2025/2026 UPDATE | 100% CORRECT
Describe the elements of a general survey Answer - -physical appearance (age,
sex, consciousness, skin color, facial features, signs of distress)
-body structure (stature, nutrition, symmetry, posture, position, build,
deformities)
-mobility (gait, involuntary movements)
-behavior (expression, mood, speech, dress, hygiene)
PBMB
when should you begin observing Answer - the second you see the client
health assessment Answer - collection of data about the patient's health state
complete database Answer - full health history and physical examination
(family practice)
episodic database Answer - limited or short term problem
concerns 1 problem or complex or system (urgent care)
follow-up database Answer - status of pervious problem at regular scheduled
intervals (doctors office)
,emergency database Answer - rapid collection of data (ER)
comprehensive assessment Answer - health history and complete physical
examination, usually conducted when a patient first enters a health care setting
focused assessment Answer - assessment conducted to assess a specific
problem; focuses on pertinent history and body regions
subjective data Answer - what the person says about himself or herself during
history taking
objective data Answer - information that is seen, heard, felt, or smelled by an
observer; signs
first level priority Answer - Emergent, life threatening, and immediate (ABCs)
second level priority Answer - Next in urgency, requiring attention so as to
avoid further deterioration
third level priority Answer - Important to patient's health but can be addressed
after more urgent problems are addressed
functional assessment components Answer - -basis for care planning, goal
setting, and discharge planning
-self care (ADLs)
-self maintenance (IADLs)
-physical mobility
, collecting subjective data for the ill person Answer - information about health
problem
obtaining an accurate and current health history Answer - -subjective data
-biographical data (name,DOB,sex,race,ethnic origin)
-source of history (themselves or family?)
-reason for seeking care (signs/symptoms)
-present health/illness (location, severity, timing, setting, relieving factors)
-past health (childhood illness, hospitalizations, operations, immunizations,
allergies, current meds)
-family history
-review of systems
-functional assessment (ADLs, IADLs, AADLs)
cultural competence Answer - An understanding of how a patient's cultural
background shapes his beliefs, values, and expectations for therapy;
established through knowing your own culture first
inspection Answer - -begins when you first see the patient
-first examine as a whole and then systems
-good lighting, exposure, and instruments
palpation Answer - -examine by touch
-doctor does this, if nurses do this it will be light
-fingertips (skin texture, swelling, pulsation, lumps)
-fingers/thumb (position, shape, consistency of organ/mass)
-dorsa of hand/fingers (temperature)