COMPREHENSIVE HEALTH EXAM 2025
QUESTIONS AND ANSWERS
What are the 3 components of health assessment? - ANS Health history, physical
examination, documentation
What types of data are collected in health assessment? - ANS Subjective data: Known as
symptoms, the data that is obtained from the patient in the health history.
Objective data: Also known as signs. The data that is obtained from the physical examination of
the patient after subjective is collected.
What are signs vs. symptoms? - ANS Signs are observed, felt, heard, measured. Ex, rash,
enlarged lymph nodes ans swelling.
Symptoms: perceived and reported by the patient. Ex: pain, itching, nausea.
What are the three levels of prevention? - ANS Primary prevention: prevent a a disease from
developing through the promotion of healthy lifestyles.
Secondary prevention: screening efforts to promote early detection of disease.
Tertiary prevention: minimizing the disability from acute or chronic disease or injury and
helping the patient to maximize death.
Cultural Competence - ANS Nurses who are culturally competent have the ability to respect
patients as unique persons; to assess their beliefs, values, preferences and needs; and to
determine the meaning of their illness
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,Cultural Competence-Knowledge - ANS gaining info about cultural differences and values
that can be acquired through training and education and by talking with people from different
cultures about their beliefs and practices.
Cultural Competence-Consideration - ANS implemented after knowledge, acquired when
nurses use knowledge of patients' and others' languages, practices, and customs in providing
care
Cultural Competence-Understading - ANS involves thoughtful consideration of the effects
and importance of another's values and experiences
Cultural Competence-Respect - ANS is communicated when nurses show appreciation and
regard for patient's cultural differences and for other nurses with whom they work
Cultural Competence-Tailoring - ANS adapting interactions based on cultural practices and
beliefs of others
What are all the components of a health history? - ANS Biographic data, Chief Complaint (CC)
or reason for seeking care, History of Present Illness (HPI), Present Health Status, Past Health
History, Personal & Psych. History Family History, ROS
Sources of data and reliability of informant - ANS The patient or a family member, patient is
very reliable but a family member may not be as reliable.
Comprehensive Health History - ANS detailed history and physical examination performed at
the onset of care in a primary care setting or on admission to a hospital or long term care
facility
Problem-based/focused Health History - ANS involves a history and examination that are
limited to a specific problem or complaint
(e.g. sprained ankle). Most commonly used in walk in clinics or the emergency department
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, Episodic/follow up Health History - ANS usually done when a patient is following up with a
health care provider for a previously identified problem. Ex: patient treated for pneumonia
asked to return after a completed treatment of antibiotics. Also someone with diabetes will be
asked to return for regular visits.
Shift Health History - ANS nurses conduct assessments each shift. Purpose is to identify any
changes in a patient's condition from baseline. Based on the problem the patient is
experiencing
Screening Health History - ANS short exam focused on disease detection. Performed in a
health care provider's \office or a health fair. Ex: BP screening, glucose-screening, cholesterol
screening, and colorectal screening.
Communication techniques that enhance or diminish data collection - ANS Enhance: Active
listening, facilitation (encourage patients to continue talking, ex: go on? Then? Head nodding),
Clarification (What do you mean by..?), restatement, reflection (asking the patient to clarify the
statement they said), confrontation (when inconsistencies are noted between the patient
report and the objective data), interpretation (conclusions of the data they have drawn from
the patient), summary (condenses and orders data obtained)
Diminish: : Using medical terminology, expressing value judgements (you do use protection
during intercourse, don't you? That's being judgmental), interrupting the patient, being
authoritarian or paternalistic ( I know what is best for you and you should do what I say), using
"why" questions
What is Doppler? - ANS Amplifies sounds difficult to hear with an acoustic stethoscope.
