Lifespan (2026) Q&A
1. What is the primary difference between a holistic nursing assessment and a physical
medical assessment?
A) A holistic assessment focuses only on the patient's physical health status
B) A holistic assessment collects physiologic, psychological, sociocultural, developmental,
and spiritual data
C) A physical medical assessment includes subjective data about the patient's perceptions
D) There is no meaningful difference between the two types of assessment
Correct Answer: A holistic assessment collects physiologic, psychological, sociocultural,
developmental, and spiritual data
Rationale: A holistic nursing assessment uses both subjective and objective data to create a
comprehensive picture, collecting physiologic, psychological, sociocultural, developmental,
and spiritual information about the client. A physical medical assessment primarily focuses
on objective, measurable data with less emphasis on psychological or sociocultural factors.
Holistic assessment recognizes that health is influenced by multiple interconnected
dimensions.
2. According to the American Nurses Association (ANA) Standard 1, what is the registered
nurse's responsibility regarding assessment?
A) To diagnose medical conditions independently based on assessment findings
B) To collect comprehensive data pertinent to the patient's health or situation
C) To prescribe medications based on assessment findings
D) To delegate all data collection to unlicensed assistive personnel
Correct Answer: To collect comprehensive data pertinent to the patient's health or situation
,Rationale: ANA Standard 1 states that "the registered nurse collects comprehensive data
pertinent to the patient's health or situation". This standard emphasizes the nurse's primary
role in gathering thorough assessment data. The nurse does not independently diagnose
medical conditions or prescribe medications, nor is data collection entirely delegated.
3. Which phase of the nursing process involves analyzing assessment data to make a nursing
judgment?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Correct Answer: Diagnosis
Rationale: The diagnosis phase involves analyzing the collected assessment data to make a
nursing judgment. This is the second step of the ADPIE framework. Assessment is the first
step of data collection, planning involves developing outcome criteria, and implementation
is carrying out the plan.
4. A nurse is conducting an initial comprehensive assessment on a new patient. Which type
of assessment is this considered?
A) Focused assessment
B) Emergency assessment
C) Ongoing assessment
D) Initial comprehensive assessment
Correct Answer: Initial comprehensive assessment
Rationale: An initial comprehensive assessment is performed during the first encounter with
a patient and includes a complete health history, review of systems, family history, and full
physical examination. Focused assessments target specific problems, ongoing assessments
,are reassessments throughout a shift, and emergency assessments are rapid evaluations in
life-threatening situations.
5. What is the correct sequence of the four phases of a patient interview?
A) Introductory, Working, Pre-Introduction, Summary
B) Pre-Introduction, Introductory, Working, Summary
C) Working, Introductory, Pre-Introduction, Summary
D) Pre-Introduction, Working, Introductory, Summary
Correct Answer: Pre-Introduction, Introductory, Working, Summary
Rationale: The four phases of an interview occur in this specific order: Pre-Introduction
(reviewing the health record), Introductory (explaining purpose and developing trust),
Working (collecting biographical data and health history), and Summary (validating
information and identifying problems). This sequence ensures proper preparation, rapport-
building, comprehensive data collection, and closure.
6. Which term refers to information that is verified by the client, such as pain, hunger, or
beliefs?
A) Objective data
B) Subjective data
C) Clinical data
D) Measurable data
Correct Answer: Subjective data
Rationale: Subjective data consists of symptoms and information that are reported by and
verified by the client, including sensations like pain, hunger, and personal beliefs. Objective
data is measured or observed by the nurse. Clinical data encompasses both types, and
measurable data refers specifically to quantifiable information.
, 7. Which of the following best describes the purpose of a nursing health assessment?
A) To diagnose medical conditions and prescribe treatment
B) To collect holistic subjective and objective data to determine a client's overall level of
functioning
C) To complete paperwork required for hospital admission
D) To perform only physical examination techniques
Correct Answer: To collect holistic subjective and objective data to determine a client's
overall level of functioning
Rationale: The purpose of a nursing health assessment is to collect holistic subjective and
objective data to determine a client's overall level of functioning. This broader purpose
distinguishes nursing assessment from purely medical assessment, which focuses more
narrowly on disease identification.
8. What is the first step a nurse should take when preparing to conduct a health history
interview?
A) Begin asking health history questions immediately
B) Review the patient's health record
C) Obtain consent for the physical examination
D) Perform vital signs measurement
Correct Answer: Review the patient's health record
Rationale: The Pre-Introduction phase of the interview begins with reviewing the health
record before meeting the patient. This allows the nurse to gather background information
and identify areas requiring special attention. Asking questions immediately skips necessary
preparation, and vital signs and consent typically occur later in the process.
9. In the context of the nursing process, what occurs during the evaluation phase?
A) Collecting objective and subjective data