Intro to Nursing Test 2 Review -
William Carey University
health history, physical assessment - CORRECT ANSWER-the 2 components of a
health assessment
interviewing skills - CORRECT ANSWER-what should you focus on during a
health history?
head to toe, system - CORRECT ANSWER-the 2 sequences of a physical
assessment
est database, identify health care needs, determine priorities of care and
expected outcomes, est nursing plan of care - CORRECT ANSWER-the 4
purposes of assessment/data collection
objective, subjective - CORRECT ANSWER-the 2 types of data
subjective data - CORRECT ANSWER-Patient's verbal descriptions of their health
problems
objective data - CORRECT ANSWER-Observations or measurements of a patient's
health status
orientation and setting agenda, working phase, termination - CORRECT
ANSWER-3 phases of an interview
observation, open-ended questions, leading questions, back channeling, direct
closed-ended questions - CORRECT ANSWER-5 interview techniques
comprehensive, ongoing partial, focused, emergency - CORRECT ANSWER-4
types of assessment
cultural, age, gender-related - CORRECT ANSWER-3 factors to consider when
preparing for an assessment
collect, verify, organize data, identify patterns, report and record data - CORRECT
ANSWER-5 steps of a systematic assessment
comprehensive data collection - CORRECT ANSWER-begins before you actually
see the patient
assess - CORRECT ANSWER-gather info about patient's condition
, diagnose - CORRECT ANSWER-identify the patient's problems
plan - CORRECT ANSWER-set goals of care and desired outcomes and identify
appropriate nursing actions
implement - CORRECT ANSWER-perform the nursing actions identified in
planning
evaluate - CORRECT ANSWER-determine if goals and expected outcomes are
achieved
assessment - CORRECT ANSWER-involves collecting information from the
patient and from secondary sources (e.g., family members), along with
interpreting and validating the information to form a complete database.
collection and verification of data, analysis of data - CORRECT ANSWER-the 2
stages of assessment
patient, family and SO health care team, medical records, scientific literature -
CORRECT ANSWER-the 5 sources of patient data
patient-centered interview, physical exam, periodic assessment - CORRECT
ANSWER-the 3 types of assessment
concept mapping - CORRECT ANSWER-Visual representation that allows you to
graphically show the connections among a patient's many health problems
palpation - CORRECT ANSWER-assessment technique that uses the sense of
touch
inspection - CORRECT ANSWER-Take time to "observe" with eyes, ears, nose•
Smell odors from skin, breath, wound
palpation - CORRECT ANSWER-light and deep touch•Back of hand to assess skin
temperature•Fingers to assess texture, moisture, areas of tenderness•Assess
size, shape, and consistency of lesions
percussion - CORRECT ANSWER-sounds produced by striking body surface
auscultation - CORRECT ANSWER-listening to sounds produced by the body
direct - CORRECT ANSWER-sounds audible without stethescope
indirect auscultation - CORRECT ANSWER-sounds heard with stethescope
William Carey University
health history, physical assessment - CORRECT ANSWER-the 2 components of a
health assessment
interviewing skills - CORRECT ANSWER-what should you focus on during a
health history?
head to toe, system - CORRECT ANSWER-the 2 sequences of a physical
assessment
est database, identify health care needs, determine priorities of care and
expected outcomes, est nursing plan of care - CORRECT ANSWER-the 4
purposes of assessment/data collection
objective, subjective - CORRECT ANSWER-the 2 types of data
subjective data - CORRECT ANSWER-Patient's verbal descriptions of their health
problems
objective data - CORRECT ANSWER-Observations or measurements of a patient's
health status
orientation and setting agenda, working phase, termination - CORRECT
ANSWER-3 phases of an interview
observation, open-ended questions, leading questions, back channeling, direct
closed-ended questions - CORRECT ANSWER-5 interview techniques
comprehensive, ongoing partial, focused, emergency - CORRECT ANSWER-4
types of assessment
cultural, age, gender-related - CORRECT ANSWER-3 factors to consider when
preparing for an assessment
collect, verify, organize data, identify patterns, report and record data - CORRECT
ANSWER-5 steps of a systematic assessment
comprehensive data collection - CORRECT ANSWER-begins before you actually
see the patient
assess - CORRECT ANSWER-gather info about patient's condition
, diagnose - CORRECT ANSWER-identify the patient's problems
plan - CORRECT ANSWER-set goals of care and desired outcomes and identify
appropriate nursing actions
implement - CORRECT ANSWER-perform the nursing actions identified in
planning
evaluate - CORRECT ANSWER-determine if goals and expected outcomes are
achieved
assessment - CORRECT ANSWER-involves collecting information from the
patient and from secondary sources (e.g., family members), along with
interpreting and validating the information to form a complete database.
collection and verification of data, analysis of data - CORRECT ANSWER-the 2
stages of assessment
patient, family and SO health care team, medical records, scientific literature -
CORRECT ANSWER-the 5 sources of patient data
patient-centered interview, physical exam, periodic assessment - CORRECT
ANSWER-the 3 types of assessment
concept mapping - CORRECT ANSWER-Visual representation that allows you to
graphically show the connections among a patient's many health problems
palpation - CORRECT ANSWER-assessment technique that uses the sense of
touch
inspection - CORRECT ANSWER-Take time to "observe" with eyes, ears, nose•
Smell odors from skin, breath, wound
palpation - CORRECT ANSWER-light and deep touch•Back of hand to assess skin
temperature•Fingers to assess texture, moisture, areas of tenderness•Assess
size, shape, and consistency of lesions
percussion - CORRECT ANSWER-sounds produced by striking body surface
auscultation - CORRECT ANSWER-listening to sounds produced by the body
direct - CORRECT ANSWER-sounds audible without stethescope
indirect auscultation - CORRECT ANSWER-sounds heard with stethescope
