NSU Health Assessment Final EXAM WITH CORRECT ANSWERS

NSU Health Assessment Final EXAM
|\ |\ |\ |\ |\




WITH CORRECT ANSWERS |\ |\




An expert nurse uses this to determine their actions. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔intuition |\




Prioritize the conditions of highest concern. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\


✔✔ABC+V
|\




Airway
Breathing
Cardio
Vital Signs |\




This should continuously be evaluated and modified to maintain
|\ |\ |\ |\ |\ |\ |\ |\ |\


path to goal achievement - CORRECT ANSWERS ✔✔Plan of care
|\ |\ |\ |\ |\ |\ |\ |\ |\




This type of database is used for limited or short term problems
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


and is more focused than a complete database. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔episodic or problem centered database
|\ |\ |\ |\ |\




This type of database helps evaluate whether pre-existing
|\ |\ |\ |\ |\ |\ |\ |\


problems have gotten better or worse. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔follow-up database |\

,This type of database is formed by rapid collection of data and is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


often complied concurrently with life saving measures. -
|\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔emergency database |\ |\ |\




T or F: Frequency of assessment is primarily based on the clients
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


illness and wellness needs. - CORRECT ANSWERS ✔✔True
|\ |\ |\ |\ |\ |\ |\




These two concepts are at the core of nursing. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔health promotion and disease prevention
|\ |\ |\ |\ |\




T or F: Inclusion of heritage assessment is not needed in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


practice of nursing. - CORRECT ANSWERS ✔✔False, needed to
|\ |\ |\ |\ |\ |\ |\ |\ |\


provide culturally sensitive care
|\ |\ |\




How have nurses helped in the efforts of cost containment,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


resulting in shorter stays and earlier discharges? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔nurses are making faster and more efficient
|\ |\ |\ |\ |\ |\ |\ |\


assessments


Besides cost containment, why are shorter hospital stays for
|\ |\ |\ |\ |\ |\ |\ |\ |\


clients a goal in healthcare? - CORRECT ANSWERS ✔✔decrease
|\ |\ |\ |\ |\ |\ |\ |\ |\


development of nosocomial infections |\ |\ |\




What is the goal of the patient interview? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔obtain subjective data |\ |\

,If you are unable to set aside prejudices, how should you proceed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


with the interview process? - CORRECT ANSWERS ✔✔seek a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


colleague to complete the interview |\ |\ |\ |\




T or F: A client should remain in their street clothes unless it is an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


emergency. - CORRECT ANSWERS ✔✔True
|\ |\ |\ |\ |\




Why should an examiner avoid excessive note taking? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔- breaks eye contact with the client
|\ |\ |\ |\ |\ |\ |\ |\




- impeded observation of non-verbal behavior
|\ |\ |\ |\ |\




- attention shifting/not actively listening to client
|\ |\ |\ |\ |\ |\




- natural expression of the client is lost
|\ |\ |\ |\ |\ |\ |\




- can make client feel threatened
|\ |\ |\ |\ |\




An examiner should primarily ask these types of questions while
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


conducting a health interview. - CORRECT ANSWERS ✔✔open- |\ |\ |\ |\ |\ |\ |\


ended questions |\




When can closed ended questions be utilized? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔when trying to elicit specific information
|\ |\ |\ |\ |\ |\




T or F: A reliable source always gives the same answers even
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


after rephrasing the question or after time has passed - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔True
|\ |\

, This a brief spontaneous statement in the clients own words and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


should not be considered a diagnostic statement. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔chief complaint/reason for seeking care
|\ |\ |\ |\ |\




What is a symptom? - CORRECT ANSWERS ✔✔subjective
|\ |\ |\ |\ |\ |\ |\ |\


sensation


What is a sign? - CORRECT ANSWERS ✔✔objective abnormality
|\ |\ |\ |\ |\ |\ |\ |\ |\


detected


Why should spouses be included in the genogram? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔prolonged contact with the client -> may transfer
|\ |\ |\ |\ |\ |\ |\ |\ |\


communicable diseases or cause environmental hazard (ex. |\ |\ |\ |\ |\ |\ |\


spouse smokes) |\




Order the steps of a physical assessment. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔Inspect > palpate > percuss > auscultate |\ |\ |\ |\ |\ |\




Order the steps when performing abdominal assessment. -
|\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔Inspect > auscultate > palpate > percuss
|\ |\ |\ |\ |\ |\ |\ |\




What is the reason for starting with light palpation? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔accustom the client to being touched
|\ |\ |\ |\ |\ |\




When should deep palpation be avoided? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\


✔✔when there is risk for internal injury or pain
|\ |\ |\ |\ |\ |\ |\ |\