Describe the elements of a general survey - ✔✔ correct answer -physical appearance (age, sex,
consciousness, skin color, facial features, signs of distress)
-body structure (stature, nutrition, symmetry, posture, position, build, deformities)
-mobility (gait, involuntary movements)
-behavior (expression, mood, speech, dress, hygiene)
PBMB
when should you begin observing - ✔✔ correct answer the second you see the client
health assessment - ✔✔ correct answer collection of data about the patient's health state
complete database - ✔✔ correct answer full health history and physical examination (family practice)
episodic database - ✔✔ correct answer limited or short term problem
concerns 1 problem or complex or system (urgent care)
follow-up database - ✔✔ correct answer status of pervious problem at regular scheduled intervals
(doctors office)
emergency database - ✔✔ correct answer rapid collection of data (ER)
comprehensive assessment - ✔✔ correct answer health history and complete physical examination,
usually conducted when a patient first enters a health care setting
focused assessment - ✔✔ correct answer assessment conducted to assess a specific problem;
focuses on pertinent history and body regions
subjective data - ✔✔ correct answer what the person says about himself or herself during history
taking
objective data - ✔✔ correct answer information that is seen, heard, felt, or smelled by an observer;
signs
, NSG-316 Exam 1
first level priority - ✔✔ correct answer Emergent, life threatening, and immediate (ABCs)
second level priority - ✔✔ correct answer Next in urgency, requiring attention so as to avoid further
deterioration
third level priority - ✔✔ correct answer Important to patient's health but can be addressed after
more urgent problems are addressed
functional assessment components - ✔✔ correct answer -basis for care planning, goal setting, and
discharge planning
-self care (ADLs)
-self maintenance (IADLs)
-physical mobility
collecting subjective data for the ill person - ✔✔ correct answer information about health problem
obtaining an accurate and current health history - ✔✔ correct answer -subjective data
-biographical data (name,DOB,sex,race,ethnic origin)
-source of history (themselves or family?)
-reason for seeking care (signs/symptoms)
-present health/illness (location, severity, timing, setting, relieving factors)
-past health (childhood illness, hospitalizations, operations, immunizations, allergies, current meds)
-family history
-review of systems
-functional assessment (ADLs, IADLs, AADLs)
cultural competence - ✔✔ correct answer An understanding of how a patient's cultural background
shapes his beliefs, values, and expectations for therapy; established through knowing your own
culture first
inspection - ✔✔ correct answer -begins when you first see the patient
-first examine as a whole and then systems
-good lighting, exposure, and instruments