NURS 305 HEALTH ASSESSMENT
LECTURE FINAL. NEWEST EDITION
2025-2026. QUESTIONS & CORRECT
ANSWERS. GRADED A
-Collect Data which includes: Review of Clincal Record
-Health History
-Physical Examination
-Functional Assessment
-Risk Assessment
-Review Literature
-Use EBP – ANS ASSESSMENT
-Compare clinical findings with normal and abnormal variation
-Interpret Data-look for cluster cues
-Make Hypotheses
-Test Hypotheses
-Dervive Diagnosis
-Document Diagnosis - ANSDIAGNOSIS
-Establish Priorities
-Develop Outcomes
-Set timelines for outcomes
-Indentify interventions
_Intergrate EB trends and research
,-Document plan of care - ANSPLANNING
-Identify expected outcomes
-Individualize to the person
-Culturally appropriate
-Realistic
-Measurable
-Include a timeline - ANSOUTCOME
-Implement in a safe and timely manner
-Use EB interventions
-Collaborate with collegues
-Use community resources
-Coordinate care delivery
-Provide health teaching and health promotion
-Document implementation modification - ANSIMPLEMENTATION
-Progress towards outcomes
-Conduct systematic, ongoing, criteria- based evaluation
-Include patient and significant others
-Use ongoing assessment to revise diagnosis, outcome and plans
-Give results to patient and family - ANSEVAULATION
A 19-year-old woman comes to the clinic at the insistence of her brother.
She is wearing black combat boots and a black lace nightgown over the top
of her other clothes. Her hair is dyed pink with black streaks throughout.
She has several pierced holes in her nares and ears and is wearing an
,earring through her eyebrow and heavy black makeup. The nurse
concludes that:
a. She probably does not have any problems.
b. She is only trying to shock people and that her dress should be ignored.
c. She has a manic syndrome because of her abnormal dress and
grooming.
d. More information should be gathered to decide whether her dress is
appropriate. - ANSD
A 20-year-old construction worker has been brought into the emergency
department with heat stroke. He has delirium as a result of a fluid and
electrolyte imbalance. For the mental status examination, the nurse should
first assess the patients:
a. Affect and mood
b. Memory and affect
c. Language abilities
d. Level of consciousness and cognitive abilities - ANSD
A 23-year-old patient in the clinic appears anxious. Her speech is rapid,
and she is fidgety and in constant motion. Which of these questions or
statements would be most appropriate for the nurse to use in this situation
to assess attention span?
a. How do you usually feel? Is this normal behavior for you?
, b. I am going to say four words. In a few minutes, I will ask you to recall
them.
c. Describe the meaning of the phrase, Looking through rose-colored
glasses.
d. Pick up the pencil in your left hand, move it to your right hand, and place
it on the table. - ANSD
A 26-year-old woman was robbed and beaten a month ago. She is
returning to the clinic today for a follow-up assessment. The nurse will want
to ask her which one of these questions?
a. How are things going with the trial?
b. How are things going with your job?
c. Tell me about your recent engagement!
d. Are you having any disturbing dreams? - ANSD
A 29-year-old woman tells the nurse that she has "excruciating pain" in her
back. Which would be the nurse's appropriate response to the woman's
statement?
a."How does your family react to your pain?"
b."The pain must be terrible. You probably pinched a nerve."
c."I've had back pain myself, and it can be excruciating."
d."How would you say the pain affects your ability to do your daily
activities? - ANSD
LECTURE FINAL. NEWEST EDITION
2025-2026. QUESTIONS & CORRECT
ANSWERS. GRADED A
-Collect Data which includes: Review of Clincal Record
-Health History
-Physical Examination
-Functional Assessment
-Risk Assessment
-Review Literature
-Use EBP – ANS ASSESSMENT
-Compare clinical findings with normal and abnormal variation
-Interpret Data-look for cluster cues
-Make Hypotheses
-Test Hypotheses
-Dervive Diagnosis
-Document Diagnosis - ANSDIAGNOSIS
-Establish Priorities
-Develop Outcomes
-Set timelines for outcomes
-Indentify interventions
_Intergrate EB trends and research
,-Document plan of care - ANSPLANNING
-Identify expected outcomes
-Individualize to the person
-Culturally appropriate
-Realistic
-Measurable
-Include a timeline - ANSOUTCOME
-Implement in a safe and timely manner
-Use EB interventions
-Collaborate with collegues
-Use community resources
-Coordinate care delivery
-Provide health teaching and health promotion
-Document implementation modification - ANSIMPLEMENTATION
-Progress towards outcomes
-Conduct systematic, ongoing, criteria- based evaluation
-Include patient and significant others
-Use ongoing assessment to revise diagnosis, outcome and plans
-Give results to patient and family - ANSEVAULATION
A 19-year-old woman comes to the clinic at the insistence of her brother.
She is wearing black combat boots and a black lace nightgown over the top
of her other clothes. Her hair is dyed pink with black streaks throughout.
She has several pierced holes in her nares and ears and is wearing an
,earring through her eyebrow and heavy black makeup. The nurse
concludes that:
a. She probably does not have any problems.
b. She is only trying to shock people and that her dress should be ignored.
c. She has a manic syndrome because of her abnormal dress and
grooming.
d. More information should be gathered to decide whether her dress is
appropriate. - ANSD
A 20-year-old construction worker has been brought into the emergency
department with heat stroke. He has delirium as a result of a fluid and
electrolyte imbalance. For the mental status examination, the nurse should
first assess the patients:
a. Affect and mood
b. Memory and affect
c. Language abilities
d. Level of consciousness and cognitive abilities - ANSD
A 23-year-old patient in the clinic appears anxious. Her speech is rapid,
and she is fidgety and in constant motion. Which of these questions or
statements would be most appropriate for the nurse to use in this situation
to assess attention span?
a. How do you usually feel? Is this normal behavior for you?
, b. I am going to say four words. In a few minutes, I will ask you to recall
them.
c. Describe the meaning of the phrase, Looking through rose-colored
glasses.
d. Pick up the pencil in your left hand, move it to your right hand, and place
it on the table. - ANSD
A 26-year-old woman was robbed and beaten a month ago. She is
returning to the clinic today for a follow-up assessment. The nurse will want
to ask her which one of these questions?
a. How are things going with the trial?
b. How are things going with your job?
c. Tell me about your recent engagement!
d. Are you having any disturbing dreams? - ANSD
A 29-year-old woman tells the nurse that she has "excruciating pain" in her
back. Which would be the nurse's appropriate response to the woman's
statement?
a."How does your family react to your pain?"
b."The pain must be terrible. You probably pinched a nerve."
c."I've had back pain myself, and it can be excruciating."
d."How would you say the pain affects your ability to do your daily
activities? - ANSD
