NSG 333 EXAM 1 STUDY GUIDE & PRACTICE QUESTIONS
2026/2027
Health history (subjective data, symptoms), physical exam (objective data, signs), and
documenting the findings - ANS✔✔ What are the components of a health history?
Primary source data - ANS✔✔ info received directly from the patient
Secondary source data - ANS✔✔ info received from another individual other than the patient
(family member, spouse, etc)
EHR (electronic health record) - ANS✔✔ a computerized version of data previously found in a
paper chart
Signs - ANS✔✔ objective data observed, felt, heard, or measured. Examples: rash, enlarged
lymph nodes, and swelling of an extremity
Symptoms - ANS✔✔ subjective data perceived and reported by the patient. Examples: pain,
itching, and nausea.
Context of care - ANS✔✔ the circumstances or situations related to the health care delivery.
Things that contribute to this are setting or environment, the physical, psychological, or
socioeconomic circumstances involving patients, or expertise of the nurse. Helps determine
what the of health assessment to use.
Comprehensive assessment - ANS✔✔ type of assessment that involves a detailed history and
physical exam performed at the onset of care in a primary care setting or on admission to a
hospital or long term care facility. It encompasses health problems experienced by the patent;
health promotion, disease prevention, and assessment for problems associated with known risk
factors; or assessment for age and gender specific health problems
,Problem based/focused assessment - ANS✔✔ type of assessment that involves a history and
exam that are limited to a specific problem or complaint (ex. sprained ankle)
Episodic/follow-up assessment - ANS✔✔ type of assessment that is usually done when a
patient is following up with a health care provider for a previously identified problem
Shift assessment - ANS✔✔ type of assessment a nurse performs each shift when a patient is
hospitalized to identify changes in a patient's conduction from baseline; thus the focus is mainly
on the problem the patient is experiencing
Screening assessment - ANS✔✔ type of assessment that is a short exam focused on disease
detection (ex. BP screening)
Clinical judgement - ANS✔✔ an interpretation of conclusion about a patient's needs, concerns,
or health problems and/or the decision to take action (or not), use or modify standard
approaches, or improvise new ones as deemed appropriate by the patient's response
Health promotion - ANS✔✔ is behavior motivated by the desire to increase well being and
actualize human health potential
Health protection - ANS✔✔ is behavior motivated by a desire to actively avoid illness, detect it
early, or maintain functioning within its constraints
Primary prevention - ANS✔✔ prevent disease from developing
Secondary prevention - ANS✔✔ screening efforts to promote early detection
, Tertiary prevention - ANS✔✔ directed towards minimizing the disability from acute or chronic
disease or injury and helping patient to maximize his or her health
Healthy People 2020 - ANS✔✔ framework for health promotion efforts in the US
Patient-centered convo - ANS✔✔ discussion meaning the patients are free to share their
concerns, beliefs, and values in their own words
Introduction, discussion, and summary phase - ANS✔✔ What are the phases of an interview?
Introduce self to patient
Describe purpose of interview
Describes interview process - ANS✔✔ What does the introduction phase consist of?
Nurse facilitates and maintains patient-centered discussion
Nurse uses various communication techniques to collect data - ANS✔✔ What does the
discussion phase consist of?
Nurse summarizes data with patient
Nurse allows patient to clarify data
Nurse validates to patient that he/she understands problems - ANS✔✔ What does the summary
phase consist of?
Private, quiet, comfortable room free from environmental distractions where the nurse and
patient can sit face to face
Street clothes during interview, gown for physical exam - ANS✔✔ What is an ideal physical
setting for an interview?
2026/2027
Health history (subjective data, symptoms), physical exam (objective data, signs), and
documenting the findings - ANS✔✔ What are the components of a health history?
Primary source data - ANS✔✔ info received directly from the patient
Secondary source data - ANS✔✔ info received from another individual other than the patient
(family member, spouse, etc)
EHR (electronic health record) - ANS✔✔ a computerized version of data previously found in a
paper chart
Signs - ANS✔✔ objective data observed, felt, heard, or measured. Examples: rash, enlarged
lymph nodes, and swelling of an extremity
Symptoms - ANS✔✔ subjective data perceived and reported by the patient. Examples: pain,
itching, and nausea.
Context of care - ANS✔✔ the circumstances or situations related to the health care delivery.
Things that contribute to this are setting or environment, the physical, psychological, or
socioeconomic circumstances involving patients, or expertise of the nurse. Helps determine
what the of health assessment to use.
Comprehensive assessment - ANS✔✔ type of assessment that involves a detailed history and
physical exam performed at the onset of care in a primary care setting or on admission to a
hospital or long term care facility. It encompasses health problems experienced by the patent;
health promotion, disease prevention, and assessment for problems associated with known risk
factors; or assessment for age and gender specific health problems
,Problem based/focused assessment - ANS✔✔ type of assessment that involves a history and
exam that are limited to a specific problem or complaint (ex. sprained ankle)
Episodic/follow-up assessment - ANS✔✔ type of assessment that is usually done when a
patient is following up with a health care provider for a previously identified problem
Shift assessment - ANS✔✔ type of assessment a nurse performs each shift when a patient is
hospitalized to identify changes in a patient's conduction from baseline; thus the focus is mainly
on the problem the patient is experiencing
Screening assessment - ANS✔✔ type of assessment that is a short exam focused on disease
detection (ex. BP screening)
Clinical judgement - ANS✔✔ an interpretation of conclusion about a patient's needs, concerns,
or health problems and/or the decision to take action (or not), use or modify standard
approaches, or improvise new ones as deemed appropriate by the patient's response
Health promotion - ANS✔✔ is behavior motivated by the desire to increase well being and
actualize human health potential
Health protection - ANS✔✔ is behavior motivated by a desire to actively avoid illness, detect it
early, or maintain functioning within its constraints
Primary prevention - ANS✔✔ prevent disease from developing
Secondary prevention - ANS✔✔ screening efforts to promote early detection
, Tertiary prevention - ANS✔✔ directed towards minimizing the disability from acute or chronic
disease or injury and helping patient to maximize his or her health
Healthy People 2020 - ANS✔✔ framework for health promotion efforts in the US
Patient-centered convo - ANS✔✔ discussion meaning the patients are free to share their
concerns, beliefs, and values in their own words
Introduction, discussion, and summary phase - ANS✔✔ What are the phases of an interview?
Introduce self to patient
Describe purpose of interview
Describes interview process - ANS✔✔ What does the introduction phase consist of?
Nurse facilitates and maintains patient-centered discussion
Nurse uses various communication techniques to collect data - ANS✔✔ What does the
discussion phase consist of?
Nurse summarizes data with patient
Nurse allows patient to clarify data
Nurse validates to patient that he/she understands problems - ANS✔✔ What does the summary
phase consist of?
Private, quiet, comfortable room free from environmental distractions where the nurse and
patient can sit face to face
Street clothes during interview, gown for physical exam - ANS✔✔ What is an ideal physical
setting for an interview?
