Académique Documents
Professionnel Documents
Culture Documents
Nursing Assessment
Objectives
Case Study
Sources of data
Database
Types of Assessments
Types include
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Types of Data
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Sources of Data
Patient
Family and significant others
Health care team
Medical records
Other records and the scientific literature
Nurses experience
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Motivational interviewing
Effective communication
Interview preparation
Phases of an interview
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Interview Techniques
Observation
Open-ended questions
Leading questions
Back channeling
Direct closed-ended questions
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Cultural Considerations
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Quick Quiz!
1. A patient is admitted to the hospital with
shortness of breath. As the nurse assesses
this patient, the nurse is using the process of:
A. evaluation.
B. data collection.
C. problem identification.
D. testing a hypothesis.
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Components of the
Nursing Health History
Biographical
information
Reason for seeking
health care
Health history
Patient expectations
Present illness or
health concerns
Family history
Psychosocial history
Spiritual health
Review of systems
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Data documentation
Concept mapping
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Quick Quiz!
2. The nursing process organizes your
approach to delivering nursing care. To
provide care to your patients, you will need to
incorporate nursing process and:
A. decision making.
B. problem solving.
C. interview process.
D. intellectual standards.
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