Health Assessment (NUR 382): material for test 1
questions with correct answers
Principles of Setting Priorities Correct Answer-1. Complete a health
history
2. Determine whether any problems are related, and set priorities.
Steps to setting priorities Correct Answer-1. Assign a high priority to
first-level priority problems such as airway, breathing, and circulation.
2. Next attend to second-level priority problems, which include mental
status changes, acute pain, infection risk, abnormal laboratory values,
and elimination problems.
3. Address third-level priority problems such as lack of knowledge,
mobility problems, and family coping.
The ABC's - prioritizing Correct Answer-airway, breathing, circulation
First-level priority problems Correct Answer-First-level priority
problems are those that are emergent, life-threatening, and immediate,
such as establishing an airway or supporting breathing.
Second-level priority problems Correct Answer-Second-level priority
problems are those that are next in urgency—those requiring your
prompt intervention to forestall further deterioration (e.g., mental status
change, acute pain, acute urinary elimination problems, untreated
medical problems, abnormal laboratory values, risks of infection, or risk
to safety or security).
,Third-level priority problems Correct Answer-Third-level priority
problems are those that are important to the patient's health but can be
attended to after more urgent health problems are addressed.
Interventions to treat these problems are long term, and the response to
treatment is expected to take more time. These problems may require a
collaborative effort between the patient and health care professionals.
subjective data Correct Answer-what the person SAYS about himself or
herself during history taking
objective data Correct Answer-what you OBSERVE through
measurement, inspection, palpation, percussion, and auscultation
interview process/contract Correct Answer-•Time and place of interview
•Introduction of yourself and a brief explanation of your role
•The purpose of the interview
•How long it will take
-Expectation of participation for each person.
• Presence of any other people (e.g., family, other health professionals,
students).
•Confidentiality and to what extent it may be limited
-any costs to the patient
,successful interviews allow you to: Correct Answer-1. Gather complete
and accurate data about the person's health state, including the
description and chronology of any symptoms.
2. Establish trust so that the person feels accepted and thus free to share
all relevant data.
3. Teach the person about his or her health state.
4. Build rapport for a continuing therapeutic relationship.
5. Discuss health promotion and disease prevention
process of communication Correct Answer-sending
receiving
internal factors
external factors
sending Correct Answer-verbal communication and nonverbal
communication
tone of voice, body language, facial expressions, word choice, etc.
Receiving Correct Answer-Your words and gestures must be interpreted
by the receiver.
The receiver uses his or her own interpretations of your words. These
interpretations are based on past experiences, culture, and self-concept.
Physical and emotional states also play a role in a person's interpretation.
, Your context and that of the receiver may not coincide, which can cause
frustration and conflict.
internal factors Correct Answer-Internal factors are those specific to
you, the examiner. As you cultivate communication skills, you need to
focus on the four inner factors of:
liking others
empathy
the ability to listen
self-awareness.
external factors Correct Answer-1. ensure privacy
2. refuse interruptions
3. prepare the physical setting
open-ended questions Correct Answer-•Use for narrative information
•Elicits feelings, opinions, ideas
•Use to begin the interview and to introduce a new section of questions
closed-ended questions Correct Answer-•Use for specific information
•Calls for short one to two word answers
-Elicits cold facts
questions with correct answers
Principles of Setting Priorities Correct Answer-1. Complete a health
history
2. Determine whether any problems are related, and set priorities.
Steps to setting priorities Correct Answer-1. Assign a high priority to
first-level priority problems such as airway, breathing, and circulation.
2. Next attend to second-level priority problems, which include mental
status changes, acute pain, infection risk, abnormal laboratory values,
and elimination problems.
3. Address third-level priority problems such as lack of knowledge,
mobility problems, and family coping.
The ABC's - prioritizing Correct Answer-airway, breathing, circulation
First-level priority problems Correct Answer-First-level priority
problems are those that are emergent, life-threatening, and immediate,
such as establishing an airway or supporting breathing.
Second-level priority problems Correct Answer-Second-level priority
problems are those that are next in urgency—those requiring your
prompt intervention to forestall further deterioration (e.g., mental status
change, acute pain, acute urinary elimination problems, untreated
medical problems, abnormal laboratory values, risks of infection, or risk
to safety or security).
,Third-level priority problems Correct Answer-Third-level priority
problems are those that are important to the patient's health but can be
attended to after more urgent health problems are addressed.
Interventions to treat these problems are long term, and the response to
treatment is expected to take more time. These problems may require a
collaborative effort between the patient and health care professionals.
subjective data Correct Answer-what the person SAYS about himself or
herself during history taking
objective data Correct Answer-what you OBSERVE through
measurement, inspection, palpation, percussion, and auscultation
interview process/contract Correct Answer-•Time and place of interview
•Introduction of yourself and a brief explanation of your role
•The purpose of the interview
•How long it will take
-Expectation of participation for each person.
• Presence of any other people (e.g., family, other health professionals,
students).
•Confidentiality and to what extent it may be limited
-any costs to the patient
,successful interviews allow you to: Correct Answer-1. Gather complete
and accurate data about the person's health state, including the
description and chronology of any symptoms.
2. Establish trust so that the person feels accepted and thus free to share
all relevant data.
3. Teach the person about his or her health state.
4. Build rapport for a continuing therapeutic relationship.
5. Discuss health promotion and disease prevention
process of communication Correct Answer-sending
receiving
internal factors
external factors
sending Correct Answer-verbal communication and nonverbal
communication
tone of voice, body language, facial expressions, word choice, etc.
Receiving Correct Answer-Your words and gestures must be interpreted
by the receiver.
The receiver uses his or her own interpretations of your words. These
interpretations are based on past experiences, culture, and self-concept.
Physical and emotional states also play a role in a person's interpretation.
, Your context and that of the receiver may not coincide, which can cause
frustration and conflict.
internal factors Correct Answer-Internal factors are those specific to
you, the examiner. As you cultivate communication skills, you need to
focus on the four inner factors of:
liking others
empathy
the ability to listen
self-awareness.
external factors Correct Answer-1. ensure privacy
2. refuse interruptions
3. prepare the physical setting
open-ended questions Correct Answer-•Use for narrative information
•Elicits feelings, opinions, ideas
•Use to begin the interview and to introduce a new section of questions
closed-ended questions Correct Answer-•Use for specific information
•Calls for short one to two word answers
-Elicits cold facts
