CNUR 107 Exam QUESTIONS AND
CORRECT ANSWERS
Health assessment is..... - CORRECT ANSWER the collection of subjective and objective data
to develop a database about a patient's health status (past and present), health concerns, and usual
coping mechanisms so that an individualized care plan can be created
Health Promotion is..... - CORRECT ANSWER the process of enabling people to increase
control over, and to improve their health
Health promotion levels - CORRECT ANSWER Primary prevention: knowing disease
processes, patterns and progressions allows nurses to better promote health at the primary and
secondary levels
Prevention from becoming ill/injured
Teaching gr 3 about harmful effects of smoking
Immunizations, bike helmets
Secondary Prevention:
Early detection of disease, before symptoms arise
Providing smoking cessation techniques
Screening tests
Tertiary Prevention:
Prevention of complication when disease/condition exists
Decreasing the amount of second hand smoke exposure to a COPD pt.
Diabetic education
SDoH - CORRECT ANSWER Socioeconomic status - biographical status, interpersonal
relationships
Physical environment - functional assessment, environmental hazards
Healthy childhood environment - developmental history
Personal health practices - health promotion and harm reduction approaches
Individual capacity & coping skills - self-concept, coping strategies, stress management
Biology & genetics - family history
,Health services - recent exam's, immunizations, medical, dental
Gender - biographical status
Culture - biographical status, perception of health
Culture & Social Considerations - CORRECT ANSWER - Recognizing pt's cultural and social
considerations allows the HCP to conduct accurate & respectful health assessments. It also allows the
HCP to respond to the pt needs In a timely manner.
- Culture
definitions tend to be broad & lacking meaning
in Canada, cultural communities are broad therefore there is no predefined approach in any one
specific cultural community ie: Chinese, Iranian, etc.
Can be many differences in generations within communities
There is a danger of applying cultural traits = stereotypical? = unsafe health assessment practices
Culturalism - CORRECT ANSWER assuming people act in particular ways because of their
culture
Ie: assuming one culture is prone to drug and alcohol abuse or another culture is prone to ++ domestic
violence
Ie: assuming all people from China embrace the hot-cold theory of helath/illness
Cultural Competence - CORRECT ANSWER the application of knowledge, skills, attitudes or
personal attributes required by nurses to maximize respectful relationships with diverse populations of
clients and co-workers
*** P. 32 Box 3-1 Using Culturally Safe Approaches with Patient's*** - CORRECT ANSWER
Being alert and respectful to a wide variety of health care practices and understanding about
health, you will more easily find a mutually acceptable way to address people's health concerns
Critical Thinking - CORRECT ANSWER 1. The ability to interpret argument, evidence, or raw
information in a logical and unbiased fashion.
2. The ability to solve complex problems effectively
Evidence-Informed Assessment - CORRECT ANSWER EBM Medicine based on firm data
rather than anecdote, tradition, intuition, or belief
, Critical thinking & Evidence-Informed Assessment - CORRECT ANSWER Ability to assess &
provide HIGH quality assessment =foundation to nursing
-HIGH quality assessment = providing relevant, timely and appropriate nursing and health care to
patients, family and other members of the care team...also being able to respond to pt needs in
appropriate manner
12 Critical Thinking Skills in
Health Assessment - CORRECT ANSWER 1. Identifying Assumptions
2. identifying an organized/comprehensive approach to the assessment
3. validation/accuracy/reliability of data
4. distinguishing normal from abnormal
5. making inferences or hypothesis
6. clustering related cues
7. distinguishing relevant from irrelevant
8. recognizing inconsistencies
9. identifying patterns
10. identifying missing information
11. promoting health
12. diagnosing actual and potential (risk) problems from assessment data
Guidelines Related to Critical Thinking During Health Assessment - CORRECT ANSWER
Building Trust!
Certain information needs to be collected right away, dependent on type of assessment
Sensitive info not shared until trust is built - ++ NB!!
++ NB how questions & comments are phrased
Engage Through Listening
Aids in building trust
P. 39 & 40 in Jarvis provides examples of questions to ask to engages in therapeutic convo & active
listening
Info gathered right away = name, age, why seeking care, etc
Convey Respect for Differences
Aids in building trust!
