A woman shouts, "I don't understand what my brother is saying at all!"
Admission Assessment, Time-Lapse Assessment, Focus Assessment, or Emergency Assessment
Emergency Assessment: Determines the presence of life-threatening conditions. Anytime a physiologic, psychological, or emotional crisis occurs.
The nurse's ability to recognize a piece of information about a patient's health status that needs to be analyzed and interpreted. This piece of information is known as a _____ ?
A Cue: a piece of information about a patient's health status that needs to be analyzed and interpreted.
You are receiving a change of shift report and are told that Mr. Morgan just arrived about 5-minutes ago. He is waiting to be taken to his room. What type of assessment will you conduct?
Admission Assessment, Time-Lapse Assessment, Focus Assessment, or Emergency Assessment
Admission Assessment: This assessment will become your reference point and your initial identification of normal function, functional status, and collection of data concerning actual or potential dysfunction.
The act of noticing patient cues?
Observation
You find your patient sitting on the floor holding their leg and reports, "my leg really hurts". What type of assessment will you conduct?
Admission Assessment, Time-Lapse Assessment, Focus Assessment, or Emergency Assessment
Emergency Assessment: Determines the presence of life-threatening conditions. Anytime a physiologic, psychological, or emotional crisis occurs.
Analysis of bodily functioning using the techniques of inspection, palpation, percussion, and auscultation is known as _________ ?
Physical examination
Your patient was admitted yesterday with a stroke with mild left hemiplegia. What type of assessment will you conduct?
Admission Assessment, Time-Lapse Assessment, Focus Assessment, or Emergency Assessment
Focus Assessment: Status determination of a specific problem identified during previous assessment. Ongoing process.
You ask your patient a question and they do not answer. This can be an objective or subjective ____ ?
Objective Cue: this would be an objective cue that should be further assessed.
You are going to assess Mrs. Morgan who has been living at your facility for 9 months now. What type of assessment will you conduct?
Admission Assessment, Time-Lapse Assessment, Focus Assessment, or Emergency Assessment
Time-Lapse Assessment: Comparison of patient's current status to baseline obtained previously to detect changes in all functional areas after an extended period of time has passed.
Your patient has purulent drainage coming from their incision site. This is an objective or subjective ____ ?
Objective cue: this is an objective cue that provides patient assessment data that needs to be further investigated.