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assessing/NCP
chapter 12
Question | Answer |
---|---|
four types of nursing assessments | inital comprehensive, focused, emergency, time-lapsed |
intial comprehensive assessment | performed shortly after admit to hospital. establishes a complete database. |
focused assessment | maybe performed during intial assessment or as routine ongoing data collection. perfomed to gahter data about a specific problem |
emergency assessment | performed when a physiologic or psychological crisis presents. performed to id life threatening problems |
time lapsed assessment | performed to compare a ptatient's current status to baseline data obtained earlier |
medical assessments | targets data pointing to pathologic conditions |
nursing assessments | focuses on pt's response to health problems |
objective data | observable and measurable data that can be seen, heard or felt by someone other that the person experienecing them |
subjective data | information perceived only by the affected person |
characteristics of data | purposeful, complete, factual and accucrate, |
sources of data | patient, family,pt record, other healtcare workers, nursing literature |
four phases of nursing interview | preparatory, introduction, working, termination |
purpose of a nursing physical exam | apprasial of health status, id of health problems, establishemetn of a datbase for nursing intervetion |
when to verify data | when there is a descrepancy between what the pt is saying and what the nurse is obseving |