NURS 3120- Final Exam Guide - Comprehensive Notes for the exam ( 138 pages long!)
Document Summary
Importance of a health assessment: systematic approach for collecting & analyzing information (data) about the patient/client, then put into electronic medical record, are they complying or not, assessments should incorporate the nursing process (adpie) Comprehensive data about health care or situation: assessment phase, diagnosing phase. Analyze assessment data to determine issues: planning phase. Plan that prescribes strategies and alternatives to attain outcomes: implementation phase. Goals of health assessment: always trying to get patient back to full health, if impossible then as close as you can, health promotion, when your patient/client is motivated to change behaviors/lifestyle. Secondary = screening to detect disease early. Components of your assessment: 3 primary , data collection, history which is the subjective data, physical exam (pe) which is the objective data, documentation of all data from interaction, subjective = what the patient/client tells you. Symptoms that brought them in for the visit. How they feel and perceive illness: objective = data you collect during your exam.
