Lesson 1 Prelim

Question 1

Scientific process

Answer 1

Health assessment

Question 2

Types of health assessment;

Answer 2

Initial comprehensive assessment
Ongoing or partial assessment
Focused or problem- oriented assessment

Question 3

A very rapid assessment performed in life threatening situations.

Answer 3

Emergency Assessment

Question 4

Steps of health assessment;

Answer 4

Collection of subjective data
Collection of objective data
Validation of data
Documentation of data

Question 5

Preparing for the Assessment;

Answer 5

Review the clients medical record
Keep an open mind
Educate yourself
Reflect on your own feelings
Obtain and organize materials

Question 6

Consists of sensations or symptoms, feeling, perceptions, desires, preferences, beliefs, ideas, values, personal information

Answer 6

Subjective data

Question 7

Elicited and verified only by the client

Answer 7

Subjective data

Question 8

is a communication process that has two focuses

Answer 8

Interviewing

Question 9

Two focuses on Interviewing;

Answer 9

Establishing rapport
Gathering information

Question 10

Lays the ground work for identifying nursing problems and provides a focus for the physical examination

Answer 10

Complete health history

Question 11

8 sections of complete health history;

Answer 11

1. Biographic data
2. Reasons for seeking health care
3. History of present health concern or illness
4. Personal health history
5. Family health history
6. Review of body system ( ROS)
7. Lifestyle and health practices profile
8. Developmental level

Question 12

Include information that identifies the client name, address, gender, birth date, Phil heath number, medical record number, etc.

Answer 12

Biographic data

Question 13

Focused on questions related to the client’s personal history, from the earliest beginnings to the present

Answer 13

Personal health history

Question 14

Identify health problems that seem to run in families and that are genetically based.

Answer 14

Family health history

Question 15

This is a very important section of the health history because, it deals with the clients human responses

Answer 15

Lifestyle and health practices profile

Question 16

Know how the client sees his usual pattern of daily activities

Answer 16

Description of Typical day

Question 17

Recall what consists of average 24-hour intake, emphasis on what food are eaten, what amounts, who buys and prepare food…

Answer 17

Nutrition and weight management

Question 18

How active the client is during an average week

Answer 18

Activity level and exercise

Question 19

Focus on sleep patterns

Answer 19

Sleep and rest

Question 20

Focus on sleep patterns

Answer 20

Sleep and rest

Question 21

Info of lifestyle and self care ability include vitamins and herbal supplements

Answer 21

Substance use

Question 22

How a client views oneself and promote his/her health

Answer 22

Self concept and self care responsibilities

Question 23

Discover outlets for support and relaxation

Answer 23

Social activities

Question 24

Family, friends, neighborhoods and society

Answer 24

Relationships

Question 25

Some clients may not be comfortable discussion

Answer 25

Values and belief system

Question 26

Identify areas of stress and satisfaction

Answer 26

Education and work

Question 27

Perception of the amount of stress and how they cope with it

Answer 27

Stress levels and coping styles

Question 28

Assess the health hazards unique to the client's living situation and lifestyle

Answer 28

Environment

Question 29

Information about the client that the nurse directly observes during interaction with the client and information elicited through physical assessment (examination) techniques

Answer 29

Collecting the objective data

Question 30

Preparing for the examination;

Answer 30

Prepare physical activity Prepare oneself Prepare the client

Question 31

Equipment for all examinations;

Answer 31

Gloves Gowns

Question 32

Physical examination techniques;

Answer 32

Inspection Palpation Percussion Auscultation

Question 33

Involves using the senses of vision, smell and hearing to observe and detect any normal or abnormal feeling

Answer 33

Inspection

Question 34

Consists of using parts of the hand to touch and feel

Answer 34

Palpation

Question 35

Types of palpation;

Answer 35

Light palpation Moderate palpation Deep palpation Bimanual palpation

Question 36

Requires to use stethoscope to listen for heart sound, movement of blood through the cardiovascular system, movement of bowel, and movement of air through the respiratory tract

Answer 36

Auscultation

Question 37

Involves tapping the body parts to produce sound waves

Answer 37

Percussion

Question 38

Process of confirming or verifying that the subjective and objective data you have collected are reliable and accurate

Answer 38

Purpose of Validation

Question 39

Methods of Validation;

Answer 39

Recheck Asking additional questions Another health care professional Compare