Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Nursing Care Processes
Lecture:Nursing process including clinical judgment and patient assessment; legal and societal expectations; and roles in improving patient care
Slide content:Assessing Assessment can include Asking questions Looking at physiologic data (shows how the patients body is functioning) Examining the patient Putting the problem in context Checking the patients and familys educational needs 12
Slide notes:To assess a patient, the nurse asks questions, observes the patient, and examines the patient as needed. A nurse asks the patient, or the patients family, about the history of the health problem. The nurse also looks at physiologic [fiz-zee-o- lah -jick] data, which shows how a patients body is functioning, through test results on the patients chart or through a physical exam. In the assessment, the nurse also considers the context of the problem. This can include the patients attitude and behaviors as well as the patients or the familys cultural beliefs, spiritual beliefs, lifestyle, and financial resources. The nurse also considers the patient and/or the patients family needs for education about a relevant health topic. 12