Introduction to Nursing Assessments

Question 1

first and most critical phase of the nursing process.

Answer 1

Assessment

Question 2

Analyzing subjective and objective data to make a professional nursing judgment

Answer 2

Diagnosis

Question 3

Determining outcome criteria and developing a plan

Answer 3

Planning

Question 4

Carrying out plan

Answer 4

Implementation

Question 5

Assessing whether outcome criteria have been met and revising the plan as necessary

Answer 5

Evaluation

Question 6

It involves collection of subjective data about the client’s perception of his or her health of all body parts or systems, past health history, family history, and lifestyle and health practices as well as objective data gathered during a step-by-step physical examination.

Answer 6

Initial Comprehensive

Question 7

This consists of data collection after the comprehensive database is established. reassessment of the client’s body systems

Answer 7

Ongoing or Partial

Question 8

consists of a thorough assessment of a particular client problem and does not address areas not related to the problem.

Answer 8

Focused Assessment

Question 9

Rapid assessment performs in life threatening situations. Immediate assessment is needed to provide prompt treatment.

Answer 9

Emergency Assessment

Question 10

Outpatient Clinic

Answer 10

Ambulatory Care

Question 11

It serves to ensure that the assessment process is not ended before all relevant data have been collected, and helps to prevent documentation of inaccurate data

Answer 11

Validating Assessment Data

Question 12

important step of assessment because it forms the database for the entire nursing profession.

Answer 12

Documentation

Question 13

Establishing rapport and trusting relationship with the client to elicit accurate and meaningful information

Answer 13

Focus of Interview

Question 14

reviews the medical record which may reveal that clients past health history and reason for seeking health care before meeting with the client

Answer 14

Pre Introductory

Question 15

Explain the purpose of interview

Answer 15

Introductory

Question 16

Listening , observing cues, and using critical thinking skills to interpret and validate information received from the client

Answer 16

Working Phase

Question 17

Validating problems and goals with the client. Identifying and discussing possible plans to resolve the problem with the client

Answer 17

Summary and Closing Phase

Question 18

Is a communication during the interview which you will assess the appearance, demeanor, attitudes, facial expression

Answer 18

Non Verbal

Question 19

Phases of Interview

Answer 19

Pre Introductory, Introductory, Working Phase, Summary and Closing Phase

Question 20

Is a communication during the interview which you will done by an open or close ended questions

Answer 20

Verbal

Question 21

A special consideration during interview wherein: Age affects and commonly slows the body to varying degrees. When interviewing an older client, you must first assess hearing acuity

Answer 21

Gerontologic Variations

Question 22

A special consideration during interview wherein: ethnic/ cultural variations in communication and self-disclosure styles may significantly affect the information obtained

Answer 22

Cultural Variation

Question 23

A special consideration during interview wherein: Clients emotions for a number of reasons. They may be scared or anxious about their health

Answer 23

Emotional Variation

Question 24

What is the meaning of COLD SPA

Answer 24

Character, Onset, Location, Duration Severity, Pattern, Associated Factors

Question 25

What does health history consist?

Answer 25

History of the patient, Past health History, Biographical Data, Reason for seeking Health care, Life style

Question 26

Client Positioning: This position allows the abdominal muscles to relax and provides easy access to peripheral pulse sites.

Answer 26

Supine Position

Question 27

Client Positioning: This position is good for evaluating the head, neck, back, breast, axillae, heart, vital signs, and upper extremities

Answer 27

Sitting Position

Question 28

Client Positioning: The client lies down on the examination table or bed with the knees bent, the legs separated, and the feet flat on the table or bed

Answer 28

Dorsal Recumbent Position

Question 29

Client Positioning: This position allows the examiner to assess posture, balance, and gait.

Answer 29

Standing Position

Question 30

Client Positioning: The client lies on the right or left side with the lower arm placed behind the body and the upper arm flexed at the shoulder and elbow.

Answer 30

Sims’ Position

Question 31

Client Positioning: The client lies down on the abdomen with the head to the side

Answer 31

Prone Position

Question 32

Client Positioning: The client kneels on the examination table with the weight of the body supported by the chest and knees.

Answer 32

Knee-Chest Position

Question 33

Use to support the feet of the client when she/he is in Lithotomy Position

Answer 33

Stirrups

Question 34

Client Positioning: The client lies on the back with the hips at the edge of the examination table and the feet supported by stirrups.

Answer 34

Lithotomy Position

Question 35

4 types of Techniques for Physical Examination

Answer 35

Inspection, Palpation, Percussion, Ascultation