Health Assessment Final Exam

Question 1

List different types of evidence

Answer 1

Patient preferences/values, Provider’s clinical expertise, Research/Evidence-Based theories, Physical examinations

Question 2

What’s the difference between disease prevention and health promotion?

Answer 2

Disease prevention: Helps people reduce the risk to their health
Health promotion: Helps people increase control and improve health

Question 3

What is Holistic Health?

Answer 3

Health of the mind, body and spirit working together

Question 4

What is the Biomedical Approach Model?

Answer 4

Cause and Effect

Extra Notes: Think of the body being a machine; mind, body and spirit are separate and do not work together

Question 5

What is the Magico-religious Approach to health?

Answer 5

Supernatural forces affect the health of individuals

Question 6

What are components of a health database?

Answer 6

Subjective Data, Objective Data, Patient Records and Diagnostic Test Results

Question 7

What are these databases used for?
Complete/Total Health Database
Focused/Problem-Centered Database
Follow-Up Database
Emergency Database

Answer 7

Complete/Total Health Database: Complete history and full physical exam, forms a baseline
Focused/Problem-Centered Database: “Mini” database, for limited or short-term problems
Follow-Up Database: After short-term or chronic health issues, checking progressively
Emergency Database: Crucial information gathered in a short time alongside lifesaving procedures (CRISIS)

Question 8

What is ADPIE and what does it describe?

Answer 8

ADPIE describes the Nursing Process
A - ssessment
D - iagnosis
P - lanning
I - mplementation 
E - valuation

Question 9

What is HIPAA

Answer 9

“Health Insurance Portability and Accountability Act” protects patient confidentiality with a legal and ethical responsibility held by health care institutions

Question 10

What counts as Protected Health Information (PHI)?

Answer 10

Information that could identify a specific person such as:
Printed, electronic, and medical records
Identification bracelets,
Insurance cards 
Dictation tapes
Spoken communication 
Photographs

Question 11

What are open-ended questions used for in the interview process?

Answer 11

Beginning an Interview
Eliciting narration, feelings, opinions, and ideas
Spontaneity/Full Expression
Adding new questions or topics

Question 12

What are closed questions used for in the interview process?

Answer 12

Speeding up an interview
Eliciting specific information, short answers
Obtaining cold facts
Filling in missing details

Question 13

What should you do if there’s a language barrier between you and the patient and what are the techniques to use for this communication?

Answer 13

Request an interpreter ALWAYS
Look at the patient while you’re speaking
Avoid abstract expressions, idioms, similes, and/or metaphors

Question 14

What are the components of a Complete Health History?

Answer 14

Date/Time, Biographical Data, Source, Reason for seeking care, Past history of illness and health, Family history, Review of systems, Functional assessment of Activities of Daily Living (ADLs) and Health perception

Question 15

What are the Four Assessment Skills?

Answer 15

Inspection: Looking
Palpation: Pressing/Feeling
Percussion: Tapping
Auscultation: Listening

Question 16

When would you use bimanual palpation?

Answer 16

When a patient has more tissue/mass

Question 17

What are important tips for palpation?

Answer 17

Warm your hands, Be gentle, PALPATE TENDER AREAS LAST, light before deep palpation, ABDOMEN PALPATION STARTS AT RLQ

Question 18

What are the different percussion notes and what do they mean?

Answer 18

Flat: Bone or Muscle 
Dull: Liver or Spleen
Tympany: Abdomen, Intestine 
Resonant: Lungs 
Hyperresonant: Child's lung or Abnormal Adult Lung

Question 19

What are the diaphragm and bell of the stethoscope used for?

Answer 19

Diaphragm (Flat): High Pitch; Breath, bowel and normal heart sounds
Bell (Raised): Low Pitch; Bruits, Hums, Korotkoff and Abnormal heart sounds

Question 20

What should you do to prepare the exam room?

Answer 20

Make sure the room is warm, quiet, well lit and comfortable
Reposition table at hip level
Organize equipment
Stop distracting noises

Question 21

What is the S1 sound signaling?

What is the S2 sound signaling?

Answer 21

S1 (Lub) - Beginning of systole, End of diastole; heard loudest at the aortic and pulmonic valve
S2 (Dub) - Beginning of diastole, End of systole; heard loudest at the tricuspid and mitral valve