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NURS3320 Assessment Final Review questions with complete solutions

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NURS3320 Assessment Final Review
questions with complete solutions

What nnis nna nncomprehensive nnassessment? nn- nncorrect nnanswer-An nninitial nncomprehensive nnassessment
nninvolves nncollection nnof nnsubjective nndata nnabout nnthe nnclient's nnperception nnof nnhis nnor nnher nnhealth, nnpast

nnhealth nnhistory, nnfamily nnhistory, nnand nnlifestyle nnand nnhealth nnpractices nn(which nnincludes nninformation

nnrelated nnto nnthe nnclient's nnoverall nnfunction) nnas nnwell nnas nnobjective nndata nngathered nnduring nna nnstep-by-

step nnphysical nnexamination. nnIt nnserves nnas nna nnbaseline nnof nndata nnon nna nnpatient.

What nnis nna nnpartial nnassessment? nn- nncorrect nnanswer-An nnongoing nnor nnpartial nnassessment nnof nnthe
nnclient nnconsists nnof nndata nncollection nnthat nnoccurs nnafter nnthe nncomprehensive nndatabase nnis nnestablished.

nnThis nnconsists nnof nna nnmini-overview nnof nnthe nnclient's nnbody nnsystems nnand nnholistic nnhealth nnpatterns nnas

nna nnfollow-up nnon nnhealth nnstatus. nnAny nnproblems nnthat nnwere nninitially nndetected nnin nnthe nnclient's nnbody

nnsystem nnor nnholistic nnhealth nnpatterns nnare nnreassessed nnto nndetermine nnany nnchanges nn(deterioration nnor

nnimprovement) nnfrom nnthe nnbaseline nndata.

What nnis nna nnfocused nnassessment? nn- nncorrect nnanswer-A nnfocused nnor nnproblem-oriented nnassessment
nndoes nnnot nnreplace nnthe nncomprehensive nnhealth nnassessment. nnIt nnis nnperformed nnwhen nna

nncomprehensive nndatabase nnexists nnfor nna nnclient nnwho nncomes nnto nnthe nnhealth nncare nnagency nnwith nna

nnspecific nnhealth nnconcern. nnA nnfocused nnassessment nnconsists nnof nna nnthorough nnassessment nnof nna

nnparticular nnclient nnproblem nnand nndoes nnnot nncover nnareas nnnot nnrelated nnto nnthe nnproblem.

What nnis nnan nnemergency nnassessment? nn- nncorrect nnanswer-An nnemergency nnassessment nnis nna nnvery
nnrapid nnassessment nnperformed nnin nnlife-threatening nnsituations. nnIn nnsuch nnsituations nn(choking, nncardiac

nnarrest, nndrowning), nnan nnimmediate nnassessment nnis nnneeded nnto nnprovide nnprompt nntreatment. nnAn

nnexample nnof nnan nnemergency nnassessment nnis nnthe nnevaluation nnof nnthe nnclient's nnairway, nnbreathing, nnand

nncirculation nn(known nnas nnthe nnABCs) nnwhen nncardiac nnarrest nnis nnsuspected.

What nnis nnthe nnpurpose nnof nna nnnursing nnhealth nnassessment? nn- nncorrect nnanswer-The nnpurpose nnof nna
nnnursing nnhealth nnassessment nnis nnto nncollect nnholistic nnsubjective nnand nnobjective nndata nnto nndetermine nna

nnclient's nnoverall nnlevel nnof nnfunctioning nnin nnorder nnto nnmake nna nnprofessional nnclinical nnjudgment. nnThe

nnnurse nncollects nnphysiologic, nnpsychological, nnsociocultural, nndevelopmental, nnand nnspiritual nndata nnabout

nnthe nnclient. nnThus nnthe nnnurse nnperforms nnholistic nndata nncollection.

,What nnis nnthe nnfirst nnstep nnin nnthe nnnursing nnprocess? nnWhy nnis nnit nncritical nnto nnthe nnrest nnof nnthe nnprocess?
nn- nncorrect nnanswer-Assessment nnis nnthe nnfirst nnand nnmost nncritical nnstep nnof nnthe nnnursing nnprocess, nnand

nnaccuracy nnof nnassessment nndata nnaffects nnall nnother nnphases nnof nnthe nnnursing nnprocess.

