Assessment
"Name, address, and phone number; age and birth date; birthplace; gender and preferred pronoun; relationship status; race; ethnic origin; and occupation" all make up this portion of the health history.
What is biographic data?
Collecting subjective and objective data
What is Assessment?
Double Jeopardy: The general survey is made up of these four components.
What are body structure, mobility, appearance, and behavior?
You should do this first
What is Introduction?
What is SBAR?
Thorough assessment of a particular client problem, which does not cover areas not related to the problem.
What is focused assessment?
Carrying out the plan
What is implementation?
This measurement is a marker of healthy weight for height, and can indicate malnutrition and obesity.
What is the body mass index (BMI)?
The proper way to address patients
What is by their sir name or preferred name?
Very rapid assessment performed in life-threatening situations
What is Emergency assessment?
Determining outcome criteria and developing a
plan
What is planning?
The typical appearance of an elderly patient.
What is kyphosis, shortened torso, and longer appearing arms?
These types of questioning "asks for narrative information. Use it to begin the interview, to introduce a new section of questions, and whenever the person introduces a new topic."
What are open-ended questions?
A client is making inappropriate comments to you that are sexual in nature. What is the best way to respond to this situation?
What is remain professional, make it clear you are a professional, set clear boundaries, and if needed, remove yourself from the situation?
This type of database " describes the current and past health state and forms a baseline against which all future changes can be measured."
What is complete database?
Assessing whether outcome criteria have
been met and revising the plan as necessary
What is evaluation?
Double Jeopardy: age, skin color, facial features, and level of consciousness all make up this general survey component?
What is physical appearance?
This portion of the interview is where you should ask the patient if they have any other questions or concerns they want to address, and give your summary of the patient stated to ensure you did not miss or misunderstand information.
What is the closing of the interview?
You should perform the interview on clients who are critically ill and weak in this specific manner with clear, concise, and close ended questions.
What is by "combining the interview with the physical examination, and trying to interview as much as possible while performing lifesaving actions"
Collects holistic subjective and objective data, culture, and spiritual assessment to determine a client’s overall level of functioning in order to make a professional clinical judgment
What is holistic patient assessment?
Analyzing subjective and objective data to
make a professional nursing judgment
What is diagnosis?
This level of a medical problem " are important to the patient’s health but can be attended to after more urgent health problems are addressed."
What is third-level priority?
Ask about the reason for seeking care
Past medical history or family history of this issue?
Lifestyle practices
What is Working phase?
We allow patients to continue this type of response to allow them to feel their emotions and process their emotions.
What is crying?