NR302- Health Assessment 1- Week 3 eDapt
Study online at https://quizlet.com/_f6b9a8
1. Complete each sentence by selecting the correct term from the dropdown
menu.
The ______________ assessment is often collected in a primary care setting, such
as a women's health clinic.
When a client is experiencing a short-term problem, such as a rash, the care
provider conducts a(n) __________________ assessment.
Persons with chronic conditions, such as sickle-cell anemia, are seen by their
primary care provider for __________________________ assessment.
For a client with cardiac arrest, a(n) ______________________________ assessment
may be obtained from relatives.: Complete
Problem centered
Follow up
Emergency
RATIONALE: The complete, or total health, assessment is often collected in a primary care setting, such as a clinic or
office. It is also collected when an individual is first admitted to an acute or long-term care facility. The purpose is to
collect data on current and past health status against which future changes can be measured.
Clients experiencing short-term, non-life-threatening issues require a problem-centered assessment. Consider the
vacationer whose child gets a rash and is taken to an urgent care center.
Follow-up assessments are routinely completed to monitor the health status of individuals with chronic diseases.
Emergency assessments are completed when a client's safety and/or life is in imminent danger, such as during a cardiac
arrest, drug overdose, or at the scene of an accident.
2. What determines the frequency of assessment needed for each individual?
Insurance company regulations
The person's health and wellness needs
Guidelines from the Centers for Disease Control and Prevention (CDC)
The age of the individual being assessed: The person's health and wellness needs
RATIONALE: The correct answer is the person's health and wellness needs.
Data obtained from each assessment determines not only treatment for current alterations in health, but the frequency
, NR302- Health Assessment 1- Week 3 eDapt
Study online at https://quizlet.com/_f6b9a8
and type of follow-up assessments. While the CDC and health insurance companies often provide evidence-based
recommendations for care, it is the clinical judgment of the care team that makes the final determination.
While age is included in the assessment data for each individual, it is not the only evidence used to determine
assessment frequency.
3. Which statements about holistic health are correct? Select all that apply.
Lifestyle choices have no impact on overall health.
Disease results from factors within and outside of the body.
Societal influences, including family, have little influence on individual health
practices.
Each person is an active part of their own health and wellness.
Views the mind, body, and spirit as vital to overall wellness.: Disease results from factors
within and outside of the body.
Each person is an active part of their own health and wellness.
Views the mind, body, and spirit as vital to overall wellness.
RATIONALE: Holistic health believes health is a complex state influenced by the entire person (mind, body, and spirit)
and their environment. Factors that contribute to health are both internal (e.g., genetics, lifestyle, and culture) and
external (e.g., pollution, access to healthcare, and global pandemics) to the individual. From the perspective of holistic
health, individuals are healthiest when they are actively involved in promoting their own wellness. The nursing health
assessment focuses on supporting total health and wellness.
Correct answers are:
Views the mind, body, and spirit as vital to overall wellness.
Disease results from factors within and outside of the body.
Each person is an active part of their own health and wellness.
4. Select the cues that, when clustered, indicate that Jason's condition is not
life-threatening.
Alert enough to search for his phone
Stopped at a traffic signal when the accident happened
Able to pick glass out of his arm
Sitting upright on the sidewalk
, NR302- Health Assessment 1- Week 3 eDapt
Study online at https://quizlet.com/_f6b9a8
His car door window on the driver's side was shattered: Alert enough to search for his
phone
Able to pick glass out of his arm
Sitting upright on the sidewalk
5. Select the documented cues that require further assessment to support Mr.
Chaudhury's (pronouns: he/him/his), the cyclist's, ability to care for himself
after discharge.
Complete assessment on the admission flowsheet. A 76-year-old male was
admitted to the emergency department (ED) with a left femoral compound
fracture resulting from hitting a stopped car while riding his bicycle. An approx-
imate 10-minute loss of consciousness occurred at the scene. Currently awake
and cooperative. Left leg in traction pending surgical repair in 2 hours. Resting
comfortably and denies pain at this time. The client voiced concern about going
home as he lives on the third floor of a building with no elevator and asked for
a phone to contact his girlfriend. Phone provided with instructions on how to
get an outside line and the direct number for people to reach him. -------------
C. Simpson, RN: Complete assessment on the admission flowsheet. A 76-year-old male was admitted to the
emergency department (ED) with a left femoral compound fracture resulting from hitting a stopped car while riding his
bicycle. An approximate 10-minute loss of consciousness occurred at the scene. Currently awake and cooperative. Left
leg in traction pending surgical repair in 2 hours. Resting comfortably and denies pain at this time. The client voiced
concern about going home as he lives on the third floor of a building with no elevator and asked for a phone to contact
his girlfriend. Phone provided with instructions on how to get an outside line and the direct number for people to reach
him. ------------- C. Simpson, RN
RATIONALE: The lack of an elevator will make it difficult for Mr. Chaudhry to get into and out of his home following
surgery. Although it is not the highest priority at this time, documenting this and alerting the healthcare provider of
this will help with discharge planning and decisions on where Mr. Chaudhury will go at the time of discharge.
