Solutions
What is health assessment?
Subjective and objective data collection via general
survey, health history, review of systems, and
physical examination.
What does the general survey include?
Chief complaint, medications, allergies, and
general goals coming out of treatment.
What components are included in health history?
Family history, past medications, and recreational
use.
What is the purpose of the review of systems in
health assessment?
To identify any system or area for concern related
to the patient's health.
What is involved in a physical examination?
,A head-to-toe examination that provides objective
data.
What are the three major approaches to nursing
practice?
Functional, head to toe, and body
systems/concepts.
What does the functional approach in nursing
assessment focus on?
Questioning during health history regarding
lifestyle, health perception, and activities of daily
living.
What is the head-to-toe approach in nursing
assessment?
An efficient method for conducting a physical
examination.
How does the body systems and concepts
approach help in nursing assessment?
It organizes findings to communicate and
document effectively.
What are the types of assessments in nursing?
Urgent, comprehensive, and focused assessments.
What is the urgent assessment type?
First aid assessment focusing on ABC (Airway,
Breathing, Circulation).
,What does a comprehensive assessment entail?
A full history that covers all aspects of the patient's
health.
What is a focused assessment?
An assessment that may include screening and
specifically addresses the problem.
What are the phases of communication in nursing?
Pre-interaction phase, beginning phase, working
phase, and closing phase.
What occurs during the pre-interaction phase?
Preparation for the introduction before meeting the
patient.
What is the focus of the beginning phase of
communication?
Introduction, building rapport, and making a
plan/goal.
What happens during the working phase of
communication?
Discussion of the chief complaint, physical
examination, and assessment process.
What is the purpose of the closing phase in
communication?
To discuss next steps and ensure everyone is
aligned on the patient plan.
, What does the general survey assess?
Physical appearance, body structure, mobility, and
behavior.
What does the level of consciousness (LOC)
assessment evaluate?
Orientation to person, place, and time.
What are some signs that indicate something is
wrong with a patient's LOC?
Confusion, agitation, restlessness, drowsiness,
lethargy, obtunded, stupor, or coma.
What is the first step in assessing level of
consciousness?
Spontaneous observation upon entering the room.
What should you do if a patient's LOC is reduced?
Use a loud voice to repeat your introduction and
ask them to open their eyes.
What is the tactile method in assessing LOC?
Touching the patient's arm or shoulder to elicit a
response.
What does the pressure method in LOC assessment
involve?
Applying pressure to the patient's nail bed to
observe for eye opening.