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WELWITCHIA HEALTH TRAINING CENTRE CLARA BARTON SCHOOL OF NURSING QUALIFICATION BACHELOR NURSING SCIENCE SUBJECT GENERAL NURSING SCIENCE 1 SUBJECT CODE NGNS 1500 DATE 20.01.2023 DUE DATE 03.02.2023 MARKS 50 ASSIGNMENT NO 02 STUDENT NAME HEDWIGH K NGHINANAMUNHU STUDENT NUMBER 2022911080 CAMPUS WINDHOEK- CITY CAMPUS LECTURERS: MR. MR. JAPHETH MODERATOR: MS. CHAURAYA (KATIMA MULILO) (KATIMA MULILO ) INSTRUCTIONS: 1. Read all questions carefully. 2. Answer all the questions, this assignment should be typed in font new times roman size 12, spacing of 1.5 3. Use the institution cover page 4. Reference list mandatory. 5. Student name and number must appear on the standard WHTC cover page NB! Plagiarism is a major offense late submission will result in no marks being awarded 1|Page Question 1 You are working at Katutura state hospital in a medical ward with 50 patients. As a 1st year 1st semester nursing student one of your core competencies is to do a physical assessment and monitor patients’ vital signs. You have been tasked to take vital signs and physical assessments on Mr. Simataa, you note that his vitals are as follows pulse 108 b/min, SpO2 98%, respirations 24b/min and a Temperature of 38.5 0 C 1.1 Explain four (4) types of physical assessments [8] 1. “Initial assessment—performed within specified time after admission to a health care agency to establish a complete database for problem identification, reference and future comparison” ( Berman & Snyder, 2014, p.197). 2. “Problem-focused assessment—ongoing process integrated with nursing care to determine the status of a specific problem identified in an earlier assessment” ( Berman & Snyder, 2014, p.197). 3. “Emergency assessment—done during physiological or psychological crisis of the patient to identify life-threatening problems and new or overlooked problems” (Berman & Snyder, 2014, p.197). 4. “ Time-lapsed reassessment—done several months after initial assessment to compare the patient’s current status to baseline data previously obtained” (Berman & Snyder, 2014, p.197). 1.2. Identify four types of fevers I. [4] Intermittent fever II. Remittent fever III. Relapsing fever IV. Constant fever 1.3. Outline any four (4) factors that affect oxygen saturation levels Circulation Stress 2|Page [4] Health status Physical activities 1.4. List four techniques you would use during the physical assessment of Mr. Simataa I. Inspection II. Palpation III. Percussion IV. Auscultation [4] Question 2 Nurses play a crucial role on a daily basis in record keeping to ensure that patients’ details are captured for easy communication among healthcare workers. 2.1. State any four types of resources required for record-keeping in the hospital I. Patient’s file II. Flowsheets III. Computers IV. Cupboards 2.2. Describe the general and ethical principles of good record-keeping [4] [16] The American Nurses Association Code of Ethics (2001) states that “ the nurse has a duty to maintain confidentiality of all patient information”( p.12), (as cited in Kozier & Erb’s Fundamentals of Nursing Concepts, Process, and Practice, 2014, p.273). According to A. Berman & S. Snyder (2014), “The client’s record is also protected legally as a private record of the client’s care. Access to the record is restricted to health professionals involved in giving care to the client. The institution or agency is the rightful owner of the client’s record” (p.273). “A personal password is required to enter and sign off computer files” (Berman & Snyder, 2014, p.273). “Do not leave client information displayed on the monitor where others may see it” (Berman & Snyder, 2014, p.273). 3|Page “Follow agency procedures for documenting sensitive material such as an AIDS diagnosis” (Berman & Snyder, 2014, p.273). “Document the time and date for each recording for legal reasons and client safety, follow the agency’s policy about the frequency of documenting, and adjust the frequency as a client’s condition indicates. All entries must be legible and easy to read to prevent interpretation errors” (Berman & Snyder, 2014, p.285). Question 3 3.1. Describe any five (5) components of wellness [10] Physical component “The ability to develop and maintain physical needs and the capability to carry out daily tasks and generally practice positive lifestyle habits” (Berman & Snyder, 2014, p.324). Social component “The ability to successfully interact with others and the environment in which an individual is part of, to develop and maintain intimacy with significant others” (Berman & Snyder, 2014, p.325). Spiritual component “The ability to find satisfaction in one’s spiritual or religious life”(Berman & Snyder, 2014, p.325). Emotional component “The ability for an individual to feel and maintain emotions appropriately and make proper judgements” (Berman & Snyder, 2014, p.325). Occupational component “The ability for an individual to have a balance between work and leisure time” (Berman & Snyder, 2014, p.325). Total: 50 marks REFERENCE LIST Berman, A., & Snyder, S. (2014). Fundamentals of Nursing Concepts, Process, and Practice. 4|Page