WK 1 Health Assessment

Question 1

Cheif Complaint, Review of systems, Past Medical History, Past Surgical History, Social History, Functional ability are all what?

Answer 1

Health History

Question 2

In a Health Assessment, health history what is the Keyword of discussion. Is the health history Subjective or Objective

Answer 2

Symptoms (what the paitent feels / communicates)

Subjective

Question 3

components of a Health Assessment

Answer 3

Health History, Physical Examination, Documentation of Data

Question 4

The ____ is usally a chronological description of the progress of the paitents present illness from the first sign and symptom to the present

Answer 4

HPI. History of Present Illness

Question 5

Key Points: Systematic method, Data collected focuses on clients health compared with norms

Answer 5

HPI History of Present Illness

Question 6

A digital version of a chart with patient information stored in a computer

Answer 6

EMR electronic medical record

Question 7

4 techniques for physical examination

Answer 7

Inspection, Palpatation, Percussion, Ausculation

Question 8

______ targets both the clinical and outcome stages of a disease. It is implemented in symptomatic patients and aims to reduce the severity of the disease as well as any associated sequelae

Answer 8

Tertiary prevention

Question 9

condition which is the consequence of a previous disease or injury

Answer 9

Sequelae

Question 10

This type of Technique for a Physical Assessment includes posture and smells

Answer 10

Inspection

Question 11

Previous history, Onset, Location, Duration, Character, Alieviating / Aggravating Factors, Radation, Timing, Severity / Self - Treatment are all factors to what?

Answer 11

Parts of the History of Present Illness

Which is part of the (Health History)

Question 12

In the 2nd part of the Health Assessment, Physical Examination what is the Keyword to this process? Is the process Subjective or Objective

Answer 12

Signs (Clinical Findings)
Objective

Question 13

The bimanual technique for Palpatation places hands on which sides of an organ ir mass

Answer 13

Anterior and posterior

Question 14

A digital record of health information

Answer 14

EHR Electronic Health Record

Question 15

screening to identify diseases in the earliest. stages, before the onset of signs and symptoms, through measures such. as mammography and regular blood pressure testing.

Answer 15

Secondary Prevention

Question 16

POLDCARTS

Answer 16

(Health History) Previous History of Illness

Onset
Location
Duration
Character
Alleviating/ Aggravating symptoms
Related symptoms
Timing
Severity

Question 17

Intervening before health effects occur, through. measures such as vaccinations, altering risky behaviors (poor eating. habits, tobacco use), and banning substances known to be associated. with a disease or health condition.8,9

Answer 17

Primary Prevention

Question 18

This technique uses hands to feel for texture, size, shape, consistency, location and Id painful areas

Answer 18

Palpation

Question 19

Palpation: palmar surface of fingers and finger pads are more sensitive than finger tips True or False

Answer 19

True

Question 20

Which side of the hand is better for assessing temperature

Answer 20

Dorsal

Question 21

This technique is used to evaluate size, boarders, and consistency of internal organs, Determine Tenderness, Determine Extent of fluid in the body

Answer 21

Percussion

Question 22

Which part of th3 hand is mos4 sensitive to vibration?

Answer 22

Ulnar surface of hand to 5th finger

Question 23

The act of listening to the sounds of the body is called

Answer 23

Auscultation

Question 24

Percussion Tones

Loud, high pitched sound heard over the abdomen

Answer 24

Tympanny

Question 25

Percussion sound: is heard over the liver

Answer 25

Dullness

Question 26

Depth of light and deep palpation

Answer 26

1cm and 4cm

Question 27

4 sound characteristics of Auscultation

Answer 27

Intensidad, Pitch, Duration, Quality

Question 28

Percussion sound: Heard over normal lung tissue

Answer 28

Resonance

Question 29

This Chart for Farsightedness is placed 20ft away. Provides an Acuity Number

Answer 29

Snellen Chart

Question 30

In-Direct Percussion the tip of the middle finger _____ the nurse strikes the interphalangeal joint , or just distal to joint that lies against clients skin

Answer 30

The plexor

Question 31

What do the 2 numbers at the top of a Snellen Chart Represent?

Answer 31

Top: Distance from chart Bottom: Distance normal person should be able to see

Question 32

Percussion sound: is heard in over inflated lungs, as in emphysema

Answer 32

HyperResonance

Question 33

Percussion sound: is heard over bones and muscles

Answer 33

Flatness

Question 34

This instrument to inspect the internal structures of the eye consists of a series of lenses, mirrors, and light aperture

Answer 34

Ophthalmoscope

Question 35

Earpeices, Binauruals, Tubing, and Head consisting of a Diaphragm and Bell make up this instrument used for Auscultation

Answer 35

Stethoscope

Question 36

____ uses ultrasonic waves to detect and amplify hard to hear vascular sounds like Fetal Heart Tones and Peripheral Pulses

Answer 36

Doppler

Question 37

The Green then Red Lines on the Snellen Chart serve what purpose?

