Mod 1

Question 1

a nurse’s scope of practice puts emphasis on
diagnosis and treatment of human responses based on ACCURATE CLIENT
ASSESSMENTS

Answer 1

ANA, 2010

Question 2

STANDARD 1:

Answer 2

COLLECTS COMPREHENSIVE DATA PERTINENT TO THE PATIENT’S
HEALTH OR SITUATION

Question 3

Analyzes the assessment data to determine diagnoses
or issues:

Answer 3

STANDARD 2:

Question 4

PURPOSE of Assessment in Nursing 3

Answer 4

collect HOLISTIC. Subjective and
objective data to determine OVERALL LEVEL
OF FUNCTIONING in order to make a
PROFESSIONAL CLINICAL JUDGMENT

Question 5

used to organize
information and promote the
collection of holistic data

Answer 5

Framework

Question 6

Generic Sections include 4

Answer 6

š History of Present Health
Concern
š Personal Health History
š Family History
š Lifestyle and Health Practices

Question 7

š INCLUDES :
š Subjective data about client’s perception of health
š Past health history
š Family history, lifestyle and health practices
š Objective data gathered from Physical Examination

A TOTAL health assessment

Answer 7

Initial Comprehensive Assessment

Question 8

Consists of data collection that occurs after
the comprehensive database is established

Answer 8

ONGOING / PARTIAL ASSESSMENT

Question 9

Performed whenever the nurse encounters a
client

Answer 9

ONGOING / PARTIAL ASSESSMENT

Question 10

Performed when a comprehensive
database exists for a client who
comes to a healthcare facility with a
specific health concern
š Consists of thorough assessment of a
particular client problem and does not
address areas not related to the
problem

Answer 10

FOCUSED / PROBLEM-ORIENTED ASSESSMENT

Question 11

šVery rapid assessment performed
in life-threatening situations to
provide prompt treatment
šUsed to determine the status of
the client’s life-sustaining physical
functions

Answer 11

EMERGENCY ASSESSMENT

Question 12

Types of Health Assessment

Answer 12

1. INITIAL COMPREHENSIVE ASSESSMENT
2. ONGOING/ PARTIAL ASSESSMENT
3. FOCUSED/ PROBLEM-ORIENTED ASSESSMENT
4. EMERGENCY ASSESSMENT

Question 13

WHAT ASSESSMENT SHOULD BE DONE AT
THIS TIME?

Answer 13

1. Patient was admitted to the medical surgical ward for the first time
   in preparation for an abdominal surgery
2. Patient was admitted due to gunshot wound and bleeding
   profusely
3. Patient was admitted 3 days ago for evaluation of anti-cancer
   medication side effects
4. Patient was admitted to the medical surgical ward for monitoring
   of respiratory status