HEALTH ASSESSMENT EXAM 1 UPDATED QUESTIONS
AND CORRECT ANSWERS
Question:
1. Evidence-Based Prac-tice
Answer:
the conviction that all patients deserve to be treated with the most current and best---practice
techniques.
Question:
2. 5 steps to Evi-dence-Based Practice
Answer:
1. Ask the clinical question
2. Acquire sources of evidence
3. Appraise and synthesize evidence
4. Apply relevant evidence in practice
5. Assess the outcomes
Question:
3. Nursing Process
Answer:
1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Question:
4. Assessment
Answer:
-Review of clinical record -Interview -Health History -Physical Examination -Functional Assessment
-Cultural and Spiritual Assessment -Consultation -Review of the literature
Question:
5. First-level priority problems
Answer:
emergent, life-threatening, and immediate, such as establishing an air-way or supporting breathing
Question:
6. Second-level priority problems
Answer:
these problems are next in urgency. They require prompt intervention to prevent deterioration, and
may include a mental status change or acute pain.
Question:
7. Third-level priority problems
, Answer:
these problems are important to the patient's health, but can be ad-dressed after more urgent
problems. Examples include lack of knowl-edge or family coping.
Question:
8. Diagnosis
Answer:
the identification of a disease or injury
Question:
9. Diagnostic Reasoning
Answer:
the process of analyzing health data and drawing conclusions to identify diagnoses
Question:
10. Four Major Compo-nents of Diagnostic Reasoning
Answer:
Attending to cues, formulating hypotheses, gathering data, and evaluat-ing each hypothesis
Question:
11. Outcomes
Answer:
Identify expected outcomes, ensure they are realistic and measurable, specify short-term and
long-term goal measurement criteria
Question:
12. Planning
Answer:
-establish priorities -develop outcomes -set timelines for outcomes -identify interventions -integrate
evidence-based trends and research -document plan of care
Question:
13. Implementation
Answer:
Determine patient readiness and involve patient(s) in health care process, counsel patient and support
system, refer for continuing care and document care provided
Question:
14. Evaluation
Answer:
Evaluate individual's condition and compare actual outcomes with ex-pected outcomes, summarize
results of evaluation and document evalu-ation in plan of care
Question:
15. Comprehensive Plan of Care
, Answer:
-Evaluate and update plan -Record revised plan and keep it up-to-date -Communicate revised plans to
multidisciplinary team -Be aware that this is a legal document, and accurate recording is impor-tant
for evaluation, insurance reimbursement, and research
Question:
16. The Complete Health History
Answer:
A comprehensive history of a patient's past and present health status, usually gathered during the
patient's initial visit to a health care facility.
Question:
17. Biographical Data
Answer:
Name Address and phone number Age and birth date Birthplace Family structure Sex Marital status
Race and Primary Language Ethnic origin Occupation Source of data
Question:
18. Reason for seeking care
Answer:
Brief, spontaneous statement in the person's own words that describes the reason for the visit
Question:
19. Symptom
Answer:
Subjective sensation patient feels from disorder -What patient says is reason for seeking care is
recorded and enclosed in quotation marks to indicate patient's exact words
Question:
20. Sign
Answer:
objective abnormality that can be detected on physical examination or in laboratory reports
Question:
21. Present health or his-tory of present illness (HPI)
Answer:
Location Character or quality Quantity or severity Timing Setting Aggravating or relieving factors
Associated factors Patient's perception
Question:
22. PQRSTU
Answer:
stands for *P*rovocative or palliative, *Q*uality or quantity, *R*egion or radiation, *S*everity scale:
0 to 10, *T*iming, and *U*nderstanding the patient's perception of the problem.
Question:
23. Past Medical History (PMH)
AND CORRECT ANSWERS
Question:
1. Evidence-Based Prac-tice
Answer:
the conviction that all patients deserve to be treated with the most current and best---practice
techniques.
Question:
2. 5 steps to Evi-dence-Based Practice
Answer:
1. Ask the clinical question
2. Acquire sources of evidence
3. Appraise and synthesize evidence
4. Apply relevant evidence in practice
5. Assess the outcomes
Question:
3. Nursing Process
Answer:
1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Question:
4. Assessment
Answer:
-Review of clinical record -Interview -Health History -Physical Examination -Functional Assessment
-Cultural and Spiritual Assessment -Consultation -Review of the literature
Question:
5. First-level priority problems
Answer:
emergent, life-threatening, and immediate, such as establishing an air-way or supporting breathing
Question:
6. Second-level priority problems
Answer:
these problems are next in urgency. They require prompt intervention to prevent deterioration, and
may include a mental status change or acute pain.
Question:
7. Third-level priority problems
, Answer:
these problems are important to the patient's health, but can be ad-dressed after more urgent
problems. Examples include lack of knowl-edge or family coping.
Question:
8. Diagnosis
Answer:
the identification of a disease or injury
Question:
9. Diagnostic Reasoning
Answer:
the process of analyzing health data and drawing conclusions to identify diagnoses
Question:
10. Four Major Compo-nents of Diagnostic Reasoning
Answer:
Attending to cues, formulating hypotheses, gathering data, and evaluat-ing each hypothesis
Question:
11. Outcomes
Answer:
Identify expected outcomes, ensure they are realistic and measurable, specify short-term and
long-term goal measurement criteria
Question:
12. Planning
Answer:
-establish priorities -develop outcomes -set timelines for outcomes -identify interventions -integrate
evidence-based trends and research -document plan of care
Question:
13. Implementation
Answer:
Determine patient readiness and involve patient(s) in health care process, counsel patient and support
system, refer for continuing care and document care provided
Question:
14. Evaluation
Answer:
Evaluate individual's condition and compare actual outcomes with ex-pected outcomes, summarize
results of evaluation and document evalu-ation in plan of care
Question:
15. Comprehensive Plan of Care
, Answer:
-Evaluate and update plan -Record revised plan and keep it up-to-date -Communicate revised plans to
multidisciplinary team -Be aware that this is a legal document, and accurate recording is impor-tant
for evaluation, insurance reimbursement, and research
Question:
16. The Complete Health History
Answer:
A comprehensive history of a patient's past and present health status, usually gathered during the
patient's initial visit to a health care facility.
Question:
17. Biographical Data
Answer:
Name Address and phone number Age and birth date Birthplace Family structure Sex Marital status
Race and Primary Language Ethnic origin Occupation Source of data
Question:
18. Reason for seeking care
Answer:
Brief, spontaneous statement in the person's own words that describes the reason for the visit
Question:
19. Symptom
Answer:
Subjective sensation patient feels from disorder -What patient says is reason for seeking care is
recorded and enclosed in quotation marks to indicate patient's exact words
Question:
20. Sign
Answer:
objective abnormality that can be detected on physical examination or in laboratory reports
Question:
21. Present health or his-tory of present illness (HPI)
Answer:
Location Character or quality Quantity or severity Timing Setting Aggravating or relieving factors
Associated factors Patient's perception
Question:
22. PQRSTU
Answer:
stands for *P*rovocative or palliative, *Q*uality or quantity, *R*egion or radiation, *S*everity scale:
0 to 10, *T*iming, and *U*nderstanding the patient's perception of the problem.
Question:
23. Past Medical History (PMH)
