Health Assessment and Physical Examination with all
Correct & 100% Verified Answers |Already Graded A+
List the five nursing purposes for performing a physical assessment. (5) ✔Correct Answer-a. Gather
baseline data about the patient's health status
b. Support or refute subjective data obtained in the nursing history
c. Confirm and identify nursing diagnoses
d. Make clinical judgments about a patient's changing health status and management
e. Evaluate the outcomes of care
List the principles related to the nurse performing daily physical examinations. (4) ✔Correct
Answer-a. A head-to-toe assessment is required daily
b. Reassessment is performed when the patient's condition changes as it improves or worsens
c. The environment, equipment, and patient are properly prepared
d. Safety for confused patients should be a priority
Proper preparation for examination should include: (5) ✔Correct Answer-a. Infection control
b. Environment
c. Equipment
d. Physical preparation of the patient
e. Psychological preparation of the patient
List seven variations in the nurse's individual style that are appropriate when examining children. (7)
✔Correct Answer-a. Gather all or part of the histories of infants and children from parents
b. Perform the examination in a nonthreatening are and provide time for play
c. Offer support to the parents during the examination and do not pass judgment
d. Call children by their first names and address their parents as Mr. and Mrs.
e. Use open-ended questions to allow parents to share more information
f. Treat adolescents as adults
g. Provide confidentiality for adolescents; speak alone with them
List seven variations in the nurse's individual style that are appropriate wen examining older adults.
(7) ✔Correct Answer-a. Do not stereotype about aging patients's level of cognition
b. Be sensitive to sensory or physical limitations (more time)
c. Adequate space is needed
d. use patience, allow for pauses, and observe for details
e. Certain types of information may be stressful to give
f. Perform the examination near bathroom facilities
g. Be alert for signs of increasing fatigue
Identify the principles to follow to keep an examination well organized. (7) ✔Correct Answer-a.
Compare both sides for symmetry
b. If a patient is ill, first assess the systems of the body part most at risk
c. Offer rest periods if the patient becomes fatigued
d. Perform painful procedures near the end of the examination
e. Record assessments in specific terms in the record
f. Use common and accepted medical terms and abbreviations
g. Record quick notes during the examination to avoid delays
, Define inspection. ✔Correct Answer-Looking, listening, and smelling to distinguish normal from
abnormal findings
Identify the guidelines to achieve the best results during inspection. (6) ✔Correct Answer-a.
Adequate lighting is available
b. Use direct light source
c. Inspect each area for size, shape, color, symmetry, position, and abnormality
d. Position and expose body parts as needed, maintaining privacy
e. Check for side-to-side symmetry
f. Validate findings with the patient
Define palpation ✔Correct Answer-Using the hands to touch body parts.
Light palpation ✔Correct Answer-Pressing inward 1 cm (surperficial)
Deep palpation ✔Correct Answer-Depressing the area 4 cm to assess the conditions of organs.
Define auscultation ✔Correct Answer-Listening to the internal sounds the body makes.
Auscultating sounds: Frequency ✔Correct Answer-Frequency indicates the number of sound wave
cycles generated per second by a vibrating object
Auscultating sounds: Amplitude ✔Correct Answer-Loudness, soft to loud
Auscultating sounds: Quality ✔Correct Answer-Sounds of similar frequency and loudness
Auscultating sounds: Duration ✔Correct Answer-Length of time that sound vibrations last
List at least 12 specific observations of the patient's general appearance and behavior that should be
reviewed. (12) ✔Correct Answer-a. Gender and race
b. Age
c. Signs of distress
d. Body type
e. Posture
f. Gait
g. Body movements
h. Hygiene and grooming
i. Dress
j. Body odor
k. Affect and mood
l. Speech
Identify some signs of patient abuse. ✔Correct Answer-Physical injury or neglect are signs of
possible abuse (evidence of malnutrition or presence of bruising). Also watch for fear of the spouse
or partner, caregiver, or parent.
Identify the questions related to the following acronym.
CAGE ✔Correct Answer-C: Have you ever felt the need to cut down on your use?
A: Have people annoyed you by criticizing your use?
G: Have you ever felt bad or guilty about your use?
