B: Client Assessment

No.

Competency 

NO 

YB 

YS 

NA 

B-1 

I use appropriate assessment tools and techniques in assessing clients.  

B-2

I assess the client's physical, cognitive, developmental, environmental, social, spiritual and information needs. 

B-3

I collect information on the client's health status using interviewing, history taking, and interpretation of laboratory data.

B-4

I conduct a mental status assessment and physical assessment using observation, inspection, palpation, auscultation and percussion.

B-5

I assess the client's vital signs, e.g., temperature, pulse, blood pressure, etc.

B-6

I analyze and interpret data obtained in the client assessments to draw conclusions and make a nursing diagnosis.

B-7

I guard against my personal values, beliefs and positional power influencing or biasing the assessment of clients.

B-8

I involve clients in identifying their health needs, strengths, capacities and goals.

B-9

I work with other health care team members to identify client's health care needs.

B-10 I complete my client assessments in a timely manner.

B-11 I conduct my client assessments in accordance with agency policies and protocols.

B-12

I use appropriate information systems to record and manage health care assessment data.

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