What nnare nnthe nnfour nnsteps nnof nnthe nnhealth nnassessment? nn- nncorrect nnanswer-1. nncollecting nnsubjective
nndata, nn

2. nncollecting nnobjective nndata, nn

3. nnvalidation nnof nndata, nnand nn

4. nndocumentation nnof nndata.

What nnis nnan nnopen-ended nnquestion? nnWhy nnis nnit nnimportant? nn- nncorrect nnanswer-Open-ended
nnquestions nnare nnused nnto nnelicit nnthe nnclient's nnfeelings nnand nnperceptions. nnThey nntypically nnbegin nnwith

nnthe nnwords nn"how" nnor nn"what." nnAn nnexample nnof nnthis nntype nnof nnquestion nnis: nn"How nnhave nnyou nnbeen

nnfeeling nnlately?" nnAsking nnopen-ended nnquestions nnmay nnhelp nnto nnreveal nnsignificant nndata nnabout nnthe

nnclient's nnhealth nnstatus.

What nnis nna nnclosed-ended nnquestion? nnWhen nnis nnit nnused? nn- nncorrect nnanswer-Use nnclosed-ended
nnquestions nnto nnobtain nnfacts nnand nnto nnfocus nnon nnspecific nninformation. nnThe nnclient nncan nnrespond nnwith

nnone nnor nntwo nnwords. nnThe nnquestions nntypically nnbegin nnwith nnthe nnwords nn"when" nnor nn"did." nnAn

nnexample nnof nnthis nntype nnof nnquestion nnis: nn"When nndid nnyour nnheadache nnstart?" nnClosed-ended

nnquestions nnare nnuseful nnin nnkeeping nnthe nninterview nnon nncourse nnand nnto nnclarify nnstatements.

What nnis nnsubjective nndata? nn- nncorrect nnanswer-Information nnelicited nnor nnverified nnonly nnby nnthe nnpatient.
nn-Biographical nninformation nn(name, nnage, nnreligion, nnoccupation)

-History nnof nnpresent nnhealth nnconcern: nnPhysical nnsymptoms nnrelated nnto nneach nnbody nnpart nnor nnsystem
nn(e.g., nneyes nnand nnears, nnabdomen)

-Personal nnhealth nnhistory

-Family nnhistory

-Health nnand nnlifestyle nnpractices nn(e.g., nnhealth nnpractices nnthat nnput nnthe nnclient nnat nnrisk, nnnutrition,
nnactivity, nnrelationships, nncultural nnbeliefs nnor nnpractices, nnfamily nnstructure nnand nnfunction, nncommunity

nnenvironment)

What nnis nnobjective nndata? nn- nncorrect nnanswer-Information nndirectly nnobserved nnby nnthe nnnurse.

-Physical nncharacteristics nn(e.g., nnskin nncolor, nnposture)

,-Body nnfunctions nn(e.g., nnheart nnrate, nnrespiratory nnrate)

-Appearance nn(e.g., nndress nnand nnhygiene)

-Behavior nn(e.g., nnmood, nnaffect)

-Measurements nn(e.g., nnblood nnpressure, nntemperature, nnheight, nnweight)

-Results nnof nnlaboratory nntesting nn(e.g., nnplatelet nncount, nnx-ray nnfindings)

Equipment nnneeded nnfor nnall nnexams nn- nncorrect nnanswer-Gown nnand nngloves

Equipment nnneeded nnfor nnvital nnsigns nn- nncorrect nnanswer-Sphygmomanometer nnand nnstethoscope,
nnthermometer, nnwatch, nnpain nnscale

Equipment nnneeded nnfor nnnutritional nnexam nn- nncorrect nnanswer-Skinfold nncalipers, nnplatform nnscale nnwith
nnheight nnattachment, nnflexible nntape, nnskin nnmarker

