Aspects of Health Assessment

Question 1

a review of the client’s functional health patterns prior to the current contact with a health care agency.

Answer 1

Health HIstory

Question 2

Give the Purpose of conducting health history

Answer 2

Provide the subjective database
Identify client’s strengths
Identify client health problems, both actual and potential
Identify supports
Identify teaching needs
Identify discharge needs
Identify referral needs

Question 3

Types of Health History

Answer 3

Complete Health History
Focused Health History

Question 4

Complete health history: includes

Answer 4

biographical data

source of the health history and his or her reliability, who referred the client,

and whether or not the client has an advance directive

Question 5

FOCUSED HEALTH HISTORY includes?

Answer 5

focused on an acute problem

Includes all data that are found in complete health history.

Indicated when the patient’s condition is UNSTABLE or when TIME constraints are an issue

Question 6

Provides direct information related to a current problem.
Alerts the nurse to risk factors for health problems
Point out the need for referrals

Answer 6

Biographical Data

Question 7

Chief complaint
Document your client’s direct quote

Primary healthcare setting – no acute problem; the reason usually relates to health maintenance or promotion

Secondary healthcare setting – there is an acute problem.
Ask the client to state what the problem is and how long it has been going on. (e.g. I felt chest pain for the last hour.”)

Tertiary level –problem may be well defined, a chronic problem, or an acute problem that is resolving

Answer 7

Reason for seeking care