Answer 37

Color and field perception

Question 38

This instrument used to inspect the external auditory canal and tympanic membrane consist of: Magnifying Lens, Light Source, Speculum instered into the Auditroy Canal

Answer 38

Otoscope

Question 39

The Nasal Speculum comes in 2 Varities: 1. Simple Nasal Speculum which with a pen light inspects the lowe4 and middle turbinates of the nose. 2. Broad-tipped, cone-shaped device that is placed on th3 end of a _____

Answer 39

Otoscope

Question 40

This instrument has 2 purposes: Auditory Screening and Assessment of Vibrations

Answer 40

Tuning Fork

Question 41

When using a Doppler to hear Vascular sounds, Coupling Gel is applied to skin and then _____ is slid over the skin until blood flow is heard in ear peices

Answer 41

Transducer

Question 42

Inability to feel the monofilament on the feet suggest this problem

Answer 42

Reduced peripheral sensation

Question 43

This chart held 14 inches away is used to measure near sightedness

Answer 43

Jaeger and Rosenbaum

Question 44

Produces a bright light that is used to differentiate between Tissue, Fluid, and Air in a body cavity

Answer 44

Transiluminator

Question 45

_____ Determines the degree of Flexion or extension of a joint

Answer 45

Goniometer

Question 46

Percussion or Reflex hammer is used to test....

Answer 46

Deep tendon reflexes

Question 47

small, flexible wire-like device attached to a handle that bends at 10g pressure that is used to test sensación on the feet is called this

Answer 47

Monofilament

Question 48

This device is used to inspect the lower and middle Tubinates of the nose.

Answer 48

Nasal Speculum

Question 49

Comprehensive data pertaining to the patients health and / or suitation. Part of the nursing process

Answer 49

Assessment

Question 50

___ refers to the systematic method of collecting and analyzing data for the purposes of planning paitent-cented care CORRECT

Answer 50

Heath Assessment

Question 51

Behavior motivated by desire to increase well-being and actualiza of human potential

Answer 51

Health Promotion

Question 52

Provide patient-centered care, work in interdisciplinary teams, evidence based practice, apply quality improvements, use informatics. Are considered what?

Answer 52

The 5 core competicies

Question 53

Nursing Process: Nurse analysis of the assessment data to determine issues

Answer 53

Diagnosis

Question 54

Consist of screening efforts to promote early detection of disease Health Promotion:

Answer 54

Secondary Prevention

Question 55

Prioritize Hypothesis is which part of the nursing process

Answer 55

Outcomes / Planning

Question 56

Comprehensive, Problem-Based / Focused, Episodic / follow-up, Shift , Screening are all types of what?

Answer 56

Assessments

Question 57

Clinical Judgement has 4 parts Naptime Interrupted, Raccoons Raided Rations!

Answer 57

Noticing, interpreting, responding, reflecting

Question 58

Nursing Process: The RN IDs expected results for a plan individualized to the health care consumer or suitation

Answer 58

Outcome ID

Question 59

Behavior motivated by desire to actively avoid illness, detect it early, live comfortably with it

Answer 59

Health Protection

Question 60

Nursing Process: Coordination of Care, Health Teaching, Consultation (APRN) & Prescriptive Authority(APRN) are this part

Answer 60

Implementation

Question 61

Health Promotion: Primary Prevention

Answer 61

Prevent disease through promtion of healthy lifestyle

Question 62

Organization of data from the health Assessment my be done in 2 mannerz

Answer 62

1.Body system format (cardiovascular, musculoskeletal, visual) 2. Coonceptual Format: Oxygenation, perfusion, mobility)

Question 63

Recognize Cues is which part of the nursing process

Answer 63

Assessment

Question 64

Assessment, Diagnosis, Outcomes/ Planning, Implantation, Evaluation are known as

Answer 64

Nursing process

Question 65

Taking Action is which part of the nursing process

Answer 65

Implementation/ Interventions

Question 66

Directed towards minimize the disability from acute/chronic disease or injury and helping paitents maximize health

Answer 66

Tertiary Prevention

Question 67

Comprehensive data pertinent to the paitents health or situation

Answer 67

Assessment

Question 68

6 Types of Assessments: CPF-ESS Assessments:

Answer 68

Comprehensive, Problem-Based, Focused Assessments, Episodic/ follow-up, Shift, Screening

Question 69

nurse adds which information in the paitents health history 1. Paitent keeps scratching left arm 2. Paitents skin is warm to touch 3. Paitent reports itching of her eyes 4. Paitents temp is 100 F °

Answer 69

3. Because its health history and this is a Subjective finding that is appropriate

Question 70

Hand hygine, PPE, Managing Contaminated Equipment, Environmental Controls, Respitory hygine/Cough Etiquette, and _______. Primary elements of Standard Precautions

Answer 70

Patient Placement

Question 71

The Transmission Based Precautions are guidelines for control of infections among paitents with known or suspected infections. Name the 3 guidelines in the book

Answer 71

Contact, Airborne, Droplets

Question 72

In which part of the Nursing Process is concerned about:The Paitient Response to what is happening. Exp. Paitent with asthma is restless and anxious. The Response restless/ anxious are the key factors

