NUR-643 Health Assessment Exam Questions with complete solutions 2025.

NUR-643 .Health .Assessment .Quiz .Study .Guide

1. The . sequence . of ÏGreeting .the .Patient .and .Establishing .Rapport
the .health .history . ÏEstablishing .the .Agenda
interview IÏnviting .the .Patient's .Story
ÏExploring .the .Patient's .Perspective
IÏdentifying .and .Responding .to .the .Patient's .Emotional .Cues
.ÏExpanding .and .Clarifying .the .Patient's .Story .- .OPQRST

.ÏGenerating .and .Testing .Diagnostic .Hypotheses

ÏSharing .the .Treatment .Plan
.ÏClosing .the .Interview .and .the .Visit

.ÏTaking .Time .for .Self-Reflection




2. Subjective . Data ÏWhat .the .patient .tells .you
ÏThe .symptoms .and .history, .from .Chief .Complaint .through .Review .of .Systems
.ÏExample: .Mrs. .G. .is .a .54-year-old .hairdresser .who .reports .pressure .over .her .left

.chest ."like .an .elephant .sitting .there," .which .goes .into .her .left .neck .and .arm.




3. Objective . Data ÏWhat .you .detect .during .the .examination, .laboratory .information, .and .test .data
ÏAll .physical .examination .findings, .or .signs
ÏExample: .Mrs. .G. .is .an .older, .overweight .white .female, .who .is .pleasant .and
.cooperative. .Height .5′4″, .weight .150 .lbs, .BMI .26, .BP .160/80, .HR .96 .and .regular,

.respiratory .rate .24, .temperature .97.5 .°




4. Components .of IÏdentifying .data .and .source .of .the .history; .reliability
.the .Adult .Health ÏChief .complaint(s)
.ÏPresent .illness
.History

.ÏPast .history

.ÏFamily .history

ÏPersonal .and .social .history
ÏReview.of .systems

5. The .Silent .Patient .Be .attentive .and .respectful, .and .encourage .the .patient .to .continue .when .ready.
.Watch .the .patient .closely .for .nonverbal .cues, .such .as .difficulty .controlling

.emotions.

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, NUR-643 .Health .Assessment .Quiz .Study .Guide

Being .comfortable .with .periods .of .silence .may .be .therapeutic, .prompting .the
.patient .to .reveal .deeper .feelings.




6. The .Confusing Just .as .you .develop .a .ditterential .diagnosis .from .the .symp-toms .of .the .Present
.Illness, .keep .several .possibilities .in .mind .as .you .assess .why .the .story .is
.Patient

.confusing. .It .may .be .the .patient's .style, .and .by .using .your .skills .of .guiding

.questions, .clar- .ification, .and .summarizing, .you .can .put .together .a .coherent

.story. .Watch .for .an .underlying .issue, .however, .that .is .interfering .with

.communication.

Consider .delirium .in .acutely .ill .or .intoxicated .patients .and .dementia .in .the .elderly.
.Their .histories .are .inconsistent .and .dates .are .hard .to .follow. .Some .may .even

.confabulate .to .fill .in .the .gaps .in .their .memories.

If .you .suspect .a .psychiatric .or .neurologic .disorder, .gathering .a .detailed .history .can
. tire .and .frustrate .both .you .and .the .patient. .Shift .to .the .mental .status .exami-

nation, .focusing .on .level .of .consciousness, .orientation, .memory, .and .capacity .to
.under- .stand. .You .can .ease .this .transition .by .asking .questions .like ."When .was

.your .last .appointment .at .the .clinic? .Let's .see .. .. .. .that .was .about .how .long .ago?"

."Your .address .now .is .. .. .. .? .. .. .. .and .your .phone .number?" .You .can .confirm .these

.responses .in .the .chart .or .ask .permission .to .speak .with .family .members .or

.friends .to .obtain .their .perspectives

7. The .Patient .with
Under .these .circumstances, .you .will .need .to .obtain .historical .information .from
Altered .Cognition .other .sources .such .as .family .members .or .caregivers. .Always .seek .the .best-in-
.formed .source. .Apply .the .basic .principles .of .interviewing .to .your .conversations

.with .relatives .or .friends. .Find .a .private .place .to .talk. .Introduce .yourself, .state .your

purpose, .inquire .how .they .are .feeling .under .the .circumstances, .and .recognize .and
.acknowledge .their .concerns. .As .you .listen .to .their .accounts, .assess .their .credibility

. in .light .of .the .quality .of .their .relationship .with .the .patient. .Establish .how .they

.know .the .patient. .For .example, .when .a .child .is .brought .in .for .health .care, .the

.accompanying .adult .may .not .be .the .parent .or .caregiver, .but .just .the .most .available

.driver. .Remember .that .while .you .are .gathering .information .about .the .history, .you

. should .not .disclose .information .about .the .patient .unless .the .informant .is .the



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