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HEalth Assessment
1
22
Nursing
Undergraduate 1
09/16/2012

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Term
Health Assessment involves
Definition
systematic method of collecting data. collects health data from patient and compares to good health taking in the client's age, gender, culture, ethnicity, and physical, psychological, and socioeconomic status.
Term
Components of health assessment
Definition
conducting a health history (subjective data), performing a physical examination ( objective data), and documenting it
Term
Subjective data
Definition
signs that are observed, felt, heard, or measured
Term
objective data
Definition
symptoms that the client or family member tells nurse
Term
Components of the nursing process
Definition
assessment, diagnosis, outcomes identification, planning, implementation, and evaluation
Term
What is the first and foundational step of the nursing process?
Definition
Assessment
Term
Documented data must
Definition
be recorded accurately, concisely, legibly, and without bias or opinion
Term
Types of Health Assessment
Definition
Comprehensive, Problem based-focused, Episodic-follow up, Screening
Term
Comprehensive Assessment
Definition
involves a detailed history and physical examination at the onset of care. Ex. Admission to hospital, long-term facility
Term
Problem based/focused Assessment
Definition
involves a history and examination that is limited to a specific problem or complaint. ex: emergency room
Term
Episodic/follow-up Assessment
Definition
 usually done when a client is following up with doc on a previous identified problem
Term
Screening Assessment
Definition
short, usually inexpensive exam focused on disease detection. Ex: blood pressure screening or physical
Term
Why would a nurse cluster data?
Definition
To organize it and make it the problems appear more clearly
Term
NANDA
Definition
North American Nursing Diagnosis Association
Term
NANDA Taxonomy II Domains
Definition
Health promotion, Nutrition, Elimination/ Exchange, Activity/Rest, Perception/Cognition, Self-perception, Role Relationship, Sexuality, Coping/Stress Tolerance, Life Principles, Safety/Protection, Comfort, Growth/Development
Term
Health Promotion
Definition
Central component of nursing; behavior motivated by the desire to increase well-being and actualize human health potential
Term

Health People : Understanding and Improving Health  

2 goals?

Definition
1. increase the years of healthy life. 2. eliminate healthcare disparities
Term
Levels of Health Promotion
Definition
Primary, Secondary, Tertiary
Term
Primary prevention
Definition
prevent a disease from developing through the promotion of a healthy lifestyle
Term
Secondary Prevention
Definition
screening efforts to promote early detection of disease
Term
Tertiary Prevention
Definition
minimizing the disability from acute or chronic disease or injury and helping the client to maximize his or her health
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