Answer 72

Diagnosis

Question 73

Patient had a stroke and has impaired swallowing and impaired mobility is which part of the nursing process

Answer 73

Diagnosis

Question 74

This part of the Nursing Process is concerned with Establish the Goal. What it will look like when the paitent meets their goal

Answer 74

Outcome Identification

Question 75

black-light used to detect fungal infection

Answer 75

Woods lamp

Question 76

Part of the nursing process. What interventions you will do to help your paitent meet their goals

Answer 76

Planning

Question 77

Type of data in which what you can see or validate

Answer 77

Objective

Question 78

The Nursing Diagnosis is the patients ______ to what is happening

Answer 78

Response

Question 79

The Diaphragm on the stethoscope is uswd to hear these types of sounds. The bell on the stethoscope is used to hear these types of sounds

Answer 79

Diaphragm = high pitched, breath, bowel, norm heart beats Bell = soft low pitched sounds like "extra heart beat and vascular sounds"

Question 80

This technique invloves using the plexor to evaluate adult sinus

Answer 80

Percussion

Question 81

What is the difference between the Outcome and Planning in the nursing ?

Answer 81

Outcome: Goals. What the Paitent will look like to be better. Paitent will ambulate by himself in 1 month Planning: "Interventions" what the Nurse will do to help paitent meet their goals. The process of Nurse related actions to achieve the goals set in the Outcome

Question 82

Paitent interview for a Focused assessment should start with what?

Answer 82

History of Present Illness Poldcarts

Question 83

What sounds does the doppler detect

Answer 83

Fetal heart sounds and peripheral pulses

Question 84

Type of data in which what you are told

Answer 84

Subjective

Question 85

This technique of the physical assessment is used to determine extent of fluid in a body cavity

Answer 85

Percussion

Question 86

Chickenpox (Varicella) , Measles (Rubeola) Flu all have this type of Precautions

Answer 86

Airborne

Question 87

COMPONENTS OF HEALTH ASSESSMENT

Answer 87

1) HEALTH HISTORY (Subjective) They tell you what is wrong 2) PHYSICAL EXAMINATION (Objective) you examine them 3) DOCUMENTATION OF DATA

Question 88

The bell of a stethoscope is used for... The diaphragm is used for...

Answer 88

Bell = Low sounds Diaphragm = High sounds

Question 89

Health History includes

Answer 89

Biographical Information: Chief Complaint (CC): Present Illness (PI): History of Present Illness: POLD CARTS Past Medical History Medications and Allergies: Family History (FH): Social History (SH): Review of Systems (ROS): Conduct a systematic review of all body areas Psychosocial History: Developmental History (for Pediatric Patients) Nutritional History: Cultural and Spiritual Beliefs: Environmental Exposures

Question 90

Nursing Process Acronym

Answer 90

ADO PIE

Question 91

History of Present Illness Acronym

Answer 91

POLD CARTS

Question 92

It involves a proactive approach to healthcare that goes beyond the treatment of illness and focuses on preventing health problems, promoting healthy behaviors, and enhancing quality of life.

Answer 92

Health Promotion

Question 93

Comprehensive data pertaining to the paitents health or situation

Answer 93

Assessment

Question 94

Getting a prescription for Concerta and then having to come back in 2 weeks to talking about it is which type of assignment?

Answer 94

Episodic / Follow-up

Question 95

In this type of assessment we cover all the body systems in 4 minutes.

Answer 95

Shift assessment

Question 96

Clinical Manifestaciones (2)

Answer 96

Signs & Symptoms

Question 97

Crepitus, Palpation Describe feeling

Answer 97

Crackling or grating sound caused by bones rubbing against each other, also called creaky joints. Bubble wrap

Question 98

Atelectasis = More or Less fremitus Correct answer

Answer 98

Less

Question 99

During 2 handed Percussion the finger that taps is called: The finger that is being tapped and pressed against the skin is called:

Answer 99

Pleximeter Plexor

Question 100

How much does 1 liter weight in metric

Answer 100

1 Kg

Question 101

Disease someone may not feel a tuning fork on the lower extremities

Answer 101

Diabetes

Question 102

Health Assessment contains 3 parts

Answer 102

Collection of Objective Date Collection of Subjective Data Documenting Findings

Question 103

Primary, Secondary, Tertiary Prevention Condoms, Pre-exposure Vaccines, Male Circumcision Postexposure vaccines, Regular BP checks, mammogram, Pap smear, colonoscopy Screening of patients with diabetes for diabetic retinopathy to prevent blindness, prevention of opportunistic infections in HIV patients, oxygen therapy to COPD patients

Answer 103

Primary Implemented before disease starts Condoms, Pre-exposure Vaccines, Male Circumcision Secondary Early detection & intervention Postexposure vaccines, Regular BP checks, mammogram, Pap smear, colonoscopy Tertiary Addresses existing conditions Screening of patients with diabetes for diabetic retinopathy to prevent blindness, prevention of opportunistic infections in HIV patients, oxygen therapy to COPD patients