Correct & 100% Verified Answers |Already Graded A+
List the five nursing purposes for performing a physical assessment. (5) ✔Correct Answer-a. Gather
baseline data about the patient's health status
b. Support or refute subjective data obtained in the nursing history
c. Confirm and identify nursing diagnoses
d. Make clinical judgments about a patient's changing health status and management
e. Evaluate the outcomes of care
List the principles related to the nurse performing daily physical examinations. (4) ✔Correct
Answer-a. A head-to-toe assessment is required daily
b. Reassessment is performed when the patient's condition changes as it improves or worsens
c. The environment, equipment, and patient are properly prepared
d. Safety for confused patients should be a priority
Proper preparation for examination should include: (5) ✔Correct Answer-a. Infection control
b. Environment
c. Equipment
d. Physical preparation of the patient
e. Psychological preparation of the patient
List seven variations in the nurse's individual style that are appropriate when examining children. (7)
✔Correct Answer-a. Gather all or part of the histories of infants and children from parents
b. Perform the examination in a nonthreatening are and provide time for play
c. Offer support to the parents during the examination and do not pass judgment
d. Call children by their first names and address their parents as Mr. and Mrs.
e. Use open-ended questions to allow parents to share more information
f. Treat adolescents as adults
g. Provide confidentiality for adolescents; speak alone with them
List seven variations in the nurse's individual style that are appropriate wen examining older adults.
(7) ✔Correct Answer-a. Do not stereotype about aging patients's level of cognition
b. Be sensitive to sensory or physical limitations (more time)
c. Adequate space is needed
d. use patience, allow for pauses, and observe for details
e. Certain types of information may be stressful to give
f. Perform the examination near bathroom facilities
g. Be alert for signs of increasing fatigue
Identify the principles to follow to keep an examination well organized. (7) ✔Correct Answer-a.
Compare both sides for symmetry
b. If a patient is ill, first assess the systems of the body part most at risk
c. Offer rest periods if the patient becomes fatigued
d. Perform painful procedures near the end of the examination
e. Record assessments in specific terms in the record
f. Use common and accepted medical terms and abbreviations
g. Record quick notes during the examination to avoid delays
, Define inspection. ✔Correct Answer-Looking, listening, and smelling to distinguish normal from
abnormal findings
Identify the guidelines to achieve the best results during inspection. (6) ✔Correct Answer-a.
Adequate lighting is available
b. Use direct light source
c. Inspect each area for size, shape, color, symmetry, position, and abnormality
d. Position and expose body parts as needed, maintaining privacy
e. Check for side-to-side symmetry
f. Validate findings with the patient
Define palpation ✔Correct Answer-Using the hands to touch body parts.
Light palpation ✔Correct Answer-Pressing inward 1 cm (surperficial)
Deep palpation ✔Correct Answer-Depressing the area 4 cm to assess the conditions of organs.
Define auscultation ✔Correct Answer-Listening to the internal sounds the body makes.
Auscultating sounds: Frequency ✔Correct Answer-Frequency indicates the number of sound wave
cycles generated per second by a vibrating object
Auscultating sounds: Amplitude ✔Correct Answer-Loudness, soft to loud
Auscultating sounds: Quality ✔Correct Answer-Sounds of similar frequency and loudness
Auscultating sounds: Duration ✔Correct Answer-Length of time that sound vibrations last
List at least 12 specific observations of the patient's general appearance and behavior that should be
reviewed. (12) ✔Correct Answer-a. Gender and race
b. Age
c. Signs of distress
d. Body type
e. Posture
f. Gait
g. Body movements
h. Hygiene and grooming
i. Dress
j. Body odor
k. Affect and mood
l. Speech
Identify some signs of patient abuse. ✔Correct Answer-Physical injury or neglect are signs of
possible abuse (evidence of malnutrition or presence of bruising). Also watch for fear of the spouse
or partner, caregiver, or parent.
Identify the questions related to the following acronym.
CAGE ✔Correct Answer-C: Have you ever felt the need to cut down on your use?
A: Have people annoyed you by criticizing your use?
G: Have you ever felt bad or guilty about your use?
