The four assessment techniques used in physical examination are
inspection, palpation, percussion, and auscultation
.
Which type of evaluation is performed while implementing care immediately after an intervention?
Which type of evaluation is performed while implementing care, immediately after an intervention, and at each client contact?
Ongoing evaluation
is performed frequently, as part of client assessment, and while implementing care.
Which type of assessment is performed to obtain data about an actual potential or possible problem that has been identified or is suspected?
The four assessment techniques used in physical examination are
inspection, palpation, percussion, and auscultation
.
Which is the purpose of a focused assessment?
A focused assessment:
Allows you to identify actual or potential patient problems
.
Assists you in evaluating the effectiveness of treatments, medications, and nursing or medical interventions
.
What is included in nursing assessment?
A comprehensive health assessment gives nurses insight into a patient's physical status through observation, the measurement of vital signs and self-reported symptoms. It includes
a medical history, a general survey and a complete physical examination
.
What are the 3 major steps in nursing assessment?
- Assessment. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective. …
- Diagnosis. …
- Planning. …
- Implementation. …
- Evaluation.
What are the five steps of patient assessment?
emergency call; determining scene safety, taking BSI precautions
, noting the mechanism of injury or patient's nature of illness, determining the number of patients, and deciding what, if any additional resources are needed including Advanced Life Support.
How do you evaluate the effectiveness of nursing interventions?
- Determine client's behavioral response to nursing interventions.
- Compare the client's response with predetermined outcome criteria.
- Appraise the extent to which client's goals were attained.
- Assess the collaboration of client and health care team members.
- Identify the errors in the plan of care.
Which scenarios are considered collaborative problems?
- The client has most likely not had a recent physical examination.
- The client's parents have provided healthcare up to this point.
- Waiting tables places the client at a higher risk for developing illnesses.
- The client's age indicates he or she may not be compliant.
Which of the following is an example of expected outcome statement in measurable terms?
What does the nurse need to determine before setting the goal of “patient will self-administer insulin?” (Select all that apply.) The nurse writes an expected-outcome statement in measurable terms. An example is: …
Patient will take pain medication every 4 hours.
What is the difference between a focused and a comprehensive assessment?
Comprehensive health assessments include the patient's history, a physical examination, and vital signs. This is used frequently during regular health visits and preventative care situations. Focused health assessments are
more detailed assessments that relate to a current medical condition or patient complaint
.
Do nurses actually do head-to-toe assessments?
Head-To-Toe Assessment Basics
This type of assessment may be
performed by registered nurses
for patients admitted to the hospital or in community-based settings such as initial home visits. Advanced practice nurses such as nurse practitioners also perform complete assessments when doing annual physical examinations.
What is the difference between a head-to-toe assessment and a focused assessment?
For example, you will find this type of assessment done more often in
a controlled setting
(inpatient and outpatient generally). This is used when a patient presents a specific complaint or issue. This is the key difference between a head-to-toe versus a focused – that there is a care goal in mind.
What are the two components of a nursing assessment?
There are two components to a comprehensive nursing assessment. The first component
is a systematic collection of subjective (described by the patient) and objective (observed by the nurse) assessment data
. This is done by taking a nursing health history and examining the patient.
Which type of question is used when starting the assessment of a patient?
Which type of interview question does the nurse first use when assessing the reason for a patient seeking health care? The best interview question for initially determining why a patient is seeking health care is by
asking an open-ended question that allows the patient to tell his or her
story.
What is the purpose of a nursing assessment?
Nursing assessment is
used to identify current and future patient care needs
. It incorporates the recognition of normal versus abnormal body physiology. Prompt recognition of pertinent changes along with the skill of critical thinking allows the nurse to identify and prioritize appropriate interventions.
