NSG 121 exam 1
nurse's role in health assessment: 4 goals - //correct answer//-promote health
prevent illness
treat human responses to health or illness
advocate for individuals, families, communities, and populations
types of assessment - //correct answer//-Emergency (center on immediate and highest
priority problem)
Comprehensive
General Survey
Focused
emergency assessment - //correct answer//-involves a life-threatening or unstable
situation
A—Airway (with cervical spine protection if an injury is suspected)
B—Breathing—rate and depth, use of accessory muscles
C—Circulation—pulse rate and rhythm, skin color
D—Disability—level of consciousness, pupils, movement
E—Exposure
comprehensive assessment - //correct answer//-broad and complete; includes a
complete health history and physical assessment and all body systems and areas; a
patient's perception of health, strengths to build upon, risk factors for illness, functional
abilities, methods of coping, and support systems
general survey assessment - //correct answer//-begins immediately upon meeting client
and continues throughout assessment; no measurements are done
-overall appearance, hygiene and dress, skin color, body structure and development,
behavior, facial expressions, posture, ROM, gait, speech, LOC
focused assesssment - //correct answer//-based on the patient's health issues; usually
involves one or two body systems and is smaller in scope than the comprehensive
assessment, but more in-depth on the specific issue or issues
example is a patient who presents to the clinic with a cough.
levels of intervention to promote healthy change - //correct answer//-Primary prevention
Secondary prevention
Tertiary prevention
primary prevention - //correct answer//-involves strategies aimed at preventing problems
and focuses on people and groups. Examples: Immunizations, health teaching, safety
, precautions, and nutrition counseling, family planning services, providing poison-control
information, and accident-prevention education
secondary prevention - //correct answer//-focus on screening for early detection of
disease with prompt diagnosis and treatment
examples: Vision screening, Pap smears, BP screening, hearing testing, scoliosis
screening, and tuberculin skin testing
tertiary prevention - //correct answer//-focuses on preventing complications of an
existing disease and promoting health to the highest level
examples: Diet teaching, exercise programs, physical therapy, medication, surgical
treatment
what is health assessment? - //correct answer//-gathering information about the health
status of the patient, analyzing and synthesizing those data, making judgments about
nursing interventions based on the findings, and evaluating patient care outcomes
health assessment includes - //correct answer//-healthy history and physical
assessment
critical thinking in nursing - //correct answer//--Purposeful, outcome-directed (result-
oriented) thinking
-Is driven by patient, family, and community needs
-Is based on the nursing process, evidence-based thinking, and the scientific method
-Requires specific knowledge, skills, and experience
-New nurses must question
-Guided by professional standards and ethic codes
-Is constantly reevaluating, self-correcting, and striving to improve
health promotion - //correct answer//-the behavior of a person who is motivated by a
personal desire to increase well-being and health potential
All life-threatening problems identified during the initial assessment require the initiation
of critical interventions: - //correct answer//-Provide assistance with circulation
(cardiopulmonary resuscitation if needed).
Open the patient's airway.
Assist the patient's breathing.
Protect the cervical spine if the patient is injured.
Ensure that the disoriented or suicidal patient is safe.
Provide pain management and sedation.
functional assessment - //correct answer//-focuses on the functional patterns that all
humans share: health perception and health management, activity and exercise,
nutrition and metabolism, elimination, sleep and rest, cognition and perception, self-
perception and self-concept, roles and relationships, coping and stress tolerance,
nurse's role in health assessment: 4 goals - //correct answer//-promote health
prevent illness
treat human responses to health or illness
advocate for individuals, families, communities, and populations
types of assessment - //correct answer//-Emergency (center on immediate and highest
priority problem)
Comprehensive
General Survey
Focused
emergency assessment - //correct answer//-involves a life-threatening or unstable
situation
A—Airway (with cervical spine protection if an injury is suspected)
B—Breathing—rate and depth, use of accessory muscles
C—Circulation—pulse rate and rhythm, skin color
D—Disability—level of consciousness, pupils, movement
E—Exposure
comprehensive assessment - //correct answer//-broad and complete; includes a
complete health history and physical assessment and all body systems and areas; a
patient's perception of health, strengths to build upon, risk factors for illness, functional
abilities, methods of coping, and support systems
general survey assessment - //correct answer//-begins immediately upon meeting client
and continues throughout assessment; no measurements are done
-overall appearance, hygiene and dress, skin color, body structure and development,
behavior, facial expressions, posture, ROM, gait, speech, LOC
focused assesssment - //correct answer//-based on the patient's health issues; usually
involves one or two body systems and is smaller in scope than the comprehensive
assessment, but more in-depth on the specific issue or issues
example is a patient who presents to the clinic with a cough.
levels of intervention to promote healthy change - //correct answer//-Primary prevention
Secondary prevention
Tertiary prevention
primary prevention - //correct answer//-involves strategies aimed at preventing problems
and focuses on people and groups. Examples: Immunizations, health teaching, safety
, precautions, and nutrition counseling, family planning services, providing poison-control
information, and accident-prevention education
secondary prevention - //correct answer//-focus on screening for early detection of
disease with prompt diagnosis and treatment
examples: Vision screening, Pap smears, BP screening, hearing testing, scoliosis
screening, and tuberculin skin testing
tertiary prevention - //correct answer//-focuses on preventing complications of an
existing disease and promoting health to the highest level
examples: Diet teaching, exercise programs, physical therapy, medication, surgical
treatment
what is health assessment? - //correct answer//-gathering information about the health
status of the patient, analyzing and synthesizing those data, making judgments about
nursing interventions based on the findings, and evaluating patient care outcomes
health assessment includes - //correct answer//-healthy history and physical
assessment
critical thinking in nursing - //correct answer//--Purposeful, outcome-directed (result-
oriented) thinking
-Is driven by patient, family, and community needs
-Is based on the nursing process, evidence-based thinking, and the scientific method
-Requires specific knowledge, skills, and experience
-New nurses must question
-Guided by professional standards and ethic codes
-Is constantly reevaluating, self-correcting, and striving to improve
health promotion - //correct answer//-the behavior of a person who is motivated by a
personal desire to increase well-being and health potential
All life-threatening problems identified during the initial assessment require the initiation
of critical interventions: - //correct answer//-Provide assistance with circulation
(cardiopulmonary resuscitation if needed).
Open the patient's airway.
Assist the patient's breathing.
Protect the cervical spine if the patient is injured.
Ensure that the disoriented or suicidal patient is safe.
Provide pain management and sedation.
functional assessment - //correct answer//-focuses on the functional patterns that all
humans share: health perception and health management, activity and exercise,
nutrition and metabolism, elimination, sleep and rest, cognition and perception, self-
perception and self-concept, roles and relationships, coping and stress tolerance,
