Science Medicine Nursing
Health Assessment Final Exam – Comprehensive Practice
Questions, Clinical Assessment Concepts & Complete
Exam
Terms in this set (354)
What is the purpose of performing a health To make a judgement or diagnosis
assessment?
subjective data what the person says about himself or herself during history
taking
example of subjective data pain
objective data what you as the health professional observe by
inspecting, percussing, palpating, and auscultating during
the physical examination
example of objective data vital signs, elevated temperature, skin moisture, vomiting
complete data complete health history and physical examination,
often collected in a primary care setting such as a
pediatric or family practice clinic
,focused/problem-centered data For a limited or short-term problem; Collect a "mini" database:
smaller in scope and more targeted than the complete
database; concerns mainly one problem, one cue complex, or
one body system
used in all healthcare settings: hospital, primary, or long-term
follow-up data Evaluates status of problem at regular intervals to follow up
on short-term or chronic problems
used in all healthcare settings: hospital, primary, or long-term
emergency data Calls for rapid collection of data which commonly occurs
during lifesaving measures
open-ended questions asks for narrative information, is unbiased, states the topic to
be discussed but only in general terms
closed-ended questions ask for specific information, "yes or no", or a forced choice
what do you hope to achieve with the use of to get to know the patient more and let them
open-ended questions? express themselves fully
what do you hope to achieve with the use of getting specific information and are useful to fill in any details
closed-ended questions? that were initially left out after the person's opening narrative
positive nonverbal behaviors that promote Professional
communication
Appearance Open
Posturing Facilitating
Gestures
Facial Animation,
Interest
Eye Contact
Moderate Tone of
Voice Appropriate
Touch Moderate Rate of
Speech
professional appearance make sure your scrubs are clean and ironed
open posturing stand in a mannerism that makes people want to talk to you
facilitating gestures hand movement, head nodding
,facial animation, interest nurse: using your eyebrows when speaking; avoid looks of
disgust or boredom and instead look interested and sincere
patient: does their facial expressions match what they are
saying?
eye contact nurse: maintaining eye contact when speaking, but don't stare;
maintain an easy gaze
patient: lack of eye contact indicates they are shy, withdrawn,
confused, bored, etc.
moderate tone of voice nurse: speaking in a calm and even tone, intensity, rate of
speech, pitch, and maintain pauses
patient: people who are anxious may speak faster and louder
than normal; soft voice may indicate shyness or fear, whereas
a loud voice indicates hearing impairment; if patient pauses
for a while, consider whether or not they're being honest or if
they heard the question
appropriate touch do not use touch during interview unless you know the person
well and are sure how it will be interpreted
moderate rate of speech make sure the patient says everything they need to say and
don't talk too much
example of facilitation mm-hmmm, go on, uh-huh
example of reflective patient: It's so hard having to stay in bed during my
pregnancy. I have kids at home that I'm worried about.
Response: You feel worried and anxious about your children?
example of empathy Patient: (sarcastically) This is just great! I own a business, direct
my employees; now I can't even go to the bathroom without
help.
Response: This must be very hard for you
example of clarification Response: The heaviness in your chest occurs with walking
up 1 flight of stairs or more than 1 block, but it stops when
you rest. Is that correct?
Patient: Yes, that's it.
example of confrontation Earlier you said that you didn't drink, but just now you said you
go out every night after work for 1-2 beers.
example of leading/biased question You don't smoke, do you?
, ten traps of interviewing 1. Providing false assurance or reassurance
2.Giving unwanted advice
3.Using authority
4. Using avoidance language
5. Distancing
6.Using professional jargon
7. Using leading or biased questions
8. Talking too much
9.Interrupting
10. Using "why" questions
functional use of space Intimate zone, personal distance, social distance, public
distance
intimate zone 0 to 1.5 feet.
visual distortion occurs, best for assessing
best for assessing breath & other body odors
personal distance 1.5-4 feet
perceived as an extension of the self, similar to a bubble
voice moderate
body odors
inapparent no visual
distortion
much of physical assessment occurs at this distance
social distance 4 to 12 feet
used for impersonal business transactions
perceptual information much less detailed
much of the interview occurs at this distance
public distance 12+ feet.
