Nurs 1014

Helpfulness: 0
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created 2 years ago by PBrooks001
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1

assessing

is the systematic and continuous collection, analysis, validation, and communication of patient data, or information.

2

data

information.

3

database

includes all the pertinent patient information collected by the nurse and other health care professionals.

4

nursing history

identifies the patient’s health status, strengths, health problems, health risks, and need for nursing care.

5

initial assessment

is performed shortly after the patient is admitted to a health care agency or service.

6

focused assessment

the nurse gathers data about a specific problem that has already been identified.

7

emergency assessment

to identify life- threatening problems.

8

time-lapsed assessment

is scheduled to compare a patient’s current status to the baseline data obtained earlier.

9

minimum data set

that specifies the information that must be collected from every patient and uses a structured assess- ment form to organize or cluster this data.

10

Subjective data

are information perceived only by the affected person; these data cannot be perceived or verified by another person.

11

Objective data

are observable and measurable data that can be seen, heard, felt, or measured by someone other than the person experiencing them.

12

Observation

is the conscious and deliberate use of the five senses to gather data.

13

interview

is a planned communication.

14

Physical assessment

is the examination of the patient for objective data that may better define the patient’s condition and help the nurse plan care.

15

review of systems (ROS)

nursing physical assessment involves the examination of all body systems, called the ______, in a systematic manner, commonly using a head-to-toe format.

16

cue

that something may be wrong.

17

inference

judgment you reach about the cue (the patient’s hearing may be impaired on his left side) is an

18

Validation

is the act of confirming or verifying.