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HLTH 501 Assess Final - the comprehensive stuff| with Complete Solutions 100% Verified | Updated Questions

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HLTH 501 Assess Final - the comprehensive stuff| with Complete Solutions 100% Verified | Updated Questions

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  • January 24, 2025
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HLTH 501
  • HLTH 501
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HLTH 501 Assess Final - the comprehensive
stuff| with Complete Solutions 100% Verified |
Updated Questions
What is primary prevention? - ANSWER Promoting optimum health prior to the onset of
problems, e.g. healthy diet, exercise, immunization, etc.


What is secondary prevention? - ANSWER Early identification and treatment of existing
health problems, e.g. pap smear, mammogram, PPD, etc.


What is tertiary prevention? - ANSWER Rehabilitation & restoration of health, e.g.
cardiac rehab, etc.


What is a diagnosis? - ANSWER a judgment regarding an individual's state of health


What is a medical diagnosis? - ANSWER The assessment data is used to diagnose disease


What is a nursing diagnosis? - ANSWER a patient's response to actual or potential
problems


The symptoms are what kind of data? - ANSWER Subjective (the history)


The signs are what kind of data? - ANSWER Objective (the physical exam)


The statement "I have shortness of breath" is what type of data? - ANSWER Subjective


Auscultation of wheezing is what type of data? - ANSWER Objective

,What are open ended questions? - ANSWER - requires narrative responses
- used to begin interview
- allows for description, leads to more info


What are closed ended questions? - ANSWER - yes/no or 1-2 word answer
- used to fill in omitted info or to get specific facts
- ask only one question at a time


Should you start with open ended or closed ended questions? - ANSWER open


What is collected in the Reason for Seeking Care or Chief Complaint (CC) section? -
ANSWER - May focus on illness or wellness needs (e.g. routine physical exam or sore
throat)
- Usually one sentence stating the problem & its duration (e.g., "I have chest pain
whenever I smoke a cigarette")
- For clinic patients, ask why you are here today (you may need to focus on the most
important problem) - you can't always address all problems in one visit


What is the OLD CART mnemonic? - ANSWER O - onset
L - location
D - duration
C - character
A - aggravating or associated factors
R - relieving factors
T - treatment

,O - onset - ANSWER - Date/time
- Sudden/gradual
- Predisposing factors (e.g., exposure to "sick contacts")


L - location - ANSWER - Point with one finger
- Where does the pain radiate?


D - duration - ANSWER - How long does it last?
- Frequency (How often does it occur?)
- Constant/intermittent (If intermittent, does it subside completely between episodes?)


C - character - ANSWER - Quality
• e.g., sharp, dull throbbing, vise-like, pressure, etc.
• e.g., black, sticky, tar-like stools
- Quantity/Severity (Quantify when possible)
• e.g., blood (saturated 2 pads per hour)
• e.g., pain (Scale 0 to 10)
• Ask regarding ability to do ADLs
- Patient Description
• "It feels like an elephant is sitting on my chest" (classic for MI)
• "This is the worst headache I've ever had" (classic for subarachnoid hemorrhage)


A - aggravating or associated factors - ANSWER - Aggravating Factors (What makes the
pain worse?)
• e.g., bending forward, lifting, walking up stairs, running
• e.g., eating (any food-fatty food-spicy food)

, - Associated Factors
• e.g., chest pain (nausea, vomiting, diaphoresis, dyspnea & L arm pain) - r/o MI
• e.g., dysuria (shaking chills & fever) - r/o infection


R - relieving factors - ANSWER - What makes the symptom(s) better? (e.g., position)


T - treatment - ANSWER - What has the patient tried; what was the effect?
- 70-90% of all illnesses are treated first with self-care


What is the purpose of the family genogram? - ANSWER - To identify the age of family
members, age at which an illness occurred, age of death & cause of death.
Note: If the family member is healthy and without illness, document as alive & well (A &
W)


What would you include in the risk assessment? (incl. family history) - ANSWER Consider
family history, risk factors and health promotion behaviors in your risk assessment (e.g.,
aerobic exercise, alcohol/drug use, calcium intake, dental hygiene, environmental noise
exposure, immunizations, mammograms, pap smears, prostate exams, testicular self
exam, seat belt use, self breast exam, tobacco use, sun protection, use of helmets,
family history)
(For example: Increased risk of osteoporosis related to inadequate calcium intake)


What would you document about immunizations? - ANSWER - List all dates (if known) or
year of last immunization & adverse reactions.
- Some immunizations may not be appropriate due the person's age or situation; if so,
indicate "not applicable".


How often is tetanus given? - ANSWER every 10 years

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