HEALTH ASSESSMENT NR302 EXAM 1 | COMPLETE NURSING STUDY
GUIDE & EXAM REVIEW 2026/2027
First-level priority - ANS ✔✔Emergent, life threatening, and immediate. (establishing an airway or
support breathing) ABCVs
Second-level priority - ANS ✔✔Next in urgency, requiring attention so as to avoid further deterioration.
(mental status changes, acute pain, acute urinary elimination problems, untreated medical problems,
abnormal lab values, risk of infection, or risk to safety or security)
Third-level priority - ANS ✔✔Important to patient's health but can be addressed after more urgent
problems are addressed
Collaborative problems - ANS ✔✔those in which the approach to treatment involves multiple disciplines
ABCs plus V - ANS ✔✔Airway problems
Breathing problems
Cardiac/circulation problems
Vital sign concerns (e.g. high fever)
Naturalistic (holistic) - ANS ✔✔found most frequently among indians, asians, and others who believe
that human life is only one aspect of nature. They believe that the forces of nature must be kept in
natural balance or harmony. Holds that the laws of nature create imbalances, chaos, and disease.
Steps to become culturally competent - ANS ✔✔Understand one's own heritage-based values, beliefs,
attitudes, and practices
Identify meaning of "health" to patient
Understand how health care system works
Acquire knowledge about social backgrounds of patients
Become familiar with languages, interpretive services, and community resources available to nurses and
patients
Culturally sensitive: - ANS ✔✔implies that caregivers possess some basic knowledge of and constructive
attitudes toward the diverse cultural populations found in the setting in which they practice
Culturally appropriate: - ANS ✔✔implies that the caregivers apply the underlying background knowledge
that must be possessed to provide a given person with the best possible health care
Culturally competent: - ANS ✔✔implies that the caregiver understand and attend to the total context of
the individual's situation, including awareness of immigration status, stress factors, other social factors,
and cultural similarities and differences
10 traps - ANS ✔✔Providing false assurance or reassurance
Giving unwanted advice
Using authority
Using avoidance language (saying passed away instead of died)
, Engaging in distancing
Using professional jargon
Using leading or biased questions
Talking too much
Interrupting
Using "why" questions
Process of communication during interview - ANS ✔✔Build rapport
For specific diseases such as HIV, use close ended questions
Ensure privacy - HIPAA
Use open-ended questions
Avoid the 10 traps
Observe the nonverbal clues
Know the stages of cognitive development
Determine health literacy
Complete (Total Health) Database: - ANS ✔✔complete health history and a full physical examination;
describes the current and past health state and forms a baseline against which all future changes can be
measured; yields the first diagnosis (primary care patients such as pediatric or family practice clinic)
Focused or problem-centered database - ANS ✔✔limited or short-term problem (i.e. 2 days after surgery
a hospitalized person suddenly has a congested cough, shortness of breath, and fatigue, history and
examination would focus on the area of that surgery) it concerns mainly one problem, one cue complex,
or one body system
Follow-Up Database: - ANS ✔✔status of any identified problems should be evaluated at regular and
appropriate intervals. This type of database is used in all settings to follow up both short-term and
chronic health problems
Emergency Database: - ANS ✔✔urgent, rapid collection of crucial information and often is compiled
concurrently with lifesaving measures; diagnosis must be swift and sure (i.e. if a person comes in with
substance overdose, questions must be short and precise)
The Infant (birth-12 months - ANS ✔✔Although you will not interview an infant, it is important to
establish rapport; nonverbal communication is the primary method; use gentle handling and a quiet,
calm voice; face infant directly
The Toddler (12-36 months) - ANS ✔✔provide a simple explanation of what they want; give one
direction at a time, keeping it simple, and provide warnings before transitions when possible; at this age
toddlers also struggle for control and autonomy, so provide simple choices when possible
The Preschooler (3-6 yrs) - ANS ✔✔avoid expressions such as "climbing the walls," because they are
easily misinterpreted by young children. Use short, simple sentences with a concrete explanation. Take
time to give a short, simple explanation for any unfamiliar equipment that will be used on the child.
