NSG 316 FINAL (Latest Update ) Health
Assessment Exam | Questions and Verified Answers | 100%
Correct | Grade A
What are the elements of a general survey and health assessment? - ANSWERPhysical
appearance, body structure, mobility, behavior, and measurement
What is the difference between subjective and objective data? - ANSWERSubjective
data is what the patient say about themselves during the history taking.
Objective data is observed when inspecting, percussing, palpating, and auscultating the
patient during the physical exam.
What is the difference between a comprehensive assessment and a focused
assessment? - ANSWERA comprehensive assessment includes the patient's history,
physical exam, and VS; yearly health exams.
A focused assessment is a more detailed assessment that related to a current medical
condition/patient complaint; ER situations or after a diagnosis
A nurse is caring for a client who asks about measures the nurse takes to protect client
privacy. Which of the following is an appropriate response by the nurse?
a. "I will provide their information to anyone who requests it."
b. "I will make sure my password to log into the system is the same one I use for
everything else."
c. "I will talk to my friends about the client in order to get advice."
d. "I will log off the computer in between seeing clients." - ANSWERAnswer: d
HIPAA establishes national standards for the protection of certain health info. The
privacy rule can be violated if a client's health info is on the computer screen and the
nurse leaves it up while taking care of other clients.
What factors affect health promotion and disease prevention throughout the lifespan? -
ANSWERGender, genetics, education, socioeconomic status, ethnicity, lifestyle, chronic
illness/disability, and race
Which of these are components of a functional assessment? (Select all that apply)
a. vision and hearing
b. mobility
c. continence
d. nutrition
e. ADL-IADL - ANSWERAnswer: all of them :)
A functional assessment also includes mental status, affect, home environment, and
social support!
, What is the key to understanding cultural diversity? - ANSWERBeing self-aware and
having knowledge of one's own culture
FICA is an assessment tool used to determine a patient's spiritual history. What does
FICA stand for? - ANSWERF = faith
I = importance/influence
C = community
A = address/action
What components should be assessed and asked about when completing a cultural
assessment? - ANSWERHeritage, health practices, communication, family roles &
social orientation, nutrition, pregnancy, spirituality/religion, death, and role of health
providers
What are the four sources of pain? (Provide some examples for each) - ANSWER1.
Visceral pain = large interior organs (e.g., appendicitis, gallstones)
2. Deep somatic pain = blood vessels, joints, tendons, muscles, and bone injury (e.g.,
sprain, broken bone)
3. Cutaneous pain = skin surface and subcutaneous tissues (e.g., paper cut)
4. Referred pain = felt at a particular site but originates from another location (e.g., left
arm hurting during an MI although the issue is with the heart)
A patient is crying and says, "Please get me something to relieve this pain." What
should the nurse do next?
a. Verify that the patient has an order for pain medications and administer order as
directed
b. Assess the level of pain and ask patient what usually works for his or her pain,
administer pain medication as needed, then reassess pain level
c. Assess the level of pain and give medications according to pain level, and then
reassess pain
d. Reposition the patient, then reassess the pain after intervention - ANSWERAnswer: B
Answers A, C, and D are incorrect because pain management should be collaborative,
and the patient is not part of the decision making process in these answers.
Pain is always ____? - ANSWERSubjective!
A patient with a severe muscle cramp tells the nurse, "The pain is a little better when I
massage the muscle or apply a cold pack." Which criterion of the PQRST method of
pain assessment is addressed in the patient's statement?
a. Severity Scale
b. Quality/Quantity
c. Region/Radiation
d. Provocation/Palliation - ANSWERAnswer: d
