind of data detectable by an observer. can be measured
    objective data
  10. kind of data detectable only to person affected
    subjective
  11. Source of data from the patient
    primary
  12. source of data from patient's support persons, significant others, patient records, health care professionals, or other literature
    secondary
  13. method of data collection using vision, smell, hearing, and touch
    observation
  14. What are the methods of data collection?
    observation, interview, examination/physical assessment
  15. method of data collection using a planned communication with a purpose to obtain information, identify problems, evaluate change, teach, or provide info
    interview
  16. what are the two types of an interview?
    direct, nondirect
  17. type of interview that is highly structured, nurse uses questions, and is used during admission
    direct
  18. type of interview in which the nurse allows the patient to control the interview
    nondirect
  19. type of question that requires only one word answers
    closed
  20. type of question that requires an answer of multiple words
    open-ended
  21. type of question that can be answered without pressure. is open ended. "How do you feel about that?"
    neutral
  22. type of question that almost makes patient say what the nurse wants. usually closed ended. "You're angry, aren't you?"
    leading
  23. stage of an interview that established rapport
    opening
  24. stage of interview in which patient's thoughts, perceptions, feelings in response to questions
    body
  25. stage of interview needed info has been obtained
    closing
  26. method of data collection that uses observation techniques to detect health problems. uses cephalocaudal (head-to-toe) and system approach
    examination/physical assessment
  27. method of physical assessment that includes a visual exam of body. first done. need good lighting, exposed body. inspects size, shape, movement position, color, etc.
    inspection
  28. method of physical assessment in which nurse listens to sounds within the body. can be direct (done with unaided ear) or indirect (done with the aid of a stethoscope)
    auscultation
  29. method of physical assessment in which the body's surface is struck to elicit sounds or vibrations. location, size, density of underlying organs
    percussion
  30. method of physical assessment that assesses through touch using fingers and hands. two types: light (pulse, temp, etc) and deep (feel organs)
    palpation
  31. method of physical assessment that uses smell while performing other exam methods. smell casts, drainage, breath, etc.
    olfaction
  32. what is the order of physical assessment?
    inspection, auscultation, percussion, palpation

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