Education and explanations can be provided with play
The school-aged child (7-12 yrs): - ANS ✔✔by using printed symbols for objects and events, the child can
process a significant amount of information. Interview the caregiver and child together; but, when a
GUIDE & EXAM REVIEW 2026/2027
First-level priority - ANS ✔✔Emergent, life threatening, and immediate. (establishing an airway or
support breathing) ABCVs
Second-level priority - ANS ✔✔Next in urgency, requiring attention so as to avoid further deterioration.
(mental status changes, acute pain, acute urinary elimination problems, untreated medical problems,
abnormal lab values, risk of infection, or risk to safety or security)
Third-level priority - ANS ✔✔Important to patient's health but can be addressed after more urgent
problems are addressed
Collaborative problems - ANS ✔✔those in which the approach to treatment involves multiple disciplines
ABCs plus V - ANS ✔✔Airway problems
Breathing problems
Cardiac/circulation problems
Vital sign concerns (e.g. high fever)
Naturalistic (holistic) - ANS ✔✔found most frequently among indians, asians, and others who believe
that human life is only one aspect of nature. They believe that the forces of nature must be kept in
natural balance or harmony. Holds that the laws of nature create imbalances, chaos, and disease.
Steps to become culturally competent - ANS ✔✔Understand one's own heritage-based values, beliefs,
attitudes, and practices
Identify meaning of "health" to patient
Understand how health care system works
Acquire knowledge about social backgrounds of patients
Become familiar with languages, interpretive services, and community resources available to nurses and
patients
Culturally sensitive: - ANS ✔✔implies that caregivers possess some basic knowledge of and constructive
attitudes toward the diverse cultural populations found in the setting in which they practice
Culturally appropriate: - ANS ✔✔implies that the caregivers apply the underlying background knowledge
that must be possessed to provide a given person with the best possible health care
Culturally competent: - ANS ✔✔implies that the caregiver understand and attend to the total context of
the individual's situation, including awareness of immigration status, stress factors, other social factors,
and cultural similarities and differences
10 traps - ANS ✔✔Providing false assurance or reassurance
Giving unwanted advice
Using authority
Using avoidance language (saying passed away instead of died)
, Engaging in distancing
Using professional jargon
Using leading or biased questions
Talking too much
Interrupting
Using "why" questions
Process of communication during interview - ANS ✔✔Build rapport
For specific diseases such as HIV, use close ended questions
Ensure privacy - HIPAA
Use open-ended questions
Avoid the 10 traps
Observe the nonverbal clues
Know the stages of cognitive development
Determine health literacy
Complete (Total Health) Database: - ANS ✔✔complete health history and a full physical examination;
describes the current and past health state and forms a baseline against which all future changes can be
measured; yields the first diagnosis (primary care patients such as pediatric or family practice clinic)
Focused or problem-centered database - ANS ✔✔limited or short-term problem (i.e. 2 days after surgery
a hospitalized person suddenly has a congested cough, shortness of breath, and fatigue, history and
examination would focus on the area of that surgery) it concerns mainly one problem, one cue complex,
or one body system
Follow-Up Database: - ANS ✔✔status of any identified problems should be evaluated at regular and
appropriate intervals. This type of database is used in all settings to follow up both short-term and
chronic health problems
Emergency Database: - ANS ✔✔urgent, rapid collection of crucial information and often is compiled
concurrently with lifesaving measures; diagnosis must be swift and sure (i.e. if a person comes in with
substance overdose, questions must be short and precise)
The Infant (birth-12 months - ANS ✔✔Although you will not interview an infant, it is important to
establish rapport; nonverbal communication is the primary method; use gentle handling and a quiet,
calm voice; face infant directly
The Toddler (12-36 months) - ANS ✔✔provide a simple explanation of what they want; give one
direction at a time, keeping it simple, and provide warnings before transitions when possible; at this age
toddlers also struggle for control and autonomy, so provide simple choices when possible
The Preschooler (3-6 yrs) - ANS ✔✔avoid expressions such as "climbing the walls," because they are
easily misinterpreted by young children. Use short, simple sentences with a concrete explanation. Take
time to give a short, simple explanation for any unfamiliar equipment that will be used on the child.
Education and explanations can be provided with play
The school-aged child (7-12 yrs): - ANS ✔✔by using printed symbols for objects and events, the child can
process a significant amount of information. Interview the caregiver and child together; but, when a