CORRECT ANSWERS
Health assessment is..... - CORRECT ANSWER the collection of subjective and objective data
to develop a database about a patient's health status (past and present), health concerns, and usual
coping mechanisms so that an individualized care plan can be created
Health Promotion is..... - CORRECT ANSWER the process of enabling people to increase
control over, and to improve their health
Health promotion levels - CORRECT ANSWER Primary prevention: knowing disease
processes, patterns and progressions allows nurses to better promote health at the primary and
secondary levels
Prevention from becoming ill/injured
Teaching gr 3 about harmful effects of smoking
Immunizations, bike helmets
Secondary Prevention:
Early detection of disease, before symptoms arise
Providing smoking cessation techniques
Screening tests
Tertiary Prevention:
Prevention of complication when disease/condition exists
Decreasing the amount of second hand smoke exposure to a COPD pt.
Diabetic education
SDoH - CORRECT ANSWER Socioeconomic status - biographical status, interpersonal
relationships
Physical environment - functional assessment, environmental hazards
Healthy childhood environment - developmental history
Personal health practices - health promotion and harm reduction approaches
Individual capacity & coping skills - self-concept, coping strategies, stress management
Biology & genetics - family history
,Health services - recent exam's, immunizations, medical, dental
Gender - biographical status
Culture - biographical status, perception of health
Culture & Social Considerations - CORRECT ANSWER - Recognizing pt's cultural and social
considerations allows the HCP to conduct accurate & respectful health assessments. It also allows the
HCP to respond to the pt needs In a timely manner.
- Culture
definitions tend to be broad & lacking meaning
in Canada, cultural communities are broad therefore there is no predefined approach in any one
specific cultural community ie: Chinese, Iranian, etc.
Can be many differences in generations within communities
There is a danger of applying cultural traits = stereotypical? = unsafe health assessment practices
Culturalism - CORRECT ANSWER assuming people act in particular ways because of their
culture
Ie: assuming one culture is prone to drug and alcohol abuse or another culture is prone to ++ domestic
violence
Ie: assuming all people from China embrace the hot-cold theory of helath/illness
Cultural Competence - CORRECT ANSWER the application of knowledge, skills, attitudes or
personal attributes required by nurses to maximize respectful relationships with diverse populations of
clients and co-workers
*** P. 32 Box 3-1 Using Culturally Safe Approaches with Patient's*** - CORRECT ANSWER
Being alert and respectful to a wide variety of health care practices and understanding about
health, you will more easily find a mutually acceptable way to address people's health concerns
Critical Thinking - CORRECT ANSWER 1. The ability to interpret argument, evidence, or raw
information in a logical and unbiased fashion.
2. The ability to solve complex problems effectively
Evidence-Informed Assessment - CORRECT ANSWER EBM Medicine based on firm data
rather than anecdote, tradition, intuition, or belief
, Critical thinking & Evidence-Informed Assessment - CORRECT ANSWER Ability to assess &
provide HIGH quality assessment =foundation to nursing
-HIGH quality assessment = providing relevant, timely and appropriate nursing and health care to
patients, family and other members of the care team...also being able to respond to pt needs in
appropriate manner
12 Critical Thinking Skills in
Health Assessment - CORRECT ANSWER 1. Identifying Assumptions
2. identifying an organized/comprehensive approach to the assessment
3. validation/accuracy/reliability of data
4. distinguishing normal from abnormal
5. making inferences or hypothesis
6. clustering related cues
7. distinguishing relevant from irrelevant
8. recognizing inconsistencies
9. identifying patterns
10. identifying missing information
11. promoting health
12. diagnosing actual and potential (risk) problems from assessment data
Guidelines Related to Critical Thinking During Health Assessment - CORRECT ANSWER
Building Trust!
Certain information needs to be collected right away, dependent on type of assessment
Sensitive info not shared until trust is built - ++ NB!!
++ NB how questions & comments are phrased
Engage Through Listening
Aids in building trust
P. 39 & 40 in Jarvis provides examples of questions to ask to engages in therapeutic convo & active
listening
Info gathered right away = name, age, why seeking care, etc
Convey Respect for Differences
Aids in building trust!
