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NUR 109 CH 12

Fundamentals of Nursing - Taylor CH 12

Initial Assessment Performed shortly after patient is admitted to a helathcare agency or service.
What is the purpose of an initial assessment? To establish a complete database for problem identification and care planning.
Focused Assessment The nurse gathers data about a specific problem that has already been identified.
Emergency Assessment When a physiologic or psychological crisis presents, the nurse performs an emergency assessment to identify life-threatening problems.
Time-Lapsed Assessment Scheduled assessment to compare a patient's current status to baseline data obtained earlier.
Nursing assessments with pediatric patients modified accordingly to what? Developmental stage.
Subjective Data Perceived ONLY by the affected person. Cannot be perceived or verified by another person. Ex: pain or feeling nervous.
Objective Data Observable and measurable data that can be seen, heard, or felt by someone other than the person experiencing them. Ex: vitals
The nurse obtains a nursing history by doing what? Patient Interview.
Physical Assessment The examination of the patient objective data that may better define the patient's condition and help the nurse in planning care.
What are the purposes of the nursing physical assessment? Appraisal of health status, the identification of health problems, and the establishment of a database for nursing intervention.
A patient complains about feeling nauseated after lunch. This is an example of what type of data? Subjective
Although the nursing process is presented as an orderly progression of steps, in reality there is great interaction and overlapping among the five steps. What describes this characteristic of the nursing process? Dynamic
Created by: NurseMaryBert