HA MODULE 1M

• Nursing: Scope and standards of nursing practice states as Standard 1 that?

  The registered nurse collects comprehensive data pertinent to the patients health situation.
• Nursing: Scope and standards of nursing practice states as Standard 2 that?

  The registered nurse analyzes the assessment data to determine the diagnoses or issues.
• Is a complete state of physical, mental, and social well-being and not merely the absence of disease and infirmity.

  Health
• The process by which date are gathered hypotheses are formulated and decisions are made for further action.

  Assessment
• A comprehensive inventory of current status and needs related to health.

  Health Assessment
• Performs a focused assessment and incorporates assessment findings with a multi-disciplinary team to develop a comprehensive plan care for the client.

  Acute Care Nurses
• Assesses and screens clients to determine the need for physical or physician's references.

  Ambulatory Care Nurse
• Usually found in other countries. They make independent nursing diagnoses and referrals for collaborative problems as needed.

  Home Health Nurse
• Assesses the needs of the community.

  Public Health Nurse
• Monitors the growth and health of the children in school.

  School Nurse
• Assesses the needs of the terminally ill clients and their families.

  Hospice Nurses
• Systematical, cyclical and rational method of planning and providing nursing care.

  Nursing Process
• 5 steps in Nursing Process.

  Assessment, Diagnoses, Planning, Implementation, Evaluation
• The first and most critical phase of nursing process. Is on-going or is continuous throughout all the phases of the nursing process.

  Assessment
• With health assessment the nurses collects.

  Physiologic, Psychological, Sociocultural, Developmental, Spiritual
• Involves the collection of objective data gathered during a step-by-step physical examination, as well as subjective data.

  Initial Comprehensive Assessment
• Any problems that were initially detected are reassessed to determine any changes form the baseline data.

  Ongoing or Partial Assessment
• Performed when a comprehensive database exists for a client who comes to the health agency with a specific health concern. Consist of thorough assessment of a particular client problem and does not cover any areas not related to the problem.

  Focused or Problem Oriented Assessment
• A very rapid assessment performed in life-threatening assessment. An immediate assessment to provider prompt treatment.

  Emergency Assessment
• 4 steps of health assessment.

  Collection of objective data, Collection of subjective data, Validation of data, Documentation of data.
• What are the 4 examination techniques.

  Inspection, Palpation, Percussion, Auscultation
• Step in HA that can be elicited and verified only by the client.

  Collection of subjective data.
• Steps in HA that can be directly observed by the examiner, is obtained by general observation using the 4 examination techniques.

  Collection of objective data
• Steps in HA that serves to ensure that the assessment process is not ended before all relevant data have been collected, helps to prevent documentation of inaccurate data.

  Validation of data
• Steps in HA which is an important step of assessment because it forms the database for the entire nursing process, provides data for all the other members of the healthcare team.

  Documentation of data
• A clinical judgement about individuals, family or community responses to actual and potential health problems and life processes.

  Nursing Diagnosis
• Often referred to as the diagnostic phase or clinical reasoning phase. Here, the nurse is required to use diagnostic reasoning skills to interpret data accurately.

  Data Analysis
• 7 steps of data analysis.


  Identify abnormal data and strengths, Cluster the data, Draw inferences, Propose possible nursing diagnoses, Check for defining characteristic of those diagnoses, Confirm or rule out nursing diagnoses, Document conclusions.
• The totality of socially transmitted behavioral pattern, arts, beliefs, values, customs, lifeways and all other products of human work and thought characteristic of a population or people that guide the worldview and decision making.

  Culture
• Allows the nurse to integrate a cultural assessment into the health assessment of each client.

  Cultural Competence
• Five construct of cultural competence.

  Cultural desire, Cultural awareness, Cultural knowledge, Cultural skill, Cultural encounter.
• The motivation to engage in intercultural encounters and acquire cultural competence.

  Cultural desire
• Is a deliberate, cognitive process in which the healthcare provider becomes appreciative sensitive to the beliefs, life ways, values, practices, and problem solving strategies of a client's culture.

  Cultural awareness
• The process of seeking and obtaining a sound educational foundation concerning the various world views of different cultures.

  Cultural knowledge
• The ability to collect relevant data regarding the client's health history and presenting problem, as well as accurately performing a physical assessment.

  Cultural skill
• Is a process that allows the healthcare provider to engage directly in face to face interactions with clients from culturally diverse backgrounds.

  Cultural encounter
• Search for meaning and purpose, seeking to understand and related to the sacred.

  Sprituality
• Rituals, practices and experiences shared within a group that involve a search for the sacred.

  Religion
• A group of people who have each other's back and are willing to go to the ends of the earth to bring a smile to the other's face.

  Family