While the fact that Mr. Chaudhury rides his bicycle may provide information about his fitness level, it does not mean he
will be able to safely walk up and down the stairs to his home after discharge.
6. While Mr. Chaudhury (pronouns: he/him/his) is recovering from surgery, the
healthcare provider prescribes his influenza vaccination (flu shot). The nurse
, NR302- Health Assessment 1- Week 3 eDapt
Study online at https://quizlet.com/_f6b9a8
verified that Mr. Chaudhury had not gotten one this year and left a form for
him to review and complete.
While handing back the complete form, Mr. Chaudhury asked why the same
questions are asked every year. Review Mr. Chaudhury's responses before
answering the question.
What is the best response by the nurse?
"Your answers help determine if it is safe for you to receive the vaccine today."
"It is for insurance purposes."
"So long as you give answers, I am not sure it matters."
"It provides information on your current state of health.": "Your answers help determine
if it is safe for you to receive the vaccine today."
RATIONALE: The correct answer is "Your answers help determine if it is safe for you to receive the vaccine today."
Like any medication, vaccinations have contraindications for use and may contain substances to which an individual may
be allergic. Having the person provide the answers to key questions allows the health professional administering the
vaccine to identify risks and assess further.
Documentation of client answers is not routinely required by an insurer. The question about how they are feeling does
provide information about the person's current state of health but is not the best response as it is not inclusive of the
other questions. And the client's answers do matter!
7. Indicate which type of assessment is required for each client's situation
provided below.
Hospitalized client experiencing an allergic reaction to a new medication
An adult with asthma that is stable
An expectant woman at home with severe morning sickness
A young adult who walks into the emergency department saying they cut their
hand on a broken glass: Follow-Up Assessment:
An adult with asthma that is stable
An expectant woman at home with severe morning sickness
Focused Assessment:
Study online at https://quizlet.com/_f6b9a8
1. Complete each sentence by selecting the correct term from the dropdown
menu.
The ______________ assessment is often collected in a primary care setting, such
as a women's health clinic.
When a client is experiencing a short-term problem, such as a rash, the care
provider conducts a(n) __________________ assessment.
Persons with chronic conditions, such as sickle-cell anemia, are seen by their
primary care provider for __________________________ assessment.
For a client with cardiac arrest, a(n) ______________________________ assessment
may be obtained from relatives.: Complete
Problem centered
Follow up
Emergency
RATIONALE: The complete, or total health, assessment is often collected in a primary care setting, such as a clinic or
office. It is also collected when an individual is first admitted to an acute or long-term care facility. The purpose is to
collect data on current and past health status against which future changes can be measured.
Clients experiencing short-term, non-life-threatening issues require a problem-centered assessment. Consider the
vacationer whose child gets a rash and is taken to an urgent care center.
Follow-up assessments are routinely completed to monitor the health status of individuals with chronic diseases.
Emergency assessments are completed when a client's safety and/or life is in imminent danger, such as during a cardiac
arrest, drug overdose, or at the scene of an accident.
2. What determines the frequency of assessment needed for each individual?
Insurance company regulations
The person's health and wellness needs
Guidelines from the Centers for Disease Control and Prevention (CDC)
The age of the individual being assessed: The person's health and wellness needs
RATIONALE: The correct answer is the person's health and wellness needs.
Data obtained from each assessment determines not only treatment for current alterations in health, but the frequency
, NR302- Health Assessment 1- Week 3 eDapt
Study online at https://quizlet.com/_f6b9a8
and type of follow-up assessments. While the CDC and health insurance companies often provide evidence-based
recommendations for care, it is the clinical judgment of the care team that makes the final determination.
While age is included in the assessment data for each individual, it is not the only evidence used to determine
assessment frequency.
3. Which statements about holistic health are correct? Select all that apply.
Lifestyle choices have no impact on overall health.
Disease results from factors within and outside of the body.
Societal influences, including family, have little influence on individual health
practices.
Each person is an active part of their own health and wellness.
Views the mind, body, and spirit as vital to overall wellness.: Disease results from factors
within and outside of the body.
