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assessing/NCP
chapter 12
| Question | Answer |
|---|---|
| four types of nursing assessments | inital comprehensive, focused, emergency, time-lapsed |
| intial comprehensive assessment | performed shortly after admit to hospital. establishes a complete database. |
| focused assessment | maybe performed during intial assessment or as routine ongoing data collection. perfomed to gahter data about a specific problem |
| emergency assessment | performed when a physiologic or psychological crisis presents. performed to id life threatening problems |
| time lapsed assessment | performed to compare a ptatient's current status to baseline data obtained earlier |
| medical assessments | targets data pointing to pathologic conditions |
| nursing assessments | focuses on pt's response to health problems |
| objective data | observable and measurable data that can be seen, heard or felt by someone other that the person experienecing them |
| subjective data | information perceived only by the affected person |
| characteristics of data | purposeful, complete, factual and accucrate, |
| sources of data | patient, family,pt record, other healtcare workers, nursing literature |
| four phases of nursing interview | preparatory, introduction, working, termination |
| purpose of a nursing physical exam | apprasial of health status, id of health problems, establishemetn of a datbase for nursing intervetion |
| when to verify data | when there is a descrepancy between what the pt is saying and what the nurse is obseving |