NSE 103- MIDTERM WEEK 1 QUESTIONS WITH
COPLETE SOLUTION.
Week 1- Introduction to assessment Answer -
What is Health Assessment? Answer - - first phase of the nursing process and
involves collection and analysis of client data
What is Data collection categorized in? Answer - Subjective and Objective
Subjective Data Answer - - info client or other person (fam, caregiver) share
with nurse
- shares in two ways; spontaneously or in response to question
example: A client says, "I have had a rash on my ankle and leg for the last two
weeks.
- contains info about symptoms and signs
sign Answer - observable
- rash, bruising
symptoms Answer - something client feels
- nausea, pain
,Objective Data Answer - - info that nurse observes when conducting physical
examination and collecting lab/diagnostic results
example: The nurse observes the client sitting upright, leaning forward,
breathing fast with eyes wide open.
Closing the Objective Assessment Answer - • Brief summary
• Next steps
• Inquire
• Questions
trauma informed approach Answer - - physical touch
- trauma
- trauma informed approach
Age ranges important when Answer - determining normal and abnormal
finding during health assessment
New borns and neonates Answer - birth to a few hours old and neonate is up
to 28 days
young children Answer - 5 years and younger
including:
- infants (28 days-1 year)
- toddlers (1-2 years)
- preschoolers(3-5 years)
Older children and adolescents: Answer - 6-17 years
, including:
- older children/school age (6-12 years)
- adolescent (13-17 years)
Adults and older adults Answer - 18 years and older
including:
- adults (18 years and older)
- older adults (65 and older)
Related legislation specific to health assessment Answer - - any health
assessment performed must fall within nursing scope of practice
- must be informed by appropriate nursing college or association practice
standards
Nurses must perform health assessment within Answer - CNO legislated scope
of practice, the practice standards and also based on individual level of
competence
example: knowledge and expert practice to perform action
It is important to be aware of controlled acts, which are activities that are
considered ________ if performed by someone who is _______ as per
_________ Answer - harmful, unqualified, Regulated health professionals act
(RHPA)
As per the RHPA, a controlled act must only be performed with _____ or when
permitted by specific regulations and you must be _______ to perform the
skill/procedure Answer - an order, competent
Example:
COPLETE SOLUTION.
Week 1- Introduction to assessment Answer -
What is Health Assessment? Answer - - first phase of the nursing process and
involves collection and analysis of client data
What is Data collection categorized in? Answer - Subjective and Objective
Subjective Data Answer - - info client or other person (fam, caregiver) share
with nurse
- shares in two ways; spontaneously or in response to question
example: A client says, "I have had a rash on my ankle and leg for the last two
weeks.
- contains info about symptoms and signs
sign Answer - observable
- rash, bruising
symptoms Answer - something client feels
- nausea, pain
,Objective Data Answer - - info that nurse observes when conducting physical
examination and collecting lab/diagnostic results
example: The nurse observes the client sitting upright, leaning forward,
breathing fast with eyes wide open.
Closing the Objective Assessment Answer - • Brief summary
• Next steps
• Inquire
• Questions
trauma informed approach Answer - - physical touch
- trauma
- trauma informed approach
Age ranges important when Answer - determining normal and abnormal
finding during health assessment
New borns and neonates Answer - birth to a few hours old and neonate is up
to 28 days
young children Answer - 5 years and younger
including:
- infants (28 days-1 year)
- toddlers (1-2 years)
- preschoolers(3-5 years)
Older children and adolescents: Answer - 6-17 years
, including:
- older children/school age (6-12 years)
- adolescent (13-17 years)
Adults and older adults Answer - 18 years and older
including:
- adults (18 years and older)
- older adults (65 and older)
Related legislation specific to health assessment Answer - - any health
assessment performed must fall within nursing scope of practice
- must be informed by appropriate nursing college or association practice
standards
Nurses must perform health assessment within Answer - CNO legislated scope
of practice, the practice standards and also based on individual level of
competence
example: knowledge and expert practice to perform action
It is important to be aware of controlled acts, which are activities that are
considered ________ if performed by someone who is _______ as per
_________ Answer - harmful, unqualified, Regulated health professionals act
(RHPA)
As per the RHPA, a controlled act must only be performed with _____ or when
permitted by specific regulations and you must be _______ to perform the
skill/procedure Answer - an order, competent
Example:
