NRSI 206-EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. Discuss the role of assessment as a starting point of all models of clinical reasoning
Answer:
Assessment is the method of collecting and analyzing data for the purpose of planning patient-centered
care; The collection of data about an individuals health state
Question:
2. Overall purple of nursing health assessment
Answer:
To identify patients condition from the baseline; thus the focus of the assessment is largely based on the
condition or problem the patient is experiencing.
*Health assessment is needed to make clinical decisions as well
Question:
3. Discuss the steps and characteristics of a health assessment performed by the nurse
Answer:
-Health history: Collection of subjective data referred to as symptoms that is collected during the
interview. Information obtained straight from the patient is called primary source data.
-Physical examination: Collection of objective data referred to as signs. These are data that can be
measured. Inspection, percussion, and auscultation are included in this.
-Document data: this is done so that the data is available to other health care staff. This will also help
provide a good plan of care for the patient.
Question:
4. Review the concepts of health, public's concept of health, etc.
Answer:
Question:
5. Discuss the holistic model of assessment
Answer:
The whole idea of this assessment is to sit down with the patient and have a conversation to understand the
patient as a whole.
Question:
6. Review the types of assessment and data base that the nurse collects
, Answer:
1) Comprehensive assessment: This involves a detailed history and physical examination performed at the
onset of care in a primary care setting or on admission to a hospital or long-term care facility. The
comprehensive assessment encompasses health problems experienced by the patient; health promotion,
disease prevention, and assessment for problems associated with known risk factors; or assessment for age
and gender specific health problems.
2) Problem-based/focused assessment: Involves a history and examination that are limited to a specific
problem or complaint (e.g., a sprained ankle). This type of assessment is most commonly used for
WALK-IN CLINIC OR EMERGENCY DEPARTMENT, but it may also be applied in other outpatient
settings. Although the focus of data collection is on a specific problem, the potential impact of the patients
underlying health status also must be considered.
3) Episodic/follow-up assessment: Usually done when a patient is following up with a health care provider
for a previously identified problem. For example, a patient treated by a heath care provider for pneumonia
might be asked to return for a follow-up visit after completing a prescription of antibiotics. An individual
treated for an ongoing condition such as diabetes is asked to make regular visits to the clinic for episodic
assessment.
4) Shift assessment: When individuals are hospitalized, nurse conduct assessments each shift. The purpose
of the shift assessment is to identify changes to patients condition from the baseline; thus the focus of the
assessment is largely based on the condition or problem the patient is experiencing.
5) Screening assessment/examination: A short examination focused on disease detection. A screening
examination may be performed in a health care provider's office (as part of a comprehensive examination)
o
Question:
7. Differentiate between a nursing assessment and a medical assessment
Answer:
1) Nursing assessment: Focuses on how the client's health status affects his ADL's and how ADL's affect
his health
-Collects holistic data
2) Medical assessment: Focuses primarily on the client's physiologic development status
Question:
8. Describe the use of the nursing process in clinical judgement
Answer:
Clinical judgement: An interpretation or conclusion about a patients needs, concerns, or health problems
and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as
deemed appropriate by the patient's response.
-Although clinical judgement depends on an accurate collection of assessment data, the nurses
interpretation of these data guides the nursing actions.
-Clinical judgement is influenced more by the nurse's experiences, knowledge, attitudes, and perspective
than the data alone. Ex: A novice nurse and an experienced nurse's analysis and interpretation of data is
going to differ.
Question:
9. What are the phases of the nursing process in clinical judgement
CORRECT ANSWERS
Question:
1. Discuss the role of assessment as a starting point of all models of clinical reasoning
Answer:
Assessment is the method of collecting and analyzing data for the purpose of planning patient-centered
care; The collection of data about an individuals health state
Question:
2. Overall purple of nursing health assessment
Answer:
To identify patients condition from the baseline; thus the focus of the assessment is largely based on the
condition or problem the patient is experiencing.
*Health assessment is needed to make clinical decisions as well
Question:
3. Discuss the steps and characteristics of a health assessment performed by the nurse
Answer:
-Health history: Collection of subjective data referred to as symptoms that is collected during the
interview. Information obtained straight from the patient is called primary source data.
-Physical examination: Collection of objective data referred to as signs. These are data that can be
measured. Inspection, percussion, and auscultation are included in this.
-Document data: this is done so that the data is available to other health care staff. This will also help
provide a good plan of care for the patient.
Question:
4. Review the concepts of health, public's concept of health, etc.
Answer:
Question:
5. Discuss the holistic model of assessment
Answer:
The whole idea of this assessment is to sit down with the patient and have a conversation to understand the
patient as a whole.
Question:
6. Review the types of assessment and data base that the nurse collects
, Answer:
1) Comprehensive assessment: This involves a detailed history and physical examination performed at the
onset of care in a primary care setting or on admission to a hospital or long-term care facility. The
comprehensive assessment encompasses health problems experienced by the patient; health promotion,
disease prevention, and assessment for problems associated with known risk factors; or assessment for age
and gender specific health problems.
2) Problem-based/focused assessment: Involves a history and examination that are limited to a specific
problem or complaint (e.g., a sprained ankle). This type of assessment is most commonly used for
WALK-IN CLINIC OR EMERGENCY DEPARTMENT, but it may also be applied in other outpatient
settings. Although the focus of data collection is on a specific problem, the potential impact of the patients
underlying health status also must be considered.
3) Episodic/follow-up assessment: Usually done when a patient is following up with a health care provider
for a previously identified problem. For example, a patient treated by a heath care provider for pneumonia
might be asked to return for a follow-up visit after completing a prescription of antibiotics. An individual
treated for an ongoing condition such as diabetes is asked to make regular visits to the clinic for episodic
assessment.
4) Shift assessment: When individuals are hospitalized, nurse conduct assessments each shift. The purpose
of the shift assessment is to identify changes to patients condition from the baseline; thus the focus of the
assessment is largely based on the condition or problem the patient is experiencing.
5) Screening assessment/examination: A short examination focused on disease detection. A screening
examination may be performed in a health care provider's office (as part of a comprehensive examination)
o
Question:
7. Differentiate between a nursing assessment and a medical assessment
Answer:
1) Nursing assessment: Focuses on how the client's health status affects his ADL's and how ADL's affect
his health
-Collects holistic data
2) Medical assessment: Focuses primarily on the client's physiologic development status
Question:
8. Describe the use of the nursing process in clinical judgement
Answer:
Clinical judgement: An interpretation or conclusion about a patients needs, concerns, or health problems
and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as
deemed appropriate by the patient's response.
-Although clinical judgement depends on an accurate collection of assessment data, the nurses
interpretation of these data guides the nursing actions.
-Clinical judgement is influenced more by the nurse's experiences, knowledge, attitudes, and perspective
than the data alone. Ex: A novice nurse and an experienced nurse's analysis and interpretation of data is
going to differ.
Question:
9. What are the phases of the nursing process in clinical judgement
