Nur 118 Quiz 1 exam with complete
solutions
Health |assessment |refers |to |a |what |type |of |method? |- |CORRECT |ANSWER✔✔-systematic |
method |of |collecting |and |analyzing |data |for |the |purpose |of |planning |patient |centered |care.
One |approach |is |to |developing |the |plan |of |care |is |using |__ |and |what |are |they? |- |CORRECT |
ANSWER✔✔-the |ANA |(American |Nurses |Association |standards |of |practice
1) |Assessment: |The |RN |collect |comprehensive |data |pertinent |to |the |patients |health |and/or |
situation. |ex; |ask |question |using |Gordons |Assessment |Tool
- |2) |Diagnosis: |the |RN |analyzes |the |assessment |data |to |determine |the |diagnosis |or |issues
- |3) |Outcomes |Identification:The |RN |identifies |expected |outcomes |for |a |plan |individualized |to |
the |patient |or |the |situation. |ex; |patient |w/ |knee |replacement |will |walk |100 |ft.
- |4) |Planning: |The |RN |develops |a |plan |that |prescribes |strategies |and |alternatives |to |attain |
expected |outcomes
-5) |Implementation: |The |RN |implements |the |identified |plan |.ex; |range |of |motinon |3 |times |a |
day
| 5a) |Coordination |of |Care
| 5b) |Health |Teaching |and |Health |Promotion
|5c) |Consultation: |the |graduate |level- |prepared |speacialty |nurse |or |advanced |practice |RN |
provides |consultation |to |influence |the |identified |plan, |enhance |the |abilities |of |others, |and |
effect |change. |
| 5d) |Prescriptive |authority |and |treatment: |
6) |Evaluation |
- |The |institute |of |Medicine |identified |5 |core |competencies |as |essential |for |health |care |
professionals |to |demonstrate |so |they |might |respond |effectively |to |patient |care |needs
| 1) |provide |patient |centered |care
| 2) |work |interdisciplinary |teams
| 3) |Use |evidenced-based |practice
,| 4) |apply |quality |improvements
| 5) |informatics
Components |of |Health |Assessment |are? |- |CORRECT |ANSWER✔✔-- |The |components |include |
conducting |health |history |(collecting |subjective |data) |ex |collect |info |from |the |patient |like |
symptoms
- |performing |a |physical |examination |(collecting |objective |data) |which |can |be |measured
- |documenting |the |findings
Health |History |
- |includes |info |about |the |patients |- |CORRECT |ANSWER✔✔-includes |info |about |the |patients |
current |state |of |health, |meds, |previous |illness, |surgeries, |and |family |history, |and |review |of |
systems
-symptoms |subjective |data |perceived |and |reported |by |the |patient. |ex; |pain, |itching, |nausea
-signs |are |objective |data |observed, |felt, |heard |or, |measured. |ex; |rash, |enlarged |lymph |
node,and |swelling |of |extremity
Physical |Examination |
- |this |involves |the |collection |of |- |CORRECT |ANSWER✔✔-...
Clinical |manifestation |- |CORRECT |ANSWER✔✔-term |often |use |to |describe |the |presenting |signs
|and |symptoms |experienced |by |the |patient
Documentation |of |Data |
serves |as |a? |- |CORRECT |ANSWER✔✔-serves |as |a |legal |permanent |record
- |serves |as |a |baseline |to |evaluate |subsequent |change
,Types |of |Health |Assesment |- |CORRECT |ANSWER✔✔-Context |Care
| Comprehensive |assessment
problem-based/focused |assessment
Episoidic/follow |up |assessment-
Shift |assessment
Screening |assessment
Context |Care |- |CORRECT |ANSWER✔✔-involves |a |detailed |history |and |physical |examination |
performed |at |the |onset |of |care |in |a |primary |care |setting |or |at |admission |to |hospital |or |long |a |
hospital.
encompasses
health |problems |experienced |by |the |patient
health |promotion
disease |prevention
assessment |for |problems |associated |w/ |known |risk |factors
assessment |for |age-age |gender-specific |health |problems
problem-based/focused |assessment |- |CORRECT |ANSWER✔✔-involves |a |history |and |
examination |that |are |limited |to |a |specific |problem |or |complaint. |mostly |commonly |used |in |a |
walk-in |clinic |or |emergency |department |but |may |it |may |also |be |applied |in |other |outpatient |
settings.
