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HEALTH ASSESSMENT (NUR 104) FINAL EXAM WITH CORRECT ANSWERS
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HEALTH ASSESSMENT (NUR 104) FINAL EXAM WITH CORRECT ANSWERS
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HEALTH ASSESSMENT (NUR 104) FINALEXAM WITH CORRECT ANSWERS
Holistic Care - ANSWER -health care that takes into account the whole person interacting in the
environment
Steps of the Nursing Process - ANSWER -1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Types of Assessments - ANSWER -o Initial Comprehensive
o Ongoing or Partial
o Emergency
Preparing for Assessment - ANSWER -o Review client's record (learn basic info.)
o Review client's status with other health care team members
o Reflect on own personal biases
o Educate about client's diagnosis and tests performed
Steps in Data Analysis - ANSWER -1. Identify abnormalities
2. Cluster data
3. Draw inferences
4. Propose nursing diagnoses
5. Check defining characteristics
6. Confirm or rule out diagnoses
7. Document
,Data Clustering - ANSWER -occurs when related cues are grouped together, also assists in identification
of nursing diagnosis
The nurse is completing an admission database entry and must include priority nursing diagnoses for the
plan of care. Which statement describes a nursing diagnosis?
a. The collection of subjective and objective data
b. A clinical judgment about client responses to health difficulties - ANSWER -b; A clinical judgment
about client responses to health difficulties
A nurse is caring for three clients whose care involves complex situations and multiple responsibilities.
What is the key to resolving problems for this nurse? - ANSWER -Critical Thinking
After a health assessment the nurse determines that a client would benefit from health promotion
interventions. Which item should the nurse refer to when determining the best actions for the client?
a. Healthy People 2020
b. the client's past medical history - ANSWER -a; Healthy People 2020
Phases of an Interview - ANSWER -o Preparatory
o introductory
o working
o termination
Working Phase - ANSWER -The nurse then listens, observes cues, and uses critical thinking skills to
interpret and validate information received from the client. The nurse and client collaborate to identify
the client's problems and goals.
Types of Nonverbal Communication - ANSWER -o Appearance
o Demeanor
o Facial Expression
o Attitude
o Silence
, o Listening
Types of Verbal Communication - ANSWER -o Open-ended questions
o Close-ended questions
o Laundry List
o Rephrasing
o Well-placed phrases
o Inferring
o Providing info.
Health History Components - ANSWER -o Biographical data
o Reasons for seeking health care
o History of present health concern
o Personal health history
o Family health history
o ROS for current health problems
o Lifestyle and health practices profile
o Developmental level
A nurse on an oncology unit enters a client's room to auscultate bowel sounds. What should the nurse
do before auscultating? - ANSWER -Disinfect the stethoscope before touching the client
During an interview between a nurse and a client, the nurse and the client collaborate to identify
problems and goals. This occurs during the phase of the interview termed... - ANSWER -working
A client relates having nasal stuffiness and sneezing during the spring and fall of each year. Where
should the nurse document this information in the comprehensive assessment? - ANSWER -Review of
Systems
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