NURS 304 Exam 1 || Solved Correctly.
assessment techniques correct answers sequence of procedures designed to evaluate the health
status of a patient
ADPIE - Nursing Process correct answers Assessment, Diagnosis, Plan, Intervention, Evaluation
collection of data from correct answers review of clinical record
-interview
-health history
-physical exam
-functional exam
-cultural and spiritual assessment
-consultation
-review of literature
Physical Exam Techniques correct answers Inspection
Palpation
Percussion
Auscultation
Inspection Technique correct answers -concentrated staring
-use all senses
- begins when you meet the individual
-body parts assessed for shape, color, odor, symmetry
-requires good lighting
-side to side comparison
, Palpation techniques correct answers Fingertips: best for fine tactile discrimination of skin
texture, swelling, pulsation, determining presence of lumps
Fingers and thumb: detection of position, shape, and consistency of an organ or mass
Dorsa of hands and fingers: best for determining temperature because skin here is thinner than on
palms
Base of fingers or ulnar surface of hand: best for vibration
Percussion Technique correct answers Assessment of sounds to determine body organ borders,
shape, and position; not always used in a NFPA
direct percussion correct answers involves striking a finger or hand directly against the patient's
body
indirect percussion correct answers strike finger or hand placed over body surface
Auscultation technique correct answers Use of stethoscope to exclude environmental sound and
augment internal sound
-NEVER listen through clothing
-always clean stethoscope between uses
what type of data would be obtained utilizing each technique? correct answers objective
what is included in an interview? correct answers 1. subjective and objective data collection
2. identify health strengths and problems before physical exam
3. be aware of conscious, unconscious, verbal, and nonverbal behavior
assessment techniques correct answers sequence of procedures designed to evaluate the health
status of a patient
ADPIE - Nursing Process correct answers Assessment, Diagnosis, Plan, Intervention, Evaluation
collection of data from correct answers review of clinical record
-interview
-health history
-physical exam
-functional exam
-cultural and spiritual assessment
-consultation
-review of literature
Physical Exam Techniques correct answers Inspection
Palpation
Percussion
Auscultation
Inspection Technique correct answers -concentrated staring
-use all senses
- begins when you meet the individual
-body parts assessed for shape, color, odor, symmetry
-requires good lighting
-side to side comparison
, Palpation techniques correct answers Fingertips: best for fine tactile discrimination of skin
texture, swelling, pulsation, determining presence of lumps
Fingers and thumb: detection of position, shape, and consistency of an organ or mass
Dorsa of hands and fingers: best for determining temperature because skin here is thinner than on
palms
Base of fingers or ulnar surface of hand: best for vibration
Percussion Technique correct answers Assessment of sounds to determine body organ borders,
shape, and position; not always used in a NFPA
direct percussion correct answers involves striking a finger or hand directly against the patient's
body
indirect percussion correct answers strike finger or hand placed over body surface
Auscultation technique correct answers Use of stethoscope to exclude environmental sound and
augment internal sound
-NEVER listen through clothing
-always clean stethoscope between uses
what type of data would be obtained utilizing each technique? correct answers objective
what is included in an interview? correct answers 1. subjective and objective data collection
2. identify health strengths and problems before physical exam
3. be aware of conscious, unconscious, verbal, and nonverbal behavior