Episoidic/follow |up |assessment |- |CORRECT |ANSWER✔✔-type |of |assessment |is |usually |done |
when |patient |is |follow |up |w/ |health |care |provider |for |previous |identified |problem. |for |ex |a |
patient |w/ |pneumonia |might |be |asked |to |return |for |a |follow-up |visit |after |completion |of |
antibiotics. |Or |a |patient |on |going |condition |of |diabetes.
Shift |assessment |- |CORRECT |ANSWER✔✔-when |ind |are |hospitalized |nurses |conduct |
assessments |each |shift. |The |purpose |of |the |assessment |is |to |identify |changes |in |a |patients |
, condition |from |baseline; |thus |the |focus |of |the |assessment |is |largely |based |on |the |condition |or
|problem |the |patient |is |experiencing
Screening |assessment |- |CORRECT |ANSWER✔✔-is |a |short |examination |focused |on |disease |
detection. |this |may |be |performed |in |a |health |care |provider's |office |or |at |a |health |fair. |Ex |
include |bp |screening, |glucose |screening, |cholesterol |screening, |and |colorectal |screening.
core |physical |assessment |skills:
cardio |- |CORRECT |ANSWER✔✔-auscultate |hearts |sounds |and |apical |pulse |(mitral)
inspect |and |palpate |extremities |for |edema
palpate |for |temp
inspect |skin |color |and |hair |growth
core |physical |assessment |skills
Musculoskeletal |- |CORRECT |ANSWER✔✔-inspect |spine
assess |gait |(style |of |walking)
outcome |of |a |health |assessment |is |a |picture |of |the |patients |- |CORRECT |ANSWER✔✔-physical |
status, |strengths, |and |weaknesses |abilities, |support |sys, |health |beliefs |and |activities, |and |
activities |to |maintain |health |in |addition |to |their |lack |of |resources |for |maintaining |health
Data |Organization
after |collecting |data, |the |nurse |does |what |and |how |may |this |be |done? |- |CORRECT |
ANSWER✔✔-organizes |or |cluster |them |so |prob |appear |more |clearly
this |may |be |done |by |body |system |format |( |cardio, |musculoskeletal, |auditory |visual)
or |conceptual |formats |(oxygenation, |perfusion, |mobility)
Data |Analysis, |Interpretation, |and |Clinical |Judgement:
solutions
Health |assessment |refers |to |a |what |type |of |method? |- |CORRECT |ANSWER✔✔-systematic |
method |of |collecting |and |analyzing |data |for |the |purpose |of |planning |patient |centered |care.
One |approach |is |to |developing |the |plan |of |care |is |using |__ |and |what |are |they? |- |CORRECT |
ANSWER✔✔-the |ANA |(American |Nurses |Association |standards |of |practice
1) |Assessment: |The |RN |collect |comprehensive |data |pertinent |to |the |patients |health |and/or |
situation. |ex; |ask |question |using |Gordons |Assessment |Tool
- |2) |Diagnosis: |the |RN |analyzes |the |assessment |data |to |determine |the |diagnosis |or |issues
- |3) |Outcomes |Identification:The |RN |identifies |expected |outcomes |for |a |plan |individualized |to |
the |patient |or |the |situation. |ex; |patient |w/ |knee |replacement |will |walk |100 |ft.
- |4) |Planning: |The |RN |develops |a |plan |that |prescribes |strategies |and |alternatives |to |attain |
expected |outcomes
-5) |Implementation: |The |RN |implements |the |identified |plan |.ex; |range |of |motinon |3 |times |a |
day
| 5a) |Coordination |of |Care
| 5b) |Health |Teaching |and |Health |Promotion
|5c) |Consultation: |the |graduate |level- |prepared |speacialty |nurse |or |advanced |practice |RN |
provides |consultation |to |influence |the |identified |plan, |enhance |the |abilities |of |others, |and |
effect |change. |
| 5d) |Prescriptive |authority |and |treatment: |
6) |Evaluation |
- |The |institute |of |Medicine |identified |5 |core |competencies |as |essential |for |health |care |
professionals |to |demonstrate |so |they |might |respond |effectively |to |patient |care |needs
| 1) |provide |patient |centered |care
| 2) |work |interdisciplinary |teams
| 3) |Use |evidenced-based |practice
,| 4) |apply |quality |improvements
| 5) |informatics
Components |of |Health |Assessment |are? |- |CORRECT |ANSWER✔✔-- |The |components |include |
conducting |health |history |(collecting |subjective |data) |ex |collect |info |from |the |patient |like |
symptoms
- |performing |a |physical |examination |(collecting |objective |data) |which |can |be |measured
- |documenting |the |findings
Health |History |
- |includes |info |about |the |patients |- |CORRECT |ANSWER✔✔-includes |info |about |the |patients |
current |state |of |health, |meds, |previous |illness, |surgeries, |and |family |history, |and |review |of |
systems
-symptoms |subjective |data |perceived |and |reported |by |the |patient. |ex; |pain, |itching, |nausea
-signs |are |objective |data |observed, |felt, |heard |or, |measured. |ex; |rash, |enlarged |lymph |
node,and |swelling |of |extremity
Physical |Examination |
- |this |involves |the |collection |of |- |CORRECT |ANSWER✔✔-...
