Principle and method of Health assessment

Question 1

What is the collection of data about the individuals health state

Answer 1

Health assessment

Question 2

What is the purpose of a health assessment?

Answer 2

establish a database for the client’s normal abilities, risk factors, and any current alterations in function

Question 3

What is the initial phase of the nursing process, foundational to other nursing phases?

Answer 3

assessment

Question 4

What are the 2 places to get informationwhen taking a nurse assesment?

Answer 4

1. Primary (patient)
2. Secondary (significant other, medical record)

Question 5

What are 3 methods of data collection in the assessment phase?

Answer 5

1. interviewing the client
2. physical examination
3. reviewing the client’s record

Question 6

What ate the 3 stages of the interview process?

Answer 6

1. introduce yourself
2. gather data
3. close the interview by asking if there is anything else they want to say & give a summary of the info

Question 7

What 2 types of questions should you ask the patient?

Answer 7

open-ended (allow for any info)
closed - ended (yes/no)

Question 8

Open-ended questions should be _________?

Answer 8

Unbiased
Ask for narrative info
encourage the patient to express themself
Listen carefully to the answers

Question 9

Closed-ended questions should ________?

Answer 9

Ask for specific information
Use direct questions after the patient’s narrative to fill in any gaps
Use when you need specific facts

Question 10

When asking closed-ended questions, what are 2 things to remember?

Answer 10

Ask one direct question at a time
Avoid medical jargon

Question 11

When interviewing patients, what are some things you should do?

Answer 11

Be professional
maintain eye contact
moderate tone/rate of speech
Seem interested
have equal seating and close proximity

Question 12

When taking past medical history and ask if the patient has allergies, what should you write if the patient says no?

Answer 12

Write deny
(the patient might have an allergy and is not telling you or might not now what they are allergic)

Question 13

What are 6 topics to ask about when taking health history?

Answer 13

1. biographicla data. 2. Chief complaint
2. Present health/illness. 4. Past health history
3. Family history.
4. Assessment of topics according to framework used

Question 14

What is biographical data?

Answer 14

name, adress, phone #, age, date of birth, gender, marital status, race, occupation

Question 15

What does CC mean when taking health history?

Answer 15

Chief Complaint or reason for seeking care

Question 16

What is a chief complaint?

Answer 16

a brief statement describing the reason for the visit

Question 17

A chief complaint should include what information?

Answer 17

one or 2 symptoms and their duration

Question 18

What does PI mean in nursing health history?

Answer 18

Present illness