Fundamentals: Chapter 22 assessing
health status
As a nurse you are expected to be able to assess what? - answer Lung sounds, identify
abnormal heart sounds, determine when something might be wrong abdomen, monitor
circulatory status, to technological changes, note skin problems, and recognize signs
and symptoms of problems and anybody system.
A quick focus assessment of all body systems is performed For each patient when? -
answer the beginning of each shift.
Physical examinations may be required for? - answer Entry into schools, issuance of
insurance policies, for employment, for particular types of drivers license, and for
induction into military service.
A complete physical examination is performed on patients who seek regular medical
care every? - answer 1 to 5 years, depending on age and health condition.
Along with the physical examination, what else are you expected to obtain? - answer
Some historical data concerning the patient's past and present state of health.
to provide holistic care for a patient rather than just focusing on physical need you must
also? - answer Be aware of how the illnesses affecting the patient's life.
When asking the patient questions you should Phrase them how? - answer In a
positive, nonthreatening way.
When patients are first encountered what should you observe? - answer Behavior and
appearance, start to form an opinion about their health status.
Cultural assessments consist of? - answer Asking the patient and family about
preferences for food, bathing, and personal care.
The information gathered from a physical assessment can be used for what? - answer
Determining PT's level of health, nursing diagnoses, identifying specific body areas
needing additional testing were examination, evaluating the effectiveness of prescribed
treatment, noticing changes in body function, finding signs of abuse.
The physical assessment can be performed where? - answer Hospitals, health centers,
clinics, schools, long-term care facilities, and physicians' offices.
We ask before touching because? - answer Many Cultures, including those of India,
China, and the Arab countries, do not permit the male outside the family to touch a
female.
The patient is seen with a new problem or illness what questions should be asked? -
answer What is the problem?
, Fundamentals: Chapter 22 assessing
health status
When did it start?
How did it start?
Are the symptoms getting worse or remaining the same?
How often do the symptoms occur?
If there is pain where is it?
What, if anything, seems to relieve your symptoms?
In addition to interviewing and communication skills when taking an assessment, Which
of your senses are used?, Which two are the most helpful? - answer Sight, hearing,
smell, and touch.
The most helpful is the sense of sight and then touch.
As nurses we should use inspection to make observations about the patient's ? -
answer Contours of the body, General appearance, skin tone and color, rashes, scars
and lesions.
Palpation? - answer Palpation involves using the hands to feel various parts of the
body.
Palpation can be used to detect what? - answer The size, shape, and positional parts of
the body and the texture, temperature, and moisture of the skin.
Palpation is used to ascertain What? - answer Muscle spasms or rigidity, pain, swelling
or a growth, Any restriction and movement of a body part, skin temperature, turgor, and
edema.
What part of the hand is used to assess differences in skin temperature? - answer The
backs of the hands and fingers.
When palpating the abdomen to find pain for tender areas or to locate masses or
abnormal collections of fluid what is the rule of thumb? - answer Use the parents of the
fingers lightly and only enough pressure exerted to lightly indent the skin about 1 to 2
cm.
What constitutes deep palpitation? - answer The pressing the skin 4 to 5 cm with one or
both hands.
Percussion? - answer Percussion involves slight, quick tapping on the body surface to
produce sounds. Variations in these sounds reflect the characteristics of the organs or
structures below the surface.
The most common Locations for Percussion are? - answer The chest and abdomen.
health status
As a nurse you are expected to be able to assess what? - answer Lung sounds, identify
abnormal heart sounds, determine when something might be wrong abdomen, monitor
circulatory status, to technological changes, note skin problems, and recognize signs
and symptoms of problems and anybody system.
A quick focus assessment of all body systems is performed For each patient when? -
answer the beginning of each shift.
Physical examinations may be required for? - answer Entry into schools, issuance of
insurance policies, for employment, for particular types of drivers license, and for
induction into military service.
A complete physical examination is performed on patients who seek regular medical
care every? - answer 1 to 5 years, depending on age and health condition.
Along with the physical examination, what else are you expected to obtain? - answer
Some historical data concerning the patient's past and present state of health.
to provide holistic care for a patient rather than just focusing on physical need you must
also? - answer Be aware of how the illnesses affecting the patient's life.
When asking the patient questions you should Phrase them how? - answer In a
positive, nonthreatening way.
When patients are first encountered what should you observe? - answer Behavior and
appearance, start to form an opinion about their health status.
Cultural assessments consist of? - answer Asking the patient and family about
preferences for food, bathing, and personal care.
The information gathered from a physical assessment can be used for what? - answer
Determining PT's level of health, nursing diagnoses, identifying specific body areas
needing additional testing were examination, evaluating the effectiveness of prescribed
treatment, noticing changes in body function, finding signs of abuse.
The physical assessment can be performed where? - answer Hospitals, health centers,
clinics, schools, long-term care facilities, and physicians' offices.
We ask before touching because? - answer Many Cultures, including those of India,
China, and the Arab countries, do not permit the male outside the family to touch a
female.
The patient is seen with a new problem or illness what questions should be asked? -
answer What is the problem?
, Fundamentals: Chapter 22 assessing
health status
When did it start?
How did it start?
Are the symptoms getting worse or remaining the same?
How often do the symptoms occur?
If there is pain where is it?
What, if anything, seems to relieve your symptoms?
In addition to interviewing and communication skills when taking an assessment, Which
of your senses are used?, Which two are the most helpful? - answer Sight, hearing,
smell, and touch.
The most helpful is the sense of sight and then touch.
As nurses we should use inspection to make observations about the patient's ? -
answer Contours of the body, General appearance, skin tone and color, rashes, scars
and lesions.
Palpation? - answer Palpation involves using the hands to feel various parts of the
body.
Palpation can be used to detect what? - answer The size, shape, and positional parts of
the body and the texture, temperature, and moisture of the skin.
Palpation is used to ascertain What? - answer Muscle spasms or rigidity, pain, swelling
or a growth, Any restriction and movement of a body part, skin temperature, turgor, and
edema.
What part of the hand is used to assess differences in skin temperature? - answer The
backs of the hands and fingers.
When palpating the abdomen to find pain for tender areas or to locate masses or
abnormal collections of fluid what is the rule of thumb? - answer Use the parents of the
fingers lightly and only enough pressure exerted to lightly indent the skin about 1 to 2
cm.
What constitutes deep palpitation? - answer The pressing the skin 4 to 5 cm with one or
both hands.
Percussion? - answer Percussion involves slight, quick tapping on the body surface to
produce sounds. Variations in these sounds reflect the characteristics of the organs or
structures below the surface.
The most common Locations for Percussion are? - answer The chest and abdomen.
