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NURS 251 FINAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS
Complete (baseline) Health Ans: Total health history and full physical
examination describing current and past health state
Focused Health History Ans: •Problem centered: limited, targeted,
mainly 1 problem or 1 body system
•Ex: Patient presents with a rash
Episodic/Emergency Health History Ans: Urgent, rapid collection of
information with lifesaving measures
First-level priority problems Ans: emergent, life-threatening, and
immediate
Second-level priority problems Ans: Are next in urgency:
They require attention to prevent further deterioration (may include a
mental status change, acute pain, or abnormal laboratory values)
(Diabetic: checking sugars, giving insulin)
Third-level priority problems Ans: are important to the patient's health
but can be addressed after more urgent problems are addressed
(Examples include lack of knowledge or family coping)
Collaborative Problems Ans: approach to treatment involves multiple
disciplines
Health History components Ans: Biographic Data, Reason for seeking
care, history of present illness (COLDSPA), past medical history, family
history (genogram), review of systems (with health promotion activities),
Functional Assessment
biographic data Ans: name, age, gender, relationship status, ethnic
origin, occupation, language
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Reason for Seeking Care Ans: brief statement in person's own words
(symptoms and signs)
symptom Ans: subjective sensation that the person feels from the
disorder
sign Ans: objective abnormality that you detect on physical exam or
diagnostic testing
working phase of interview Ans: data gathering phase; open-ended and
closed-ended questions
open-ended questions Ans: asks for narrative information
closed-ended questions Ans: asks for specific information leading to a
forced choice (yes or no)
Facilitation Ans: encourages patients to say more and shows you are
interested and will listen further
scilence Ans: directed attentiveness to encourage patient to keep talking
Reflection Ans: echoes to help express meaning
empathy Ans: names a feeling and allows its expression
clarification Ans: asking for confirmation
confrontation Ans: clarifying inconsistent information
interpretation Ans: makes association to identify cause or conclusion
explanation Ans: informing person by sharing factual and objective
information
summary Ans: provides conclusion based on verified information which
in turn identifies that the interview process is closing
SBAR Ans: Situation
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Background
Assessment
Recommendation
Situation (SBAR) Ans: Provide a brief description of pertinent patient
variables,
demographics, clinical diagnosis, and location
Background (SBAR) Ans: Provide pertinent history as it directly relates
to patient's current health status
Assessment (SBAR) Ans: State pertinent assessment findings obtained
with interpretation of data
Recommendation/Request (SBAR) Ans: State what you need or want for
the patient in terms of medical treatment and/or assistance
objective data Ans: signs you assess
subjective data Ans: what the patient says
clustering data Ans: Looking for relationships and connecting the dots
What does the physical examination include? Ans: Measurements
(vitals), Head to Toe Examination
Physical Assessment Techniques Ans: Inspection
Palpation
Percussion
Auscultation
Inspection Ans: •Looking and examining physical aspects of the body,
posture, appearance, and behavior
NURS 251 FINAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS
Complete (baseline) Health Ans: Total health history and full physical
examination describing current and past health state
Focused Health History Ans: •Problem centered: limited, targeted,
mainly 1 problem or 1 body system
•Ex: Patient presents with a rash
Episodic/Emergency Health History Ans: Urgent, rapid collection of
information with lifesaving measures
First-level priority problems Ans: emergent, life-threatening, and
immediate
Second-level priority problems Ans: Are next in urgency:
They require attention to prevent further deterioration (may include a
mental status change, acute pain, or abnormal laboratory values)
(Diabetic: checking sugars, giving insulin)
Third-level priority problems Ans: are important to the patient's health
but can be addressed after more urgent problems are addressed
(Examples include lack of knowledge or family coping)
Collaborative Problems Ans: approach to treatment involves multiple
disciplines
Health History components Ans: Biographic Data, Reason for seeking
care, history of present illness (COLDSPA), past medical history, family
history (genogram), review of systems (with health promotion activities),
Functional Assessment
biographic data Ans: name, age, gender, relationship status, ethnic
origin, occupation, language
, Page | 2
Reason for Seeking Care Ans: brief statement in person's own words
(symptoms and signs)
symptom Ans: subjective sensation that the person feels from the
disorder
sign Ans: objective abnormality that you detect on physical exam or
diagnostic testing
working phase of interview Ans: data gathering phase; open-ended and
closed-ended questions
open-ended questions Ans: asks for narrative information
closed-ended questions Ans: asks for specific information leading to a
forced choice (yes or no)
Facilitation Ans: encourages patients to say more and shows you are
interested and will listen further
scilence Ans: directed attentiveness to encourage patient to keep talking
Reflection Ans: echoes to help express meaning
empathy Ans: names a feeling and allows its expression
clarification Ans: asking for confirmation
confrontation Ans: clarifying inconsistent information
interpretation Ans: makes association to identify cause or conclusion
explanation Ans: informing person by sharing factual and objective
information
summary Ans: provides conclusion based on verified information which
in turn identifies that the interview process is closing
SBAR Ans: Situation
, Page | 3
Background
Assessment
Recommendation
Situation (SBAR) Ans: Provide a brief description of pertinent patient
variables,
demographics, clinical diagnosis, and location
Background (SBAR) Ans: Provide pertinent history as it directly relates
to patient's current health status
Assessment (SBAR) Ans: State pertinent assessment findings obtained
with interpretation of data
Recommendation/Request (SBAR) Ans: State what you need or want for
the patient in terms of medical treatment and/or assistance
objective data Ans: signs you assess
subjective data Ans: what the patient says
clustering data Ans: Looking for relationships and connecting the dots
What does the physical examination include? Ans: Measurements
(vitals), Head to Toe Examination
Physical Assessment Techniques Ans: Inspection
Palpation
Percussion
Auscultation
Inspection Ans: •Looking and examining physical aspects of the body,
posture, appearance, and behavior
