N3030 Exam 1 NEwEst 2025/2026 with ComplEtE
QuEstioNs aNd CorrECt aNswErs |alrEady GradEd
a+||BraNd NEw VErsioN!
Objective Data - ANSWER-observable and measurable data
Examples:
Lab values
Heart rate is 74/min
Subjective Data - ANSWER-information from the client's point of view including symptoms, feelings,
perceptions
Examples:
My head has been hurting for 4 days
I am stressed out because....
how is data collected - ANSWER-Subjective: is obtained through interviews
Objective: is obtained through observation, physical assessment, and laboratory and diagnostic
testing
What are the four types of assessment? - ANSWER-1. Initial Comprehensive Assessment
2. Focused Assessment
,3. Emergency Assessment
4. Time-lapsed Assessment
Initial Comprehensive Assessment - ANSWER-Is performed shortly after the patient is admitted to a
health care facility or service, *establishing priorities for ongoing focused assessments and
creating a reference baseline for future comparison* (Most institutions have policies specifying
the time interval within which this assessment must be completed)
Involves collection of subjective data about the client's perception of their health of all body
systems, past health history, family history and lifestyle and health practices as well as objective
data from physical exam
Total health assessment is needed when the client first enters a health care system to provide
baseline data for future health needs
Focused Assessment - ANSWER-nurse gathers data about a specific problem that has already
been identified
may be done during the initial assessment if the patient's health problems surface, but it is
routinely part of ongoing data collection
Another purpose is to identify new or overlooked problems
Emergency Assessment - ANSWER-Very rapid assessment performed in life threatening situations
since immediate assessment is needed to provide prompt treatment
Time-Lapsed Assessment (Ongoing) - ANSWER-is scheduled to compare a patient's current status
to the baseline data obtained earlier
used to reassess health status and to make necessary revisions in the care plan. This
assessment can be comprehensive or focused.
,Performed whenever a healthcare professional has an encounter with the client
Nonverbal communication - ANSWER-communication without the use of spoken language
What things should you do and other things you should avoid in nonverbal comm? - ANSWER-do's:
Appearance, demeanor, facial expression, attitude, silence, listening
don'ts: excessive or insufficient eye contact, distraction and distance, standing
Verbal communication - ANSWER-communication that uses written or spoken words
What things should you do and other things you should avoid in verbal comm? - ANSWER-Do's:
open ended questions, closed-ended questions, laundry list, rephrasing, well-placed phrases,
inferring, providing information
Don'ts: biased or leading questions, rushing through the interview, reading the questions
What special considerations should we address, and how do we alter our communication? -
ANSWER-COME BACK TOO
How would you, the nurse, prepare yourself for the health history? - ANSWER-the nursing student
must understand and implement proper communication techniques. Communication skills are
the building blocks of professional relationships between nurse and patient
-Review the client's history beforehand
-Read the client's chart and paperwork they have filled out before going to talk to them
-Familiarize yourself with what you should be asking so you don't have to read the questions
How would you prepare the client for a health history? - ANSWER--Tell them what you are going to
be doing
-Let them know ahead of time what you will need them to bring or do
, This can be expanded on for sure (COMEBACK TOO)
How would you prepare the environment in order to get a health history? - ANSWER--If you are
doing a procedure, get your supplies ahead of time so you are ready when the client comes in
-Make sure the environment is comfortable for the client (including the room temp)
-Find an environment that is private and meets the needs of the appointment
Preparing the environment for a health history - ANSWER--If you are doing a procedure, get your
supplies ahead of time so you are ready when the client comes in
-Make sure the environment is comfortable for the client (including the room temp)
-Find an environment that is private and meets the needs of the appointment
-use therapeutic communication skills and interviewing techniques
-Nurses must be as proficient in communication skills as they are in clinical skills, In addition,
effective communication supports continuous improvement in patient safety and quality of care
What are the parts of the health history? - ANSWER--biographical data
-the reason the patient is seeking health care
-present health or history of present health concern
-past health history
-family history
-functional health
-psychosocial and lifestyle factors
-review of systems
Biographical Data - ANSWER--Client is primary source (all others are secondary)
-Protect privacy
-Personal information about the client (lifestyle, environment, daily activities)
QuEstioNs aNd CorrECt aNswErs |alrEady GradEd
a+||BraNd NEw VErsioN!
