NURS 335 - Exam 1 Questions and Answers Latest 2025 Update(Complete test bank 100% correct)
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Course
NURS 335
Institution
NURS 335
Functional assessment - ️️questioning during health history; 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-con...
NURS 335 - Exam 1
Functional assessment - ✔️✔️questioning during health history; 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
How do you assess LOC? - ✔️✔️1. Spontaneous: enter the room and observe
2. Usual voice: state patient name, and ask them politely to open eyes
3. Loud voice: repeat what you said in your usual voice
4. Tactile: touch patient's arm/shoulder
5. Pressure: put pressure on patient nail bed (do not harm) - observe for eye opening
6. Pain: trapezius pinch (do not harm) - observe for movement
Emergency assessment - ✔️✔️performed in a life-threatening or unstable situation,
such as with a patient in an emergency department who has experienced a traumatic
injury (ABCD)
Comprehensive assessment - ✔️✔️complete health history and physical examination
Focused assessment - ✔️✔️based on the patient's needs; usually involves one or two
body systems and is smaller in scope than a comprehensive assessment but more in
depth on specific issues
Head to toe assessment - ✔️✔️efficient conduction of a physical exam; the most
organized system for gathering comprehensive physical data
body systems assessment - ✔️✔️organize findings to document and communicate;
guides learning; requires critical thinking; data from the functional and head-to-toe are
reorganized
Health assessment = - ✔️✔️general survey + initial data collection + health history +
physical examination
communication tips for health assessment - ✔️✔️Active listening
guided questioning
one question at a time
offer MC answers
express empathy
avoid negative questions
Nontherapeutic responses - ✔️✔️false reassurance
, sympathy
unwanted advice
biased questions
changes of subject
distractions
technical/overwhelming language
interrupting
What are the most important things to assess during general survey? - ✔️✔️LOC
Breathing
Skin colour
overall appearance
How do you calculate BMI? - ✔️✔️weight in kg/(height in meters)^2
RN objectives for health history - ✔️✔️gain the foundation of information to guide client
care:
1. continue general survey observations
2. establish therapeutic relationship
3. demonstrate sense of caring for patient as an individual
4. gain insights about concerns
5. identify expectations of health care provides and system
6. introduce client to health care facilities
Complete effective interview, obtain accurate information, accurate documentation
Components of the Health History - ✔️✔️1. Demographic data
2. reasons for seeking care
3. history of present illness (analysis of S&S)
4. past health history (current meds and indications)
5. family history
6. personal and social history
7. functional health questions
8. growth and development
Analysis of a sign/symptom - ✔️✔️1. Location
2. Quality/Nature
3. Severity/Quantity
4. Timing
5. Aggravating factors
6. Alleviating factors
7. Associated signs and symptoms
8. Environmental factors
9. Significance to client
10. Client perspective
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