Ultrasound basically. Vascular sounds
What is pulse oximeter? - ANS used to measure oxygen saturation in arteriole blood, consists
of a LED probe connected by a cable to a monitor which shines light that reflects off oxygenated
and deoxygenated hemoglobin in blood
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QUESTIONS AND ANSWERS
What are the 3 components of health assessment? - ANS Health history, physical
examination, documentation
What types of data are collected in health assessment? - ANS Subjective data: Known as
symptoms, the data that is obtained from the patient in the health history.
Objective data: Also known as signs. The data that is obtained from the physical examination of
the patient after subjective is collected.
What are signs vs. symptoms? - ANS Signs are observed, felt, heard, measured. Ex, rash,
enlarged lymph nodes ans swelling.
Symptoms: perceived and reported by the patient. Ex: pain, itching, nausea.
What are the three levels of prevention? - ANS Primary prevention: prevent a a disease from
developing through the promotion of healthy lifestyles.
Secondary prevention: screening efforts to promote early detection of disease.
Tertiary prevention: minimizing the disability from acute or chronic disease or injury and
helping the patient to maximize death.
Cultural Competence - ANS Nurses who are culturally competent have the ability to respect
patients as unique persons; to assess their beliefs, values, preferences and needs; and to
determine the meaning of their illness
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
,Cultural Competence-Knowledge - ANS gaining info about cultural differences and values
that can be acquired through training and education and by talking with people from different
cultures about their beliefs and practices.
Cultural Competence-Consideration - ANS implemented after knowledge, acquired when
nurses use knowledge of patients' and others' languages, practices, and customs in providing
care
Cultural Competence-Understading - ANS involves thoughtful consideration of the effects
and importance of another's values and experiences
Cultural Competence-Respect - ANS is communicated when nurses show appreciation and
regard for patient's cultural differences and for other nurses with whom they work
Cultural Competence-Tailoring - ANS adapting interactions based on cultural practices and
beliefs of others
What are all the components of a health history? - ANS Biographic data, Chief Complaint (CC)
or reason for seeking care, History of Present Illness (HPI), Present Health Status, Past Health
History, Personal & Psych. History Family History, ROS
Sources of data and reliability of informant - ANS The patient or a family member, patient is
very reliable but a family member may not be as reliable.
Comprehensive Health History - ANS detailed history and physical examination performed at
the onset of care in a primary care setting or on admission to a hospital or long term care
facility
Problem-based/focused Health History - ANS involves a history and examination that are
limited to a specific problem or complaint
(e.g. sprained ankle). Most commonly used in walk in clinics or the emergency department
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
, Episodic/follow up Health History - ANS usually done when a patient is following up with a
health care provider for a previously identified problem. Ex: patient treated for pneumonia
asked to return after a completed treatment of antibiotics. Also someone with diabetes will be
asked to return for regular visits.
Shift Health History - ANS nurses conduct assessments each shift. Purpose is to identify any
changes in a patient's condition from baseline. Based on the problem the patient is
experiencing
Screening Health History - ANS short exam focused on disease detection. Performed in a
health care provider's \office or a health fair. Ex: BP screening, glucose-screening, cholesterol
screening, and colorectal screening.
Communication techniques that enhance or diminish data collection - ANS Enhance: Active
listening, facilitation (encourage patients to continue talking, ex: go on? Then? Head nodding),
Clarification (What do you mean by..?), restatement, reflection (asking the patient to clarify the
statement they said), confrontation (when inconsistencies are noted between the patient
report and the objective data), interpretation (conclusions of the data they have drawn from
the patient), summary (condenses and orders data obtained)
Diminish: : Using medical terminology, expressing value judgements (you do use protection
during intercourse, don't you? That's being judgmental), interrupting the patient, being
authoritarian or paternalistic ( I know what is best for you and you should do what I say), using
"why" questions
What is Doppler? - ANS Amplifies sounds difficult to hear with an acoustic stethoscope.
Ultrasound basically. Vascular sounds
What is pulse oximeter? - ANS used to measure oxygen saturation in arteriole blood, consists
of a LED probe connected by a cable to a monitor which shines light that reflects off oxygenated
and deoxygenated hemoglobin in blood
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 3