Objective Data - ANSWER-observable and measurable data
Examples:
Lab values
Heart rate is 74/min
Subjective Data - ANSWER-information from the client's point of view including symptoms, feelings,
perceptions
Examples:
My head has been hurting for 4 days
I am stressed out because....
how is data collected - ANSWER-Subjective: is obtained through interviews
Objective: is obtained through observation, physical assessment, and laboratory and diagnostic
testing
What are the four types of assessment? - ANSWER-1. Initial Comprehensive Assessment
2. Focused Assessment
,3. Emergency Assessment
4. Time-lapsed Assessment
Initial Comprehensive Assessment - ANSWER-Is performed shortly after the patient is admitted to a
health care facility or service, *establishing priorities for ongoing focused assessments and
creating a reference baseline for future comparison* (Most institutions have policies specifying
the time interval within which this assessment must be completed)
Involves collection of subjective data about the client's perception of their health of all body
systems, past health history, family history and lifestyle and health practices as well as objective
data from physical exam
Total health assessment is needed when the client first enters a health care system to provide
baseline data for future health needs
Focused Assessment - ANSWER-nurse gathers data about a specific problem that has already
been identified
may be done during the initial assessment if the patient's health problems surface, but it is
routinely part of ongoing data collection
Another purpose is to identify new or overlooked problems
Emergency Assessment - ANSWER-Very rapid assessment performed in life threatening situations
since immediate assessment is needed to provide prompt treatment
Time-Lapsed Assessment (Ongoing) - ANSWER-is scheduled to compare a patient's current status
to the baseline data obtained earlier
used to reassess health status and to make necessary revisions in the care plan. This
assessment can be comprehensive or focused.
,Performed whenever a healthcare professional has an encounter with the client
Nonverbal communication - ANSWER-communication without the use of spoken language
What things should you do and other things you should avoid in nonverbal comm? - ANSWER-do's:
Appearance, demeanor, facial expression, attitude, silence, listening
don'ts: excessive or insufficient eye contact, distraction and distance, standing
Verbal communication - ANSWER-communication that uses written or spoken words
What things should you do and other things you should avoid in verbal comm? - ANSWER-Do's:
open ended questions, closed-ended questions, laundry list, rephrasing, well-placed phrases,
inferring, providing information
Don'ts: biased or leading questions, rushing through the interview, reading the questions
What special considerations should we address, and how do we alter our communication? -
ANSWER-COME BACK TOO
How would you, the nurse, prepare yourself for the health history? - ANSWER-the nursing student
must understand and implement proper communication techniques. Communication skills are
the building blocks of professional relationships between nurse and patient
-Review the client's history beforehand
-Read the client's chart and paperwork they have filled out before going to talk to them
-Familiarize yourself with what you should be asking so you don't have to read the questions
How would you prepare the client for a health history? - ANSWER--Tell them what you are going to
be doing
-Let them know ahead of time what you will need them to bring or do
, This can be expanded on for sure (COMEBACK TOO)
How would you prepare the environment in order to get a health history? - ANSWER--If you are
doing a procedure, get your supplies ahead of time so you are ready when the client comes in
-Make sure the environment is comfortable for the client (including the room temp)
-Find an environment that is private and meets the needs of the appointment
Preparing the environment for a health history - ANSWER--If you are doing a procedure, get your
supplies ahead of time so you are ready when the client comes in
-Make sure the environment is comfortable for the client (including the room temp)
-Find an environment that is private and meets the needs of the appointment
-use therapeutic communication skills and interviewing techniques
-Nurses must be as proficient in communication skills as they are in clinical skills, In addition,
effective communication supports continuous improvement in patient safety and quality of care
What are the parts of the health history? - ANSWER--biographical data
-the reason the patient is seeking health care
-present health or history of present health concern
-past health history
-family history
-functional health
-psychosocial and lifestyle factors
-review of systems
Biographical Data - ANSWER--Client is primary source (all others are secondary)
-Protect privacy
-Personal information about the client (lifestyle, environment, daily activities)
