Health Assessment and Nursing Practice

Flashcards for reviewing key concepts from the lecture on health assessment and nursing practice.

What is health assessment?

Health assessment is the collection of data about an individual’s health.

Why is health assessment important in nursing practice?

It is a systematic process used to collect and analyze patient data to provide effective, individualized care.

What are the two types of health history?

Complete Health History and Focused Health History.

What is critical thinking in nursing?

A disciplined intellectual process that involves examining beliefs, knowledge, and attitudes in light of evidence.

What is the difference between critical thinking and clinical reasoning?

Critical thinking is used in all aspects of life, while clinical reasoning is specifically used in nursing practice.

What are the six domains of the clinical reasoning process?

1. Gathering relevant information and data. 2. Making appropriate judgments and decisions. 3. Setting priorities and establishing goals. 4. Preparing for and taking action. 5. Evaluating impacts and outcomes. 6. Learning from the process to inform future practice.

What constitutes subjective data?

Patient's perceptions about their health problems, which can only be provided by the patient.

What constitutes objective data?

Observations or measurements made by the data collector, such as physical examination results and diagnostic tests.

What does the 'SOAPIE' method stand for?

Subjective, Objective, Assessment, Plan, Interventions, Evaluate.

What is the purpose of the health assessment interview?

To record a complete person-centered health history and gather subjective data from the patient.

What are some methods of data collection in health assessments?

Interview, nursing health history, physical assessments, laboratory results, and diagnostic tests.

What is the significance of written communication in nursing?

It is a legal and professional requirement, ensuring accurate documentation.

What are key attributes of effective communication in nursing?

Sending and receiving messages clearly, ensuring understanding, and considering the impact on relationships.

What does reliability in measurement refer to?

The consistency of the measure obtained.

What does validity in measurement refer to?

The extent to which an instrument measures what it is supposed to measure.

What is the definition of diversity in the healthcare context?

The inclusion of varied attributes or characteristics including race, ethnicity, gender, disability, and socioeconomic status.

What are the implications of bias in healthcare?

Negative evaluations of groups leading to disadvantages in healthcare outcomes and unjust treatment.

What are the components included in a health history form?

Biographical data, reason for seeking care, present health, past history, family history, and review of symptoms.

What nursing diagnoses could be considered for John Miller based on his assessment?

Chronic pain related to osteoarthritis, risk for falls, impaired physical mobility.