Master nursing assessment with Picmonic. Science shows pictures work! We use funny characters, stories & quizzes to conquer each step: data collection, analysis & planning. Become a confident nurse!
DOWNLOAD PDFDuring the initial assessment phase, the nurse will conduct and document a health history in order to gather data from the patient and/or the patient's family. This includes allergies, current or past medications, surgeries, family health histories, activities, psychosocial behaviors, and nutritIon habits. In doing this, the health care team can collaboratively create a plan that will both address chronic and acute health problems/conditions, and give further information about how to continue and promote health goals.
During the nursing assessment, both objective and subjective data collection are a vital part of the process. Objective data includes measurable and observable data known as “signs.” These include vital signs such as temperature, respiratory rate, heart rate, blood pressure and diagnostic tests. Other observable signs include vomiting, color of skin, bleeding, etc. Lab tests are objective data that aid in the assessment portion of the nursing process, giving more of a comprehensive indication of the patient’s health status.
During the nursing assessment, both objective and subjective data collection are a vital part of the process. Subjective data includes information from the patients perspective or point of view, known as “symptoms.” This data includes feelings, concerns, and level of pain scale.
In nursing, exam questions that are asking you to identify part of the nursing process, there is usually a key word or phrase in the question that should make it easier to know which portion of the nursing process they are asking about. Once you have identified the key word, it will help you understand what the question wants you to answer. In an assessment question, the word “identify” is one of these keywords.
In nursing exam questions that are asking you to identify part of the nursing process, there is usually a key word or phrase in the stem that should make it easier to know which portion of the nursing process they are asking about. Once you have identified the key word, it will help you understand what question wants you to answer. In an assessment question, the word “determine” is one of these keywords.
In nursing exam questions that are asking you to identify part of the nursing process, there is usually a key word or phrase in the stem that should make it easier to know which portion of the nursing process they are asking about. Once you have identified the key word, it will help you understand what question wants you to answer. In an assessment question, the term “obtain information” is one of these keywords or phrases.
The nurse must keep in mind that for the most part, assessments are done before interventions take place in order to properly understand how to treat the patient. Remember the acronym ADPIE. “A” comes before “I.” Exceptions are only in scenarios where the patient will be at risk of immediate injury or death.
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