NRS 2014 - Health Assessment
Questions with Complete Solutions.
1. assessment
2. diagnosis
3. outcome identification/planning
4. implementation
5. evaluation - Answer steps of the nursing process:
assessment - Answer -includes systematic collection, verification, organization,
interpretation, and documentation of data for use by health care professionals
-establish a database about a client's physical and emotional well-being, intellectual
functioning, social relationships, and spiritual condition
comprehensive assessment - Answer full assessment (ex: for new patients)
focused assessment - Answer -for a presenting problem
-may include other systems (ex: rash)
ongoing assessment - Answer -follow up
-chronic illness (COPD)
emergency assessment - Answer -life threatening
-more focused assessment
subjective data - Answer -information from the client's point of view ("symptoms")
-including feelings, perceptions, and concerns
-obtained through interviews
objective data - Answer -observable and measurable data ("signs)
-obtained through observation, physical examination, and laboratory and diagnostic testing
inspecting - Answer -close, careful scrutiny of the individual as a whole and then of each
body system
-always comes first
,palpation - Answer -touching that usually follows inspection
-use of your sense of touch to assess texture, temperature, moisture, organ location and size,
swelling, vibration, or pulsation, presence of lumps, masses, or tenderness
-start with light palpation, then perform deep palpation
percussion - Answer -tapping the person's skin with short sharp strokes to assess underlying
structures
auscultation - Answer -listening to sounds produced by the body usually using a stethoscope
-ex: heart, blood vessels, lungs, abdomen
evidence-based assessment - Answer -current and best clinical practice based on research
standards focused on systematic reviews of randomized clinical trials (RCTs)
-utilizing in conjunction with provider experience will lead to better health outcomes for
patients
-"gold standard" of practice
cultural assessment - Answer important part of forming a full database of information about
each patient
cultural competence (cultural sensitivity, cultrual appropriateness, cultural competency) -
Answer serious errors can occur due to lack there of
health - Answer balance of a person is a complex, interrelated phenomenon
illness - Answer loss of a person's balance of complexity
poverty - Answer one of the biggest health disparities in the U.S.
-economic stability
-education
-social and community context
-neighborhood and built environment
-health and health care - Answer social determinants of health:
, health disparities - Answer -a particular type of health difference that is closely linked with
social, economic, and/or environmental disadvantage
-vulnerable populations: racial and ethnic minorities, people with disabilities, LGBTQ+
community
-while the overall quality of health in the US is improving, access to care and and disparities are
not
steps of cultural competence - Answer -understand one's own heritage-based values, beliefs,
attitudes, and practices
-identify meaning of "health" to patient
-understand how health care system works
-acquire knowledge about social backgrounds of patients
-become familiar with languages, interpretive services, and community resources available to
nurses and patients
culture - Answer -thoughts, communications, actions, beliefs, values, and institutions of
racial ethnic, religious, or social groups
-characteristics: learned, shared, adapted, dynamic
ethnicity - Answer describes a group united by common geographic origin, migratory status,
religion, race, language, shared values, traditions, or symbols, food preference
religion - Answer -belief in divine of superhuman power or powers to be obeyed and
worshipped as a creator/ruler of universe
-system of beliefs, practices, and ethical values
-shared experience of spirituality
spirituality - Answer -the aspect of humanity that refers to the way individuals seek and
express meaning and purpose
-the way they experience their connectedness to the moment, to self, to others, to nature, and
to the significant or sacred
-biomedical
-naturalistic
-magicoreligious - Answer disease causation theories:
biomedical - Answer -scientific
-assumes all events in life have a cause and effect
Questions with Complete Solutions.
1. assessment
2. diagnosis
3. outcome identification/planning
4. implementation
5. evaluation - Answer steps of the nursing process:
assessment - Answer -includes systematic collection, verification, organization,
interpretation, and documentation of data for use by health care professionals
-establish a database about a client's physical and emotional well-being, intellectual
functioning, social relationships, and spiritual condition
comprehensive assessment - Answer full assessment (ex: for new patients)
focused assessment - Answer -for a presenting problem
-may include other systems (ex: rash)
ongoing assessment - Answer -follow up
-chronic illness (COPD)
emergency assessment - Answer -life threatening
-more focused assessment
subjective data - Answer -information from the client's point of view ("symptoms")
-including feelings, perceptions, and concerns
-obtained through interviews
objective data - Answer -observable and measurable data ("signs)
-obtained through observation, physical examination, and laboratory and diagnostic testing
inspecting - Answer -close, careful scrutiny of the individual as a whole and then of each
body system
-always comes first
,palpation - Answer -touching that usually follows inspection
-use of your sense of touch to assess texture, temperature, moisture, organ location and size,
swelling, vibration, or pulsation, presence of lumps, masses, or tenderness
-start with light palpation, then perform deep palpation
percussion - Answer -tapping the person's skin with short sharp strokes to assess underlying
structures
auscultation - Answer -listening to sounds produced by the body usually using a stethoscope
-ex: heart, blood vessels, lungs, abdomen
evidence-based assessment - Answer -current and best clinical practice based on research
standards focused on systematic reviews of randomized clinical trials (RCTs)
-utilizing in conjunction with provider experience will lead to better health outcomes for
patients
-"gold standard" of practice
cultural assessment - Answer important part of forming a full database of information about
each patient
cultural competence (cultural sensitivity, cultrual appropriateness, cultural competency) -
Answer serious errors can occur due to lack there of
health - Answer balance of a person is a complex, interrelated phenomenon
illness - Answer loss of a person's balance of complexity
poverty - Answer one of the biggest health disparities in the U.S.
-economic stability
-education
-social and community context
-neighborhood and built environment
-health and health care - Answer social determinants of health:
, health disparities - Answer -a particular type of health difference that is closely linked with
social, economic, and/or environmental disadvantage
-vulnerable populations: racial and ethnic minorities, people with disabilities, LGBTQ+
community
-while the overall quality of health in the US is improving, access to care and and disparities are
not
steps of cultural competence - Answer -understand one's own heritage-based values, beliefs,
attitudes, and practices
-identify meaning of "health" to patient
-understand how health care system works
-acquire knowledge about social backgrounds of patients
-become familiar with languages, interpretive services, and community resources available to
nurses and patients
culture - Answer -thoughts, communications, actions, beliefs, values, and institutions of
racial ethnic, religious, or social groups
-characteristics: learned, shared, adapted, dynamic
ethnicity - Answer describes a group united by common geographic origin, migratory status,
religion, race, language, shared values, traditions, or symbols, food preference
religion - Answer -belief in divine of superhuman power or powers to be obeyed and
worshipped as a creator/ruler of universe
-system of beliefs, practices, and ethical values
-shared experience of spirituality
spirituality - Answer -the aspect of humanity that refers to the way individuals seek and
express meaning and purpose
-the way they experience their connectedness to the moment, to self, to others, to nature, and
to the significant or sacred
-biomedical
-naturalistic
-magicoreligious - Answer disease causation theories:
biomedical - Answer -scientific
-assumes all events in life have a cause and effect
