GUIDE 2026/2027
Health history - correct answer ✔✔a collection of subjective information (symptoms) that
provides information about the patient's health status (meds they take, previous
surgeries/illnesses, family history)
Physical exam - correct answer ✔✔Involves collection of objective data (signs) such as vitals;
collected using inspection, palpation, percussion, and auscultation
Clinical Manifestations - correct answer ✔✔the signs and symptoms experienced by the
patients
Documentation of data - correct answer ✔✔systematic way showing subjective vs. objective
data
comprehensive assessment - correct answer ✔✔involves detailed history and physical exam
Problem-based/focused assessment - correct answer ✔✔involves history and examination
episodic assessment - correct answer ✔✔usually done when following up with provider for
previous problem
shift/screening assessment - correct answer ✔✔done each shift; short exam focused on disease
detection
context of care - correct answer ✔✔refers to the circumstance or situation related to health
care delivery
, patient needed - correct answer ✔✔type performed by nurse driven by patients needs
nurse expertise - correct answer ✔✔experience affects what is done and how data are
interpreted
first step of obtaining a health history - correct answer ✔✔critical thinking is gathering data
health promotion - correct answer ✔✔behavior motivated by the desire to increase well-being
and actualize human health potential
primary prevention - correct answer ✔✔prevent a disease from developing through promotion
of healthy lifestyle
secondary prevention - correct answer ✔✔consists of screening efforts to promote early
detection of disease
tertiary prevention - correct answer ✔✔directed toward minimizing the disability from
acute/chronic disease or injury and helping pt maximize their health
introduction phase - correct answer ✔✔Introduces self to patient, describes purpose of
interview, describes interview process
discussion phase - correct answer ✔✔Facilitates & maintains patient-centered discussion, uses
various communication techniques to collect data
summary phase - correct answer ✔✔summarizes data with patient, allows patient to clarify
data, validates to patient that he or she understands problems