NURS 3120: HEALTH ASSESSMENT
QUIZ 1 WITH CORRECT ANSWERS
Health assessment - ANSWER-A systematic method of collecting and analyzing data,
used to create a patient-centered plan of care, provides consistency in examination and
approach, promoting healing and prevention of illness
Steps of the nursing process - ANSWER-Assessment
Diagnosis
Planning
Implementation
Evaluation
(A Delicious PIE)
Or
Assessment, Analysis, Planning, Implementation, Evaluation (An Apple PIE)
Documentation of data - ANSWER-Improves plan of care, legal document of patient's
health status, baseline for evaluation, changes and creates decisions related to care,
must be accurate, concise, and without bias or opinion, must be done at time of care
IF NOT DOCUMENTED, NOT DONE
What does the amount of information gated during a health assessment depend on? -
ANSWER-Context of care, patient need, expertise of the nurse
Context of care - ANSWER-Refers to circumstances or situations related to health care
delivery, could include setting or environment, physical, psychologic or socioeconomic
circumstances involving the patient
Types of assessment - ANSWER-Comprehensive, problem-based or focused, episodic,
screening
Comprehensive assessment - ANSWER-An assessment conducted when patient first
enters a health care setting, provides baseline for comparing later assessments,
establishes a complete picture of the patient
Problem-based or focused assessment - ANSWER-Includes information limited to
scope of the problem
,Episodic assessment - ANSWER-Focuses on specific problems for which the patient is
already receiving treatment for
Screening - ANSWER-To test or examine for the presence of something (as a disease),
including health fairs and community evens (blood pressure, cholesterol, etc)
What is the type of health assessment a nurse performs driven by? - ANSWER-Patient
needs
Needs based on patient's age, general level of health, presenting problems, knowledge
level, and support systems.
Nurse must be prepared to conduct appropriate level of assessment.
Experiences of nurses - ANSWER-Expertise of the nurse is gained with specialization
within a given area of practice
(nurse in adult ICU has expertise in assessing patient with hemodynamic instability,
family NP working in women's clinic has expertise in performing routine pelvic exams)
Nurses are critical/clinical thinkers - ANSWER-Nurses must analyze and interpret data
before initiating plan of care, nursing assessment is the art and science of truly seeing a
patient, must individualize and personalize care
The outcome of a health assessment is: - ANSWER-A portrait of the patient's physical
status, strengths, weaknesses, abilities, support system, health beliefs and actives to
maintain health as well as the patient's health problems and available resources to
maintain health
Health history - ANSWER-Database used to create a plan, prevent disease, resolve
problems, and minimize limitations collection of subjective information that provides
information about the patient's health status
How do you engage the patient? - ANSWER-Make sure the room is comfortable,
provide privacy, give your full attention to the patient, make a good first interaction
Nurses should _______________ when the medical provider is seeing a patient. -
ANSWER-Be in the room
Why should a nurse be in the room when the medical provider is seeing a patient? -
ANSWER-In order to gather information regarding the plan of care for a patient, to
provide the patient with the necessary information before and after the exam with the
provider, and to make are the patient has the proper discharge plans and fully
understands these plans. It allows for collaboration and communication.
, Is a health history subjective or objective data? - ANSWER-Subjective data
In the patient interview, the nurse: - ANSWER-Facilitates decision to determine patient's
beliefs
-How does the patient define health?
-Beliefs about attaining and maintaining health
-View of responsibility for health, health behaviors currently practicing, and unhealthy
behaviors patients are willing to change
-Health expectation based on life experiences: self, family, friends, and culture
3 phases of interview process - ANSWER-Introduction, discussion, summary
Introduction phase of nurse interview process - ANSWER-Prepare your patient/client,
determine how you will introduce yourself, acquire interpreter if non-english speaking
patient, always sit when you can, maintain eye contact, comfort patient, welcoming
manner and environment
Discussion phase of nurse interview process - ANSWER-Facilitate, collect, and record
health history and data, keep it patient centered (patients share THEIR concerns,
beliefs, and values in their own voices), nurse facilitate, collects and records data, nurse
prompts questions and takes brief notes, ask one question at a time, allowing patient
time to answer
Summary phase of nurse interview process - ANSWER-Data collected is the foundation
for personalized effective health care, allows for clarification of data and provides
validation of accurate understanding, provides closure, nurses' minds are always
moving, interpreting, thinking ahead, reading into situations, in order to make the best
decisions for the patient
Where should the nurse be while the medical provider is with the patient? - ANSWER-In
the room with the patient and medical provider
How nurses make judgements - ANSWER-Nurse's knowledge, experience, ethical
perspective, and knowing the patient create expectations which lead to noticing,
interpreting, responding, and reflecting which all develops the context of care
Organizing the data nurses collect - ANSWER-Organization and clustering of data,
allows problems to be more clearly apparent, can be based on body system format
(cardiovascular, musculoskeletal, etc.) or based on conceptual format (oxygenation,
perfusion, mobility, etc.)
