NUR 350 HEALTH ASSESSMENT MIDTERM
EXAM QUESTIONS AND ANSWERS
Biomedical Approach - ANSWER The Health approach in which the focus was
on the treatment of disease and health was considered the absence of disease
and that's it.
Behavioural Approach - ANSWER Health approach in which there was more
going on than just the absence of disease; also behavioural factors at play (i.e.
smoking). The belief is that if we could teach people how to stay healthy
themselves then they would.
Socioenvironmental Approach - ANSWER Health approach in which the
belief was that the higher income, well-educated Canadians were the ones that
the behavioural approach would affect most.
Subjective Data (symptoms)
and
Objective Data (signs) - ANSWER What kind of data does a nursing health
assessment involve? (2 types)
Subjective Data - ANSWER Symptoms; type of data; what the family/person
says about the patient/themselves.
Objective Data - ANSWER Signs; the type of data you will find in a physical
assessment.
,Unless we have the full subjective piece, we cannot see the whole picture.
Therefore the subjective piece is just as important as the objective piece; we
need both in order to treat the patient. - ANSWER What is more important -
subjective or objective data?
1) Assess - collect data regarding the client's condition
2) Diagnose - analyze data to identify the client's problems
3) Plan - establish goals of care and desired outcomes and identify appropriate
nursing actions
4) Implement - carry out the nursing actions identified in planning
5) Evaluate - determine if goals met and outcome achieved - ANSWER What
are the 5 steps of the nursing process?
- Biographical data (i.e. name, address, gender identity, marital status)
- Etiology of history (who gave the history)
- Chief complaint (in their words)
Current illness history (PQRSTU-AAA)
Past history (childhood diseases, injuries, surgeries, etc.)
Family history (generally blood relatives)
Systems review
Functional assessment (ADLs and IADLs).
- ANSWER What are some of the things you'll collect during the subjective
part of a complete health history?
P - provoke
Q - quality and/or quantity
R - region and/or radiation
, S - severity
T - timing
U - understand the patient's perspective
A - associated factors
A - alleviating factors
A - aggravating factors - ANSWER What does PQRSTU-AAA stand for?
Vital signs, measurements (head circumference, weight, height, etc.), IPPA
(inspection, palpitation, percussion, and inspection). - ANSWER What kind of
data will you collect during the physical examination portion of a total health
assessment?
1. Outline the site/size of an organ.
2. Give information about the density of a structure.
3. Identify a mass.
4. Produce pain.
5. Obtain deep tendon reflexes. - ANSWER What is percussion used for?
Resonant (hollow, air-filled) and dullness (muffled thud). - ANSWER What
are two common percussion notes?
The initial impression when you enter the room and it includes:
1) Physical Appearance - i.e. LOC, skin colour, facial features, signs of distress
2) Body Structure - i.e. symmetry, posture, position
3) Mobility - i.e gait, ROM
EXAM QUESTIONS AND ANSWERS
Biomedical Approach - ANSWER The Health approach in which the focus was
on the treatment of disease and health was considered the absence of disease
and that's it.
Behavioural Approach - ANSWER Health approach in which there was more
going on than just the absence of disease; also behavioural factors at play (i.e.
smoking). The belief is that if we could teach people how to stay healthy
themselves then they would.
Socioenvironmental Approach - ANSWER Health approach in which the
belief was that the higher income, well-educated Canadians were the ones that
the behavioural approach would affect most.
Subjective Data (symptoms)
and
Objective Data (signs) - ANSWER What kind of data does a nursing health
assessment involve? (2 types)
Subjective Data - ANSWER Symptoms; type of data; what the family/person
says about the patient/themselves.
Objective Data - ANSWER Signs; the type of data you will find in a physical
assessment.
,Unless we have the full subjective piece, we cannot see the whole picture.
Therefore the subjective piece is just as important as the objective piece; we
need both in order to treat the patient. - ANSWER What is more important -
subjective or objective data?
1) Assess - collect data regarding the client's condition
2) Diagnose - analyze data to identify the client's problems
3) Plan - establish goals of care and desired outcomes and identify appropriate
nursing actions
4) Implement - carry out the nursing actions identified in planning
5) Evaluate - determine if goals met and outcome achieved - ANSWER What
are the 5 steps of the nursing process?
- Biographical data (i.e. name, address, gender identity, marital status)
- Etiology of history (who gave the history)
- Chief complaint (in their words)
Current illness history (PQRSTU-AAA)
Past history (childhood diseases, injuries, surgeries, etc.)
Family history (generally blood relatives)
Systems review
Functional assessment (ADLs and IADLs).
- ANSWER What are some of the things you'll collect during the subjective
part of a complete health history?
P - provoke
Q - quality and/or quantity
R - region and/or radiation
, S - severity
T - timing
U - understand the patient's perspective
A - associated factors
A - alleviating factors
A - aggravating factors - ANSWER What does PQRSTU-AAA stand for?
Vital signs, measurements (head circumference, weight, height, etc.), IPPA
(inspection, palpitation, percussion, and inspection). - ANSWER What kind of
data will you collect during the physical examination portion of a total health
assessment?
1. Outline the site/size of an organ.
2. Give information about the density of a structure.
3. Identify a mass.
4. Produce pain.
5. Obtain deep tendon reflexes. - ANSWER What is percussion used for?
Resonant (hollow, air-filled) and dullness (muffled thud). - ANSWER What
are two common percussion notes?
The initial impression when you enter the room and it includes:
1) Physical Appearance - i.e. LOC, skin colour, facial features, signs of distress
2) Body Structure - i.e. symmetry, posture, position
3) Mobility - i.e gait, ROM
