NSG-121 HEALTH ASSESSMENT EXAM I STUDY
GUIDE/106 Q’S AND A’S
The nurse's role in health assessment to perform - -nursing process.
- What type of patient would you do a focus assessment on? - -Patient that
has a specific problem.
- Primary prevention - -involves strategies aimed at preventing problems
Examples: Immunizations, health teaching, safety precautions, and nutrition
counseling.
- Secondary prevention - -includes the early diagnosis of health problems
and prompts treatment to prevent complications. Examples: Vision
screening, Pap smears, B/P screening, hearing test, scoliosis screening, and
tuberculin skin testing.
- Tertiary prevention - -focuses on preventing complications of an existing
disease and promoting health to the highest level. Examples: Diet teaching
and exercise programs.
- What are the assessment frameworks? - -functional assessment, head-to-
toe assessment, and body systems assessment.
- functional assessment (specific region) - -focuses on the functional
patterns that all humans share: health perception and health management,
activity and exercise, nutrition and metabolism, elimination, sleep and rest,
cognition and perception, self-perception and self-concept, roles, and
relationships, coping and stress tolerance, sexuality and reproduction, and
values and beliefs.
- head-to-toe assessment (Over all body) - -is the most organized system
for gathering comprehensive physical data. Because data in one functional
area are collected from different parts of the body, it is very inefficient to
collect physical data by functional status. For example, peripheral circulation
is assessed in both the arms and the legs.
- body systems assessment approach - -is a logical tool for organizing data
when documenting and communicating findings. This method promotes
critical thinking and allows you to analyze findings as you cluster similar
data.
- Communication Process forms: - -verbal, nonverbal, electronic
, - Electronic Communication - -The Internet and a variety of social websites
provide new and challenging opportunities for nurses to communicate and
collaborate with other health care providers. The challenges of using social
media include protecting patient privacy and confidentiality and preventing
unintended consequences for the employer or the nurse. Example: DAR
- Verbal communication - -is an exchange of information using words.
Example: spoken and written word.
- Nonverbal Communication - -The transmission of information without the
use of words is termed nonverbal communication, also known as body
language. It often helps nurses to understand subtle and hidden meanings in
what the patient is saying verbally. For example, a nurse asks the patient,
"How do you feel today?" The patient responds, "I feel all right."
- Components of Communication - -Sender, Receiver, Understanding,
Perception, & Culture
- Components of Communication: Sender, Receiver, Understanding,
Perception, & Culture
If you are the nurse giving presentation on the communication process, what
should you include? - -Sender and the Receiver
- Sender - -Person of group who initiates or begins the communication
- Receiver - -A. Must translate and interpret the message sent
- Understanding - -Was the message understood
- What is therapeutic communication? - -Caring and Empathy
- Your client has a high blood glucose, headache, and pain in arm. What type
of assessment would it be? - -Body Systems Approach
- According to Hildegard Peplau know that you have utilized effective
communication when what is assessed? - -Nurse patient relationship
- You encounter a client who tells you they've had bad experiences in
hospitalization what form of communication is that? - -Perception
- How do you respond to a client who tells you to they don't believe in
doctors' diagnoses? - -Perception) Sounds like you are not understanding or
believing what the doctor told you.
- When you ask a client to tell you more what type of verbal communication
skills is it? - -Elaboration