Equipment nnneeded nnfor nnskin, nnnail, nnand nnhair nnexam nn- nncorrect nnanswer-Exam nnlight, nnpen nnlight, nnhand
nnmirror nnfor nnpatient, nnmetric nnruler nnto nnmeasure nnsize nnof nnlesions, nnmagnifying nnglass, nnWood's nnlight nnto

nntest nnfungus, nnBraden's nnscale, nnPressure nnUlcer nnScale nnfor nnHealing nn(PUSH)

Equipment nnneeded nnfor nnhead nnand nnneck nnexam nn- nncorrect nnanswer-Stethoscope nnto nnauscultate
nnthyroid nnand nnsmall nncup nnof nnwater nnto nnhelp nnclient nnswallow nnwhen nnexamining nnthyroid

Equipment nnneeded nnfor nneye nnexam nn- nncorrect nnanswer-Pen nnlight, nnSnellen nnE nnchart, nnnewspaper,
nnopaque nncard, nnand nnOphthalmoscope

Equipment nnneeded nnfor nnear nnexam nn- nncorrect nnanswer-Otoscope nnand nntuning nnfork

Equipment nnneeded nnfor nnMouth, nnThroat, nnNose, nnand nnSinus nnExamination nn- nncorrect nnanswer-Pen nnlight,
nn4x4 nngauze, nntongue nndepressor, nnand nnotoscope

Equipment nnneeded nnfor nnThoracic nnand nnLung nnExamination nn- nncorrect nnanswer-Stethoscope, nnmetric
nnruler, nnskin nnmarking nnpen,

, Equipment nnneeded nnfor nnHeart nnand nnNeck nnVessel nnExamination nn- nncorrect nnanswer-Stethoscope nnand
nntwo nnmetric nnrulers nnto nnmeasure nnjugular nnvenous nnpressure

Equipment nnneeded nnfor nnPeripheral nnVascular nnExamination nn- nncorrect nnanswer-Sphygmomanometer
nnand nnstethoscope, nnflexible nnmetric nnmeasuring nntape, nntuning nnfork, nnand nnDoppler nnultrasound

Equipment nnneeded nnfor nnAbdominal nnExam nn- nncorrect nnanswer-Stethoscope, nnflexible nnmeasuring nntape,
nnskin nnmarking nnpen, nnand nntwo nnsmall nnpillows

Equipment nnneeded nnfor nnMusculoskeletal nnExamination nn- nncorrect nnanswer-Flexible nnmeasuring nntape,
nngoniometer,

Equipment nnneeded nnfor nnNeurologic nnExamination nn- nncorrect nnanswer-Cotton nntipped nnapplicators,
nnnewspaper, nnOphthalmoscope, nnflexible nntape, nncommon nnsmall nnobject nnlike nnkey nnor nncoin, nnreflex

nnhammer, nncotton nnball, nnpaper nnclip, nnsubstances nnto nnsmell nnand nntaste, nnSnellen nnE nnchart, nnpen nnlight,

nntongue nndepressor, nnand nntuning nnfork.

Equipment nnneeded nnfor nnMale nnGenitalia nnand nnRectum nnExamination nn- nncorrect nnanswer-Gloves nnand
nnwater nnsoluble nnlubricant, nnpen nnlight, nnoccult nnblood nnspecimen nncard

Equipment nnneeded nnfor nnFemale nnGenitalia nnand nnRectum nnExamination nn- nncorrect nnanswer-Vaginal
nnspeculum nnand nnwater-soluble nnlubricant, nnBifid nnspatula, nnendocervical nnbroom nnto nnobtain

nnendocervical nnswab nnand nncervical nnscrape nnand nnvaginal nnpool nnsample, nnlarge nnswabs, nnliquid nnpap

nnmedium, nnpH nnpaper, nnfeminine nnnapkins

What nnsteps nnare nntaken nnwhen nnidentifying nnvarious nnskin nnlesions? nn- nncorrect nnanswer-If nnyou nnobserve
nna nnlesion:

-Note nncolor, nnshape, nnand nnsize nnof nnlesion. nn

-For nnvery nnsmall nnlesions, nnuse nna nnmagnifying nnglass nnto nnnote nnthese nncharacteristics.

-Note nnits nnlocation, nndistribution, nnand nnconfiguration.

-Measure nnthe nnlesion nnwith nna nncentimeter nnruler.

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