NUR 216 - EXAM 1 (Modules 1-3) Introduction to Health
Assessment, General Survey / Measurements /Vital
Signs, & The Client Interview/Health History / Actual
Quizzes & Ans, 2025/2026
Terms in this set (83)
What is an assessment? -A data collection process
-A continuous process
-A method to establish a baseline
What is primary subjectiveClient reports feelings/thoughts
data? Give an example.Ex. "I have a headache"
What is secondary Anyone, other than the client, reports feelings/thoughts.
subjective data? Give an Ex. Spouse states, "She complained of pain in her abdomen this
example. morning."
What is primary objective Nurse reports seeing, feeling, smelling, or hearing.
data? Give an example. (DO NOT taste).
Ex. "I can see redness and swelling of her right lower extremity."
What is secondary objective Anyone, other than the nurse, reports seeing, feeling,
data? Give an example. smelling, or hearing. (DO NOT taste). Ex. AP states, "Her
urine smells odorous."
What is a comprehensive Consists of a complete nursing history and physical examination.
assessment?
Based around the patients immediate problems.
What is a focused
assessment?
, What is the nursing Assessment
process? Diagnosis
Planning
Implementation
Evaluation
(ADPIE)
What is the "A" in the Assessment - gather information and review the patients
nursing process? history
What is the "D" in the Diagnose - identify problem list
nursing process?
What is the "P" in the Plan - develop SMART goals, desired outcomes, and action plans
nursing process?
What is the "I" in the Implementation - perform nursing actions
nursing process?
What is the "E" in the Evaluate - were desired outcomes and goals achieved?
nursing process?
List 5 'Communication' -Eye Contact
skills nurses must -Eye Level
implement at all times.
-Personal Space -Active
Listening
-LISTEN to them!!!
List 4 'Cognitive' skills you -Critical Thinking Skills
must implement in the -Inductive & Deductive Reasoning Skills
assessment process.
-Clinical Decision Making Skills
-Problem Solving Skills
What are 'Psychomotor' Skills needed to perform the 4 techniques of physical assessment.
skills?
What are Affective skills needed to develop caring, therapeutic nurse-patient
relationships.
'Interpersonal/Affective'
skills?
Assessment, General Survey / Measurements /Vital
Signs, & The Client Interview/Health History / Actual
Quizzes & Ans, 2025/2026
Terms in this set (83)
What is an assessment? -A data collection process
-A continuous process
-A method to establish a baseline
What is primary subjectiveClient reports feelings/thoughts
data? Give an example.Ex. "I have a headache"
What is secondary Anyone, other than the client, reports feelings/thoughts.
subjective data? Give an Ex. Spouse states, "She complained of pain in her abdomen this
example. morning."
What is primary objective Nurse reports seeing, feeling, smelling, or hearing.
data? Give an example. (DO NOT taste).
Ex. "I can see redness and swelling of her right lower extremity."
What is secondary objective Anyone, other than the nurse, reports seeing, feeling,
data? Give an example. smelling, or hearing. (DO NOT taste). Ex. AP states, "Her
urine smells odorous."
What is a comprehensive Consists of a complete nursing history and physical examination.
assessment?
Based around the patients immediate problems.
What is a focused
assessment?
, What is the nursing Assessment
process? Diagnosis
Planning
Implementation
Evaluation
(ADPIE)
What is the "A" in the Assessment - gather information and review the patients
nursing process? history
What is the "D" in the Diagnose - identify problem list
nursing process?
What is the "P" in the Plan - develop SMART goals, desired outcomes, and action plans
nursing process?
What is the "I" in the Implementation - perform nursing actions
nursing process?
What is the "E" in the Evaluate - were desired outcomes and goals achieved?
nursing process?
List 5 'Communication' -Eye Contact
skills nurses must -Eye Level
implement at all times.
-Personal Space -Active
Listening
-LISTEN to them!!!
List 4 'Cognitive' skills you -Critical Thinking Skills
must implement in the -Inductive & Deductive Reasoning Skills
assessment process.
-Clinical Decision Making Skills
-Problem Solving Skills
What are 'Psychomotor' Skills needed to perform the 4 techniques of physical assessment.
skills?
What are Affective skills needed to develop caring, therapeutic nurse-patient
relationships.
'Interpersonal/Affective'
skills?
