Nursing Assessment & Health Assessment of Human Function
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| Discuss the purpose of a physical examination. | show 🗑
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| Discuss the communication skills necessary to promote physical and psychological comfort during an exam. | show 🗑
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| show | privacy
adequate lighting
quite backround noise
equipment works/proper equipment (warm stethoscope)
room temp comfortable
place equip in order of use
perform hand hygeine
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| show | the visual examination of a pt done methodically. any abnormalities are identified, with factors such as color, shape, symmetry, movement, pulsations, texture of involved body part
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| Describe evidence based practice r/t the palpation phase of a physical examination. | show 🗑
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| Describe evidence based practice r/t the percussion phase of a physical examination. | show 🗑
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| show | listening to body sounds
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| Describe evidence based practice r/t the olfaction phase of a physical examination. | show 🗑
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| Identify between the different components of the nursing health history. | show 🗑
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| What is subjective & objective data? | show 🗑
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| discuss methods to complete an organized physical examination using the head to toe method. | show 🗑
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| show | General health state
vital signs and weight
nutritional status
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| How would you assess Mobility & Self Care in head to toe? | show 🗑
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| How would you assess Head, Face, Neck in head to toe? | show 🗑
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| show | inspect scalp & hair
evaluate skin turgor
observe skin lesions
assess wounds
inspect nails
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| show | Inspect & palpate breasts
inspect & ausculate lungs
ausculate heart
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| How would you assess the Abdomen in head to toe? | show 🗑
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| How would you assess the genitalia in head to toe? | show 🗑
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| show | palpate arterial pulses
observe capillary refill
evaluate edema
assess joint mobility
measure strength
assess sensory fx
assess circulation, movmt,sensation
deep tendon reflexes
inspect skin & nails
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| identify proper communication of data collected during the physical examination and health assessment | show 🗑
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| discuss the roles of the various interdisciplinary health care team members for completeing the health history and physical examination | show 🗑
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| show | provides an adequate database to aid in formulating a conclusion or problem statement (nursing dx)
by comparing data the nurse can determine whether supportive data to meet dx has been obtained, whether further data should be collected, or another dx
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| What is light palpation depth? What is it used for? | show 🗑
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| What is deep palpation depth? What is it used for? | show 🗑
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| show | fingertips
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| show | back of hand (dorsum)
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| show | palm of the hand
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| show | Flat, extreme dullness
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| show | Tympanic, musical
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| show | Resonant, hollow sound
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| What type of sound would you hear if percussing a liver? | show 🗑
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| What is the diaphram best used for hearing? | show 🗑
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| What is the bell best used for hearing? | show 🗑
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| show | inital assessment beginning with first contact w/ pt. Allows nurse to note physcial, mental, overall health status
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| show | assessment of mental, intellectual, emotional status
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| show | evaluates pts best eye response, best motor & verbal response on a scale of 3-15
(15 being awake/alert)
(3 being pt doesnt respond to stimuli)
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| show | difficulty understanding & follow simple command/directions
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| show | cannot speak; understands but unable to effectively communicate verbally
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| What is the difference in remote & recent memory? | show 🗑
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| Bruits | show 🗑
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| PMI | show 🗑
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| In what order do you auscultate the heart sounds? | show 🗑
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| Name all the peripheral pulse locations | show 🗑
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Created by:
jessicaspring
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