interaction with others impersonal
speaker's voice must be projected
subtle facial expressions imperceptible
Health Assessment Final Exam – Comprehensive Practice
Questions, Clinical Assessment Concepts & Complete
Exam
Terms in this set (354)
What is the purpose of performing a health To make a judgement or diagnosis
assessment?
subjective data what the person says about himself or herself during history
taking
example of subjective data pain
objective data what you as the health professional observe by
inspecting, percussing, palpating, and auscultating during
the physical examination
example of objective data vital signs, elevated temperature, skin moisture, vomiting
complete data complete health history and physical examination,
often collected in a primary care setting such as a
pediatric or family practice clinic
,focused/problem-centered data For a limited or short-term problem; Collect a "mini" database:
smaller in scope and more targeted than the complete
database; concerns mainly one problem, one cue complex, or
one body system
used in all healthcare settings: hospital, primary, or long-term
follow-up data Evaluates status of problem at regular intervals to follow up
on short-term or chronic problems
used in all healthcare settings: hospital, primary, or long-term
emergency data Calls for rapid collection of data which commonly occurs
during lifesaving measures
open-ended questions asks for narrative information, is unbiased, states the topic to
be discussed but only in general terms
closed-ended questions ask for specific information, "yes or no", or a forced choice
what do you hope to achieve with the use of to get to know the patient more and let them
open-ended questions? express themselves fully
what do you hope to achieve with the use of getting specific information and are useful to fill in any details
closed-ended questions? that were initially left out after the person's opening narrative
positive nonverbal behaviors that promote Professional
communication
Appearance Open
Posturing Facilitating
Gestures
Facial Animation,
Interest
Eye Contact
Moderate Tone of
Voice Appropriate
Touch Moderate Rate of
Speech
professional appearance make sure your scrubs are clean and ironed
open posturing stand in a mannerism that makes people want to talk to you
facilitating gestures hand movement, head nodding
,facial animation, interest nurse: using your eyebrows when speaking; avoid looks of
disgust or boredom and instead look interested and sincere
patient: does their facial expressions match what they are
saying?
eye contact nurse: maintaining eye contact when speaking, but don't stare;
maintain an easy gaze
patient: lack of eye contact indicates they are shy, withdrawn,
confused, bored, etc.
moderate tone of voice nurse: speaking in a calm and even tone, intensity, rate of
speech, pitch, and maintain pauses
patient: people who are anxious may speak faster and louder
than normal; soft voice may indicate shyness or fear, whereas
a loud voice indicates hearing impairment; if patient pauses
for a while, consider whether or not they're being honest or if
they heard the question
appropriate touch do not use touch during interview unless you know the person
well and are sure how it will be interpreted
moderate rate of speech make sure the patient says everything they need to say and
don't talk too much
example of facilitation mm-hmmm, go on, uh-huh
example of reflective patient: It's so hard having to stay in bed during my
pregnancy. I have kids at home that I'm worried about.
Response: You feel worried and anxious about your children?
example of empathy Patient: (sarcastically) This is just great! I own a business, direct
my employees; now I can't even go to the bathroom without
help.
Response: This must be very hard for you
example of clarification Response: The heaviness in your chest occurs with walking
up 1 flight of stairs or more than 1 block, but it stops when
you rest. Is that correct?
Patient: Yes, that's it.
example of confrontation Earlier you said that you didn't drink, but just now you said you
go out every night after work for 1-2 beers.
example of leading/biased question You don't smoke, do you?
, ten traps of interviewing 1. Providing false assurance or reassurance
2.Giving unwanted advice
3.Using authority
4. Using avoidance language
5. Distancing
6.Using professional jargon
7. Using leading or biased questions
8. Talking too much
9.Interrupting
10. Using "why" questions
functional use of space Intimate zone, personal distance, social distance, public
distance
intimate zone 0 to 1.5 feet.
visual distortion occurs, best for assessing
best for assessing breath & other body odors
personal distance 1.5-4 feet
perceived as an extension of the self, similar to a bubble
voice moderate
body odors
inapparent no visual
distortion
much of physical assessment occurs at this distance
social distance 4 to 12 feet
used for impersonal business transactions
perceptual information much less detailed
much of the interview occurs at this distance
public distance 12+ feet.
interaction with others impersonal
speaker's voice must be projected
subtle facial expressions imperceptible