Each person is an active part of their own health and wellness.
Views the mind, body, and spirit as vital to overall wellness.
RATIONALE: Holistic health believes health is a complex state influenced by the entire person (mind, body, and spirit)
and their environment. Factors that contribute to health are both internal (e.g., genetics, lifestyle, and culture) and
external (e.g., pollution, access to healthcare, and global pandemics) to the individual. From the perspective of holistic
health, individuals are healthiest when they are actively involved in promoting their own wellness. The nursing health
assessment focuses on supporting total health and wellness.
Correct answers are:
Views the mind, body, and spirit as vital to overall wellness.
Disease results from factors within and outside of the body.
Each person is an active part of their own health and wellness.
4. Select the cues that, when clustered, indicate that Jason's condition is not
life-threatening.
Alert enough to search for his phone
Stopped at a traffic signal when the accident happened
Able to pick glass out of his arm
Sitting upright on the sidewalk
, NR302- Health Assessment 1- Week 3 eDapt
Study online at https://quizlet.com/_f6b9a8
His car door window on the driver's side was shattered: Alert enough to search for his
phone
Able to pick glass out of his arm
Sitting upright on the sidewalk
5. Select the documented cues that require further assessment to support Mr.
Chaudhury's (pronouns: he/him/his), the cyclist's, ability to care for himself
after discharge.
Complete assessment on the admission flowsheet. A 76-year-old male was
admitted to the emergency department (ED) with a left femoral compound
fracture resulting from hitting a stopped car while riding his bicycle. An approx-
imate 10-minute loss of consciousness occurred at the scene. Currently awake
and cooperative. Left leg in traction pending surgical repair in 2 hours. Resting
comfortably and denies pain at this time. The client voiced concern about going
home as he lives on the third floor of a building with no elevator and asked for
a phone to contact his girlfriend. Phone provided with instructions on how to
get an outside line and the direct number for people to reach him. -------------
C. Simpson, RN: Complete assessment on the admission flowsheet. A 76-year-old male was admitted to the
emergency department (ED) with a left femoral compound fracture resulting from hitting a stopped car while riding his
bicycle. An approximate 10-minute loss of consciousness occurred at the scene. Currently awake and cooperative. Left
leg in traction pending surgical repair in 2 hours. Resting comfortably and denies pain at this time. The client voiced
concern about going home as he lives on the third floor of a building with no elevator and asked for a phone to contact
his girlfriend. Phone provided with instructions on how to get an outside line and the direct number for people to reach
him. ------------- C. Simpson, RN
RATIONALE: The lack of an elevator will make it difficult for Mr. Chaudhry to get into and out of his home following
surgery. Although it is not the highest priority at this time, documenting this and alerting the healthcare provider of
this will help with discharge planning and decisions on where Mr. Chaudhury will go at the time of discharge.
While the fact that Mr. Chaudhury rides his bicycle may provide information about his fitness level, it does not mean he
will be able to safely walk up and down the stairs to his home after discharge.
6. While Mr. Chaudhury (pronouns: he/him/his) is recovering from surgery, the
healthcare provider prescribes his influenza vaccination (flu shot). The nurse
, NR302- Health Assessment 1- Week 3 eDapt
Study online at https://quizlet.com/_f6b9a8
verified that Mr. Chaudhury had not gotten one this year and left a form for
him to review and complete.
While handing back the complete form, Mr. Chaudhury asked why the same
questions are asked every year. Review Mr. Chaudhury's responses before
answering the question.
What is the best response by the nurse?
"Your answers help determine if it is safe for you to receive the vaccine today."
"It is for insurance purposes."
"So long as you give answers, I am not sure it matters."
"It provides information on your current state of health.": "Your answers help determine
if it is safe for you to receive the vaccine today."
RATIONALE: The correct answer is "Your answers help determine if it is safe for you to receive the vaccine today."
Like any medication, vaccinations have contraindications for use and may contain substances to which an individual may
be allergic. Having the person provide the answers to key questions allows the health professional administering the
vaccine to identify risks and assess further.
Documentation of client answers is not routinely required by an insurer. The question about how they are feeling does
provide information about the person's current state of health but is not the best response as it is not inclusive of the
other questions. And the client's answers do matter!
7. Indicate which type of assessment is required for each client's situation
provided below.
Hospitalized client experiencing an allergic reaction to a new medication
An adult with asthma that is stable
An expectant woman at home with severe morning sickness
A young adult who walks into the emergency department saying they cut their
hand on a broken glass: Follow-Up Assessment:
An adult with asthma that is stable
An expectant woman at home with severe morning sickness
Focused Assessment:
