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Health Assessment Ch.1-5 (Nursing 103) Questions With Answers 2025.
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Health Assessment Ch.1-5 (Nursing 103) Questions With Answers 2025.
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Health Assessment Ch.1-5 (Nursing 103)Questions With Answers 2025.
The *nursing process* includes which six phases? - ANSWER- The *nursing process*
includes which six phases?
(1) *assessment*,
(2) *diagnosis(nursing)*,
(3) *outcome identification*,
(4) *planning*,
(5) *implementation*, and
(6) *evaluation*.
It is a dynamic, interactive process in which practitioners move back and forth within the
steps.
AD"O"PIE
3 aspects of the health assessment - ANSWER- 1. Health History-interview-subjective
data
2. Physical Exam-the assessment-objective data
3. Documentation of data
Assessment - ANSWER- *Assessment* is the collection of subjective and objective data
about a patient's health.
*Assessment* Deliberate and systematic collection of data to determine a patient's
current and past health status and functional status to determine client's present and
past coping patterns.
Subjective Data - ANSWER- *Subjective data* consist of information provided by the
affected individual.
What patients tells you about their SIGNS AND SYMPTOMS. (Ex. "my head hurts")
Data - ANSWER- *Data* includes signs and symptoms.
Symptom - ANSWER- What a client feels or communicates; subjective data
Sign - ANSWER- Clinical findings-objective data.
Clinical manifestations; signs and/or symptoms experienced by client.
Objective Data - ANSWER- *Objective data* include information obtained by the health
care provider through physical assessment, the patient's record, and laboratory studies.
What a nurse observes. For example, Patient is clenching head as if in pain.
, What is the purpose of a physical examination? - ANSWER- 1. To gather a health
history, gather objective data.
2. Develop nursing diagnosis and care plan.
3. Manage client problems.
4. Evaluate nursing care.
Where is Data taken from? - ANSWER- 1. The primary source; patient
2. A secondary source; data can come from a family member, care giver, medical
records. Patient is in a coma, is a child or is a patient who can not speak for them self
due to their current state.
*All data should be verified.*
*Cultural Sensitivity* - ANSWER- a. Culture influences the client's behavior.
b. Consider health beliefs, use of alternative therapies, nutritional habits, relationship
with family, and personal comfort zone.
c. Avoid stereotyping.
d. Avoid gender bias.
What does a culturally-competent nurse do? - ANSWER- a. Allows clients to explain the
meaning of their illness.
b. Respects concepts of time, space, contact.
c. Respects physical/social activities.
d. Respect systems of social organization; provides environmental control.
During a routine nursing care exam what information will you be able to gather? -
ANSWER- a. Vital signs
b. Bathing
c. Range of motion
d. Activity activities of daily living
What does recognition and respect of client diversity lead to? - ANSWER- Client
satisfaction and improved clinical outcomes.
*Cultural competence* - ANSWER- *Cultural competence* the ability to communicate
among/ between cultures and to demonstrate skill in interacting with and understanding
people of other cultures.
Types of Assessments (Pg. 3 Box 1-3) - ANSWER- 1. Comprehensive- New patients
2. Focused/ Prob. Based- Would likely be used in ER situation.
3. Episodic- Continuing; Follow up.
4. Screening- Preventative
Health History Tips - ANSWER- 1. Introduction- Name &title/position (Ex. Jane Doe,
RN)
2. Professional dress to include name tag/badge
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