SLCC Health Assessment Exam 1 UPDATED
ACTUAL Questions and CORRECT
Answers
A nurse collects data. Subjective (what the patient tells you) and objective (data/facts we can
observe)
A good nursing judgement is when data collection is ___ - CORRECT ANSWER -
Adequate and accurate
-able to know and pick up on signs patient may have to be able to diagnose correctly. Will then
be able to educate patient.
What happens when data collected is inadequate and inaccurate? - CORRECT ANSWER -
Miscalculations and errors
-this will then affect the rest of the phases due to incorrect nursing judgement. examples,
incorrect diagnoses, planning, implementation, and evaluation.
-Avoid leading to ineffective patient care, injuries, and possible death
A good health assessment is (1-4)
1. ____and ___. examples?
2. - CORRECT ANSWER - 1) -ongoing and -continuous
examples: call light close to patient, bed railing up or down, any distractors, anything to cause
fall risk.
2)Analyze and synthesize data.
A good health assessment is also
3. make judgements about effectiveness of nursing interventions
,meaning? - CORRECT ANSWER - if we discover patient has a fall risk. As a nurse
intervention will be making sure patient doesn't go to bathroom alone. Has call light close in case
they need to get up, nothing on the floor that may cause potential fall
4. Evaluate outcomes - CORRECT ANSWER - Where the interventions put in place
affective or not.
In the nursing process you start with __ - CORRECT ANSWER - Assessment
Now base on the assessment you will be able to make a nursing ___
#2 of nursing process. - CORRECT ANSWER - diagnosing
Now base upon assessment and diagnosing. In this case fall risk is the diagnoses. We will then
make a __
#3 of nursing process - CORRECT ANSWER - Plan
-ways to make sure patient doesn't fall
Once a plan has been made with the patient to avoid a fall. We will then be able to _____
#4 of nursing process - CORRECT ANSWER - Implement
-put things into practice
#5 of nursing process is - CORRECT ANSWER - evaluation
-evaluate everything that has been done so far. Is the plan working or not working?
Which two in nursing process are ongoing processes and separate phases along the way. Going
back and fourth. - CORRECT ANSWER - we are ALWAYS doing
Assessment and
evaluation
, What are the types of assessments? - CORRECT ANSWER - Initial Comprehensive
ongoing
Focused
emergency
Which type of assessment?
Type when we first meet patient. any environment (nursing home, hospital). Collect ALL data.
subjective-client's perception of his/her health of all body parts or systems. Collection of
objective data gathered during step by step physical examination. Evaluate the client's health
status to identify functional health patterns that are problematic, and to establish baseline data
against which future health status changes can be measured and compared.
-FH, PMH, SH - CORRECT ANSWER - Initial Comprehensive Assesment
Which type of assessment?
-quick priority assessment. going over key steps.
Data collection that occurs after the comprehensive database is established. performed wherever
and whenever the nurse, or another health care professional has an encounter with the client. -
CORRECT ANSWER - ongoing assessment
what type of assessment?
-might see in the clinic
A thorough assessment of a particular client problem and does not address areas not related to the
problem. This type of assessment has a narrower scope and a shorter time frame than the initial
assessment. Nurses determine whether the problems still exists and whether the status of the
problem has changed, improved, worsened, resolved - CORRECT ANSWER - Focussed
assessment
Which type of assessment?
is a very rapid assessment performed in life-threatening situations. Immediate assessment is
needed to provide prompt treatment. - CORRECT ANSWER - emergency assessment.
Which type of assessment?
ACTUAL Questions and CORRECT
Answers
A nurse collects data. Subjective (what the patient tells you) and objective (data/facts we can
observe)
A good nursing judgement is when data collection is ___ - CORRECT ANSWER -
Adequate and accurate
-able to know and pick up on signs patient may have to be able to diagnose correctly. Will then
be able to educate patient.
What happens when data collected is inadequate and inaccurate? - CORRECT ANSWER -
Miscalculations and errors
-this will then affect the rest of the phases due to incorrect nursing judgement. examples,
incorrect diagnoses, planning, implementation, and evaluation.
-Avoid leading to ineffective patient care, injuries, and possible death
A good health assessment is (1-4)
1. ____and ___. examples?
2. - CORRECT ANSWER - 1) -ongoing and -continuous
examples: call light close to patient, bed railing up or down, any distractors, anything to cause
fall risk.
2)Analyze and synthesize data.
A good health assessment is also
3. make judgements about effectiveness of nursing interventions
,meaning? - CORRECT ANSWER - if we discover patient has a fall risk. As a nurse
intervention will be making sure patient doesn't go to bathroom alone. Has call light close in case
they need to get up, nothing on the floor that may cause potential fall
4. Evaluate outcomes - CORRECT ANSWER - Where the interventions put in place
affective or not.
In the nursing process you start with __ - CORRECT ANSWER - Assessment
Now base on the assessment you will be able to make a nursing ___
#2 of nursing process. - CORRECT ANSWER - diagnosing
Now base upon assessment and diagnosing. In this case fall risk is the diagnoses. We will then
make a __
#3 of nursing process - CORRECT ANSWER - Plan
-ways to make sure patient doesn't fall
Once a plan has been made with the patient to avoid a fall. We will then be able to _____
#4 of nursing process - CORRECT ANSWER - Implement
-put things into practice
#5 of nursing process is - CORRECT ANSWER - evaluation
-evaluate everything that has been done so far. Is the plan working or not working?
Which two in nursing process are ongoing processes and separate phases along the way. Going
back and fourth. - CORRECT ANSWER - we are ALWAYS doing
Assessment and
evaluation
, What are the types of assessments? - CORRECT ANSWER - Initial Comprehensive
ongoing
Focused
emergency
Which type of assessment?
Type when we first meet patient. any environment (nursing home, hospital). Collect ALL data.
subjective-client's perception of his/her health of all body parts or systems. Collection of
objective data gathered during step by step physical examination. Evaluate the client's health
status to identify functional health patterns that are problematic, and to establish baseline data
against which future health status changes can be measured and compared.
-FH, PMH, SH - CORRECT ANSWER - Initial Comprehensive Assesment
Which type of assessment?
-quick priority assessment. going over key steps.
Data collection that occurs after the comprehensive database is established. performed wherever
and whenever the nurse, or another health care professional has an encounter with the client. -
CORRECT ANSWER - ongoing assessment
what type of assessment?
-might see in the clinic
A thorough assessment of a particular client problem and does not address areas not related to the
problem. This type of assessment has a narrower scope and a shorter time frame than the initial
assessment. Nurses determine whether the problems still exists and whether the status of the
problem has changed, improved, worsened, resolved - CORRECT ANSWER - Focussed
assessment
Which type of assessment?
is a very rapid assessment performed in life-threatening situations. Immediate assessment is
needed to provide prompt treatment. - CORRECT ANSWER - emergency assessment.
Which type of assessment?
