Health Assessment- chapters 1,2,3

Topics: Nonverbal communication, Patient, Evidence-based medicine Pages: 7 (1826 words) Published: October 11, 2013
Study Guide
Test One
Chapters 1-8
BSN Assessment 3106
The test will be 50 multiple choice questions
types of data:
subjective data- what the patient says about themselves (ex. im feeling nauseous) objective data- what one can observe about the patient. can observe visually, by inspecting, palpating, percussing, and auscultating during a physical exam. what makes up a database:

the subjective and objective information acquired along with patients record and laboratory files novice versus expert nurse:
novice- a nurse that has no experience with a specified patient population and uses rules to guide performance expert nurse- a nurse that arrives at a clinical judgment in one leap. has a intuitive grasp of patterns and can attend to a pattern of assessment data and ac without consciously labeling it. evidence based practice:

a systematic approach to practice that emphasizes the use of the best evidence in combination with the clinicians experience, as well as the patients preferences and values, to make decisions about care and treatment. clinical decision making depends on all four factors:

in 1972, a British epidemiologist and early proponent of EBP, Archie Cochrane, identified a pressing need for systematic reviews of randomized clinical trials. PAGE 6 it usually takes up to 17 years for research findings to be implemented priority level:

when there is more than one diagnosis, one must set priorities. first level priority problems: are those that are emergent, life threatening. and immediate. Such as establishing an airway or supporting breathing. second-level priority problem: are those that are next in urgency- those requiring your prompt intervention to forestall further deterioration, for example, mental status change, acute pain, acute urinary elimination problems, untreated medical problems, abnormal laboratory values, risks of infection, or risk to safety or security. Ellen has abnormal physical signs that fit in the category of untreated medical problems. For example, Ellen's adventitious breathing sounds are a cue to further assess respiratory status to determine the final diagnosis. Ellen's mildly elevated blood pressure needs monitoring also. Third-level priority problems: are those that are important to the patient's health but can be addressed after more urgent health problems are addressed. in Ellen's case, the data indicating diagnosis of deficient knowledge, dysfunctional family processes, and chronic low self-esteem fit in this category. Interventions to treat these problems are more long-term, and the response to treatment is expected to take more time. collaborative problems: are those in which the approach to treatment involves multiple disciplines. collaborative problems are certain physiologic complications in which nurses have the primary responsibility to diagnose the onset and monitor the changes in status. For example, the data regarding alcohol has profound implications on the central nervous and cardiovascular system. during detoxifications, Ellen's response to the rebound effects of these systems in managed. culture defined:

there is no single definition of culture; usually definitions are too general to include everything. Here are a few examples of definitions of culture: culture is the thoughts, communications, actions, beliefs, values, and institutions of racial, ethnic, religious, or social groups. culture has four basic characteristics:

1. learned from birth through the process of language acquisition and socialization 2. shared by all members of the same culture group
3. adapted to specific conditions related to environmental and technical factors and to the availability of natural resources 4. dynamic and ever changing
culture is a phenomenon without which no person exists .

when smaller groups function within a large culture they are referred to as subcultural groups

US demographic trends:
the population in 2010 approached 310...
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