Analysis, interpretation, and clinical judgment includes: - ANSWER-Identifying abnormal
findings, correctly interpreting findings to select appropriate plan of care, applying
clinical judgment to interpret or make conclusions regarding patient needs, concerns, or
health problems, after understanding the situation, the nurse responds by deeming
QUIZ 1 WITH CORRECT ANSWERS
Health assessment - ANSWER-A systematic method of collecting and analyzing data,
used to create a patient-centered plan of care, provides consistency in examination and
approach, promoting healing and prevention of illness
Steps of the nursing process - ANSWER-Assessment
Diagnosis
Planning
Implementation
Evaluation
(A Delicious PIE)
Or
Assessment, Analysis, Planning, Implementation, Evaluation (An Apple PIE)
Documentation of data - ANSWER-Improves plan of care, legal document of patient's
health status, baseline for evaluation, changes and creates decisions related to care,
must be accurate, concise, and without bias or opinion, must be done at time of care
IF NOT DOCUMENTED, NOT DONE
What does the amount of information gated during a health assessment depend on? -
ANSWER-Context of care, patient need, expertise of the nurse
Context of care - ANSWER-Refers to circumstances or situations related to health care
delivery, could include setting or environment, physical, psychologic or socioeconomic
circumstances involving the patient
Types of assessment - ANSWER-Comprehensive, problem-based or focused, episodic,
screening
Comprehensive assessment - ANSWER-An assessment conducted when patient first
enters a health care setting, provides baseline for comparing later assessments,
establishes a complete picture of the patient
Problem-based or focused assessment - ANSWER-Includes information limited to
scope of the problem
,Episodic assessment - ANSWER-Focuses on specific problems for which the patient is
already receiving treatment for
Screening - ANSWER-To test or examine for the presence of something (as a disease),
including health fairs and community evens (blood pressure, cholesterol, etc)
What is the type of health assessment a nurse performs driven by? - ANSWER-Patient
needs
Needs based on patient's age, general level of health, presenting problems, knowledge
level, and support systems.
Nurse must be prepared to conduct appropriate level of assessment.
Experiences of nurses - ANSWER-Expertise of the nurse is gained with specialization
within a given area of practice
(nurse in adult ICU has expertise in assessing patient with hemodynamic instability,
family NP working in women's clinic has expertise in performing routine pelvic exams)
Nurses are critical/clinical thinkers - ANSWER-Nurses must analyze and interpret data
before initiating plan of care, nursing assessment is the art and science of truly seeing a
patient, must individualize and personalize care
The outcome of a health assessment is: - ANSWER-A portrait of the patient's physical
status, strengths, weaknesses, abilities, support system, health beliefs and actives to
maintain health as well as the patient's health problems and available resources to
maintain health
Health history - ANSWER-Database used to create a plan, prevent disease, resolve
problems, and minimize limitations collection of subjective information that provides
information about the patient's health status
How do you engage the patient? - ANSWER-Make sure the room is comfortable,
provide privacy, give your full attention to the patient, make a good first interaction
Nurses should _______________ when the medical provider is seeing a patient. -
ANSWER-Be in the room
Why should a nurse be in the room when the medical provider is seeing a patient? -
ANSWER-In order to gather information regarding the plan of care for a patient, to
provide the patient with the necessary information before and after the exam with the
provider, and to make are the patient has the proper discharge plans and fully
understands these plans. It allows for collaboration and communication.
, Is a health history subjective or objective data? - ANSWER-Subjective data
In the patient interview, the nurse: - ANSWER-Facilitates decision to determine patient's
beliefs
-How does the patient define health?
-Beliefs about attaining and maintaining health
-View of responsibility for health, health behaviors currently practicing, and unhealthy
behaviors patients are willing to change
-Health expectation based on life experiences: self, family, friends, and culture
3 phases of interview process - ANSWER-Introduction, discussion, summary
Introduction phase of nurse interview process - ANSWER-Prepare your patient/client,
determine how you will introduce yourself, acquire interpreter if non-english speaking
patient, always sit when you can, maintain eye contact, comfort patient, welcoming
manner and environment
Discussion phase of nurse interview process - ANSWER-Facilitate, collect, and record
health history and data, keep it patient centered (patients share THEIR concerns,
beliefs, and values in their own voices), nurse facilitate, collects and records data, nurse
prompts questions and takes brief notes, ask one question at a time, allowing patient
time to answer
Summary phase of nurse interview process - ANSWER-Data collected is the foundation
for personalized effective health care, allows for clarification of data and provides
validation of accurate understanding, provides closure, nurses' minds are always
moving, interpreting, thinking ahead, reading into situations, in order to make the best
decisions for the patient
Where should the nurse be while the medical provider is with the patient? - ANSWER-In
the room with the patient and medical provider
How nurses make judgements - ANSWER-Nurse's knowledge, experience, ethical
perspective, and knowing the patient create expectations which lead to noticing,
interpreting, responding, and reflecting which all develops the context of care
Organizing the data nurses collect - ANSWER-Organization and clustering of data,
allows problems to be more clearly apparent, can be based on body system format
(cardiovascular, musculoskeletal, etc.) or based on conceptual format (oxygenation,
perfusion, mobility, etc.)
Analysis, interpretation, and clinical judgment includes: - ANSWER-Identifying abnormal
findings, correctly interpreting findings to select appropriate plan of care, applying
clinical judgment to interpret or make conclusions regarding patient needs, concerns, or
health problems, after understanding the situation, the nurse responds by deeming
