Health assessment (Pointers)

• What are the five steps of the nursing process?

  Assessment, Diagnosis, Planning, Implementation, Evaluation
• What is the purpose of the nursing process?

  To identify and address client health needs
• How does the nursing process function in client-centered care?

  It serves as a systematic guide for care
• How was the nursing process developed?

  By the American Nurses Association (ANA)
• What is the first step of the nursing process?

  Assessment
• What does the assessment step involve?

  Gathering and documenting patient data
• What types of data are collected during assessment?

  Subjective and objective data
• What is subjective data?

  Verbal statements from patients and caregivers
• What does objective data include?

  Measurable and observable patient information
• What are primary sources of data?

  Direct information from the patient
• What are secondary sources of data?

  Information from family or medical records
• What is the role of NANDA in nursing?

  Provides an up-to-date list of nursing diagnoses
• What are actual health problems in nursing assessment?

  Identified health issues currently affecting the patient
• What are the components of a nursing care plan (NCP)?

  • Evidence-based practices
  • Specific nursing interventions
  • Goals for patient outcomes
• What is the Wong-Baker Faces Pain Rating Scale used for?

  To assess patient pain levels
• What is the significance of patient positioning during assessment?

  It aids in accurate data collection
• What is the Trendelenburg position used for?

  To manage hypovolemic shock
• What is the purpose of the Fowler's position?

  To promote lung expansion during feeding
• What does the IPPA technique stand for in assessment?

  Inspection, Palpation, Percussion, Auscultation
• What should SMART goals be?

  Specific, Measurable, Attainable, Realistic, Timely
• Why is validation of data important in nursing assessment?

  To ensure accuracy and completeness of information
• What is crucial about documentation of data?

  It must be thorough and accurate
• Why must documentation be kept confidential?

  To protect patient privacy and legal rights
• What is the legal status of health records?

  They are considered legal documents
• What are the 11 functional health patterns?

  • Health perception
  • Nutritional-metabolic
  • Elimination
  • Activity-exercise
  • Sleep-rest
  • Cognitive-perceptual
  • Self-perception
  • Role-relationship
  • Sexuality-reproductive
  • Coping-stress tolerance
  • Value-belief