Clinical |manifestation |- |CORRECT |ANSWER✔✔-term |often |use |to |describe |the |presenting |signs
|and |symptoms |experienced |by |the |patient
Documentation |of |Data |
serves |as |a? |- |CORRECT |ANSWER✔✔-serves |as |a |legal |permanent |record
- |serves |as |a |baseline |to |evaluate |subsequent |change
,Types |of |Health |Assesment |- |CORRECT |ANSWER✔✔-Context |Care
| Comprehensive |assessment
problem-based/focused |assessment
Episoidic/follow |up |assessment-
Shift |assessment
Screening |assessment
Context |Care |- |CORRECT |ANSWER✔✔-involves |a |detailed |history |and |physical |examination |
performed |at |the |onset |of |care |in |a |primary |care |setting |or |at |admission |to |hospital |or |long |a |
hospital.
encompasses
health |problems |experienced |by |the |patient
health |promotion
disease |prevention
assessment |for |problems |associated |w/ |known |risk |factors
assessment |for |age-age |gender-specific |health |problems
problem-based/focused |assessment |- |CORRECT |ANSWER✔✔-involves |a |history |and |
examination |that |are |limited |to |a |specific |problem |or |complaint. |mostly |commonly |used |in |a |
walk-in |clinic |or |emergency |department |but |may |it |may |also |be |applied |in |other |outpatient |
settings.
Episoidic/follow |up |assessment |- |CORRECT |ANSWER✔✔-type |of |assessment |is |usually |done |
when |patient |is |follow |up |w/ |health |care |provider |for |previous |identified |problem. |for |ex |a |
patient |w/ |pneumonia |might |be |asked |to |return |for |a |follow-up |visit |after |completion |of |
antibiotics. |Or |a |patient |on |going |condition |of |diabetes.
Shift |assessment |- |CORRECT |ANSWER✔✔-when |ind |are |hospitalized |nurses |conduct |
assessments |each |shift. |The |purpose |of |the |assessment |is |to |identify |changes |in |a |patients |
, condition |from |baseline; |thus |the |focus |of |the |assessment |is |largely |based |on |the |condition |or
|problem |the |patient |is |experiencing
Screening |assessment |- |CORRECT |ANSWER✔✔-is |a |short |examination |focused |on |disease |
detection. |this |may |be |performed |in |a |health |care |provider's |office |or |at |a |health |fair. |Ex |
include |bp |screening, |glucose |screening, |cholesterol |screening, |and |colorectal |screening.
core |physical |assessment |skills:
cardio |- |CORRECT |ANSWER✔✔-auscultate |hearts |sounds |and |apical |pulse |(mitral)
inspect |and |palpate |extremities |for |edema
palpate |for |temp
inspect |skin |color |and |hair |growth
core |physical |assessment |skills
Musculoskeletal |- |CORRECT |ANSWER✔✔-inspect |spine
assess |gait |(style |of |walking)
outcome |of |a |health |assessment |is |a |picture |of |the |patients |- |CORRECT |ANSWER✔✔-physical |
status, |strengths, |and |weaknesses |abilities, |support |sys, |health |beliefs |and |activities, |and |
activities |to |maintain |health |in |addition |to |their |lack |of |resources |for |maintaining |health
Data |Organization
after |collecting |data, |the |nurse |does |what |and |how |may |this |be |done? |- |CORRECT |
ANSWER✔✔-organizes |or |cluster |them |so |prob |appear |more |clearly
this |may |be |done |by |body |system |format |( |cardio, |musculoskeletal, |auditory |visual)
or |conceptual |formats |(oxygenation, |perfusion, |mobility)
Data |Analysis, |Interpretation, |and |Clinical |Judgement: