Exam 1: NU650/ NU 650 Advanced Health
Assessment Nursing Study Guide| Actual
Questions and Answers Latest Updated
(Graded A+)- Regis
Q1. Know how the environment can impact the health assessment and strategies to create an environment
that best facilitates
➔ The environment can significantly impact health assessments. To create an optimal environment:
1) Ensure privacy to build trust and encourage open communication.
2) Maintain proper lighting and temperature for patient comfort.
3) Minimize distractions and noise.
4) Use a comfortable examination table and seating for the patient.
5) Ensure that all necessary equipment and supplies are readily available.
Q2. Know strategies to build rapport for and complete and H&P for patients, including patients from
different cultures, and developmental stages
➔ Strategies for building rapport and completing a History and Physical (H&P) for patients from different
cultures and developmental stages include:
1) Active listening and showing empathy.
2) Respecting cultural norms and practices.
3) Using professional interpreters when language barriers exist.
4) Being sensitive to developmental stages and tailoring communication accordingly.
Q3. Know strategies to getting a history and establishing a relationship from challenging patients (rambling,
angry, silent, nervous, mentally ill, confused, etc)
➔ Strategies for obtaining information from challenging patients include:
1) Providing a non-judgmental and empathetic environment.
2) Using open-ended questions.
, 3) Empathetically acknowledging emotions.
4) Adjusting communication to the patient's state (e.g., calming an angry patient).
5) Providing reassurance and maintaining patience
Q4. Know the three dimensions of cultural humility
-> Cultural humility involves self-awareness, respect, and a willingness to learn about different cultures.
1) Self-awareness: Be aware of your own biases
2) Respectful communication: Don’t make assumptions. Each pt. in a culture is an individual. Ask the pt. about
their culture.
3) Collaborative partnerships: Build pt. relationships on respect and mutually acceptable plans. Be willing to
re-examine the right approach to care in certain situations. If a cultural practice is not harmful, try to
incorporate it in the plan of care
Q5. Know the general principles of collecting a health history: initiating the history, making transition
statements, summarizing
1) Initiate the history by introducing yourself and explaining the process.
2) Use transition statements to move smoothly between different sections of the history.
3) Summarize the patient's information to ensure accuracy and understanding
Q6. Know the types of cognitive errors
➔ Cognitive errors are exaggerated thought patterns that can lead to negative thinking. They can include:
All-or-nothing thinking: Thinking in extremes, such as "always" or "never"
Overgeneralization: Drawing a conclusion based on a single event or piece of evidence
Mental filtering: Focusing on negative details and ignoring positive ones
Discounting the positive: Minimizing the importance of positive events
Jumping to conclusions: Assuming things without evidence, such as mind reading or fortune telling
Magnification: Exaggerating the importance of negative events
Emotional reasoning: Basing decisions on feelings, such as "I feel like an idiot, so I must be one"
Should statements: Criticizing yourself or others with "shoulds" or "shouldn'ts"
Labeling: Using an unfavorable term to describe a person or event
Personalization: Blaming yourself for things you weren't responsible for
Premature closure: Jumping to a diagnosis without considering other possibilities
Q7. Define acute and chronic pain and know how to assess pain
Assessment Nursing Study Guide| Actual
Questions and Answers Latest Updated
(Graded A+)- Regis
Q1. Know how the environment can impact the health assessment and strategies to create an environment
that best facilitates
➔ The environment can significantly impact health assessments. To create an optimal environment:
1) Ensure privacy to build trust and encourage open communication.
2) Maintain proper lighting and temperature for patient comfort.
3) Minimize distractions and noise.
4) Use a comfortable examination table and seating for the patient.
5) Ensure that all necessary equipment and supplies are readily available.
Q2. Know strategies to build rapport for and complete and H&P for patients, including patients from
different cultures, and developmental stages
➔ Strategies for building rapport and completing a History and Physical (H&P) for patients from different
cultures and developmental stages include:
1) Active listening and showing empathy.
2) Respecting cultural norms and practices.
3) Using professional interpreters when language barriers exist.
4) Being sensitive to developmental stages and tailoring communication accordingly.
Q3. Know strategies to getting a history and establishing a relationship from challenging patients (rambling,
angry, silent, nervous, mentally ill, confused, etc)
➔ Strategies for obtaining information from challenging patients include:
1) Providing a non-judgmental and empathetic environment.
2) Using open-ended questions.
, 3) Empathetically acknowledging emotions.
4) Adjusting communication to the patient's state (e.g., calming an angry patient).
5) Providing reassurance and maintaining patience
Q4. Know the three dimensions of cultural humility
-> Cultural humility involves self-awareness, respect, and a willingness to learn about different cultures.
1) Self-awareness: Be aware of your own biases
2) Respectful communication: Don’t make assumptions. Each pt. in a culture is an individual. Ask the pt. about
their culture.
3) Collaborative partnerships: Build pt. relationships on respect and mutually acceptable plans. Be willing to
re-examine the right approach to care in certain situations. If a cultural practice is not harmful, try to
incorporate it in the plan of care
Q5. Know the general principles of collecting a health history: initiating the history, making transition
statements, summarizing
1) Initiate the history by introducing yourself and explaining the process.
2) Use transition statements to move smoothly between different sections of the history.
3) Summarize the patient's information to ensure accuracy and understanding
Q6. Know the types of cognitive errors
➔ Cognitive errors are exaggerated thought patterns that can lead to negative thinking. They can include:
All-or-nothing thinking: Thinking in extremes, such as "always" or "never"
Overgeneralization: Drawing a conclusion based on a single event or piece of evidence
Mental filtering: Focusing on negative details and ignoring positive ones
Discounting the positive: Minimizing the importance of positive events
Jumping to conclusions: Assuming things without evidence, such as mind reading or fortune telling
Magnification: Exaggerating the importance of negative events
Emotional reasoning: Basing decisions on feelings, such as "I feel like an idiot, so I must be one"
Should statements: Criticizing yourself or others with "shoulds" or "shouldn'ts"
Labeling: Using an unfavorable term to describe a person or event
Personalization: Blaming yourself for things you weren't responsible for
Premature closure: Jumping to a diagnosis without considering other possibilities
Q7. Define acute and chronic pain and know how to assess pain
