NUR 216 UPDATED EXAMS SCRIPT QUESTIONS AND
ANSWERS MARKED A+
✔✔List 4 'Cognitive' skills you must implement in the assessment process. - ✔✔-Critical
Thinking Skills
-Inductive & Deductive Reasoning Skills
-Clinical Decision Making Skills
-Problem Solving Skills
✔✔What are 'Psychomotor' skills? - ✔✔Skills needed to perform the 4 techniques of
physical assessment.
✔✔What are 'Interpersonal/Affective' skills? - ✔✔Affective skills needed to develop
caring, therapeutic nurse-patient relationships.
✔✔List 4 'Ethical' skills. - ✔✔-Responsible & accountable for practice
-Patient advocate
-Respect patients' rights
-Assure confidentiality
✔✔What are the 2 types of interviews? - ✔✔Directive or Non-directive
✔✔What is an open ended question? Give an example. - ✔✔A question that requires
more than a "yes" or "no" answer.
Ex. "What does the pain in your foot feel like?"
✔✔What is a close ended question? Give an example. - ✔✔A question that requires a
"yes" or "no" answer.
Ex. "Do you have a headache?"
✔✔What is the 'Introductory Phase' of the interview process? - ✔✔-Introduce self
-Put patient at ease
-Explain purpose of interview
-Explain time frame
✔✔What is the 'Working Phase' of the interview process? - ✔✔-Data collection,
structured
-Longest phase
✔✔What is the 'Termination Phase' of the interview process? - ✔✔-End of interview
-Summarize and restate findings
✔✔Observation - ✔✔-Use your senses
-Look at patient and environment
, ✔✔What are the steps to a 'Physical Assessment' in order of performance? - ✔✔-
Inspection
-Palpation
-Percussion
-Auscultation
✔✔When does the order to a 'Physical Assessment' change? - ✔✔When assessing the
abdomen.
✔✔What are the steps to a 'Physical Assessment' in order of performance for the
abdomen? - ✔✔-Inspection
-Auscultation
-Percussion
-Palpation
✔✔What is Inspection? - ✔✔Sight/Smell; observe symmetry, abnormalities, distress,
unusual odors, direct vs. indirect
✔✔What is Palpation? - ✔✔Touch; texture, temperature, swelling, pain presence, organ
location, etc. Can be light (less than 1/2 inch), deep (greater than 1/2 inch), or
ballottement (used to assess partially free-floating objects).
✔✔What is the dorsal aspect of your hand used to palpate? - ✔✔Best for temperature
✔✔What is the ulnar surface of your hand used to palpate? - ✔✔Best for vibrations
✔✔What are your fingertips used to palpate? - ✔✔Best for fine sensations
✔✔What is Percussion? - ✔✔Tapping the person's skin with short, sharp strokes to
assess density, size/shape, tenderness, & deep reflexes of underlying structures; Direct
(immediate), indirect (mediate), fist/blunt.
✔✔What is Auscultation? - ✔✔Listening through a stethoscope to hear heart sounds,
lung sounds, bowel sounds, and vascular sounds.
✔✔What side of the stethoscope would you use if you wanted to hear low pitched
sounds? - ✔✔Bell
✔✔What side of the stethoscope would you use if you wanted to hear high pitched
sounds? - ✔✔Diaphragm
✔✔What is 'Primary' or 'Top' Priority data? - ✔✔Life-threatening problems
ANSWERS MARKED A+
✔✔List 4 'Cognitive' skills you must implement in the assessment process. - ✔✔-Critical
Thinking Skills
-Inductive & Deductive Reasoning Skills
-Clinical Decision Making Skills
-Problem Solving Skills
✔✔What are 'Psychomotor' skills? - ✔✔Skills needed to perform the 4 techniques of
physical assessment.
✔✔What are 'Interpersonal/Affective' skills? - ✔✔Affective skills needed to develop
caring, therapeutic nurse-patient relationships.
✔✔List 4 'Ethical' skills. - ✔✔-Responsible & accountable for practice
-Patient advocate
-Respect patients' rights
-Assure confidentiality
✔✔What are the 2 types of interviews? - ✔✔Directive or Non-directive
✔✔What is an open ended question? Give an example. - ✔✔A question that requires
more than a "yes" or "no" answer.
Ex. "What does the pain in your foot feel like?"
✔✔What is a close ended question? Give an example. - ✔✔A question that requires a
"yes" or "no" answer.
Ex. "Do you have a headache?"
✔✔What is the 'Introductory Phase' of the interview process? - ✔✔-Introduce self
-Put patient at ease
-Explain purpose of interview
-Explain time frame
✔✔What is the 'Working Phase' of the interview process? - ✔✔-Data collection,
structured
-Longest phase
✔✔What is the 'Termination Phase' of the interview process? - ✔✔-End of interview
-Summarize and restate findings
✔✔Observation - ✔✔-Use your senses
-Look at patient and environment
, ✔✔What are the steps to a 'Physical Assessment' in order of performance? - ✔✔-
Inspection
-Palpation
-Percussion
-Auscultation
✔✔When does the order to a 'Physical Assessment' change? - ✔✔When assessing the
abdomen.
✔✔What are the steps to a 'Physical Assessment' in order of performance for the
abdomen? - ✔✔-Inspection
-Auscultation
-Percussion
-Palpation
✔✔What is Inspection? - ✔✔Sight/Smell; observe symmetry, abnormalities, distress,
unusual odors, direct vs. indirect
✔✔What is Palpation? - ✔✔Touch; texture, temperature, swelling, pain presence, organ
location, etc. Can be light (less than 1/2 inch), deep (greater than 1/2 inch), or
ballottement (used to assess partially free-floating objects).
✔✔What is the dorsal aspect of your hand used to palpate? - ✔✔Best for temperature
✔✔What is the ulnar surface of your hand used to palpate? - ✔✔Best for vibrations
✔✔What are your fingertips used to palpate? - ✔✔Best for fine sensations
✔✔What is Percussion? - ✔✔Tapping the person's skin with short, sharp strokes to
assess density, size/shape, tenderness, & deep reflexes of underlying structures; Direct
(immediate), indirect (mediate), fist/blunt.
✔✔What is Auscultation? - ✔✔Listening through a stethoscope to hear heart sounds,
lung sounds, bowel sounds, and vascular sounds.
✔✔What side of the stethoscope would you use if you wanted to hear low pitched
sounds? - ✔✔Bell
✔✔What side of the stethoscope would you use if you wanted to hear high pitched
sounds? - ✔✔Diaphragm
✔✔What is 'Primary' or 'Top' Priority data? - ✔✔Life-threatening problems
