2026/2027
purpose of health assessment - Answers Establish an effective nurse-patient relationship,
Gather data to identify actual and potential health problems, Identify patient's
strengths/weakness, establish a base for the nursing process
comprehensive health assessment - Answers broad, complete health history, full physical
assessment, usually when pt first enters healthcare building
focused health assessment - Answers conducted to assess a specific problem, or to address an
immediate high-priority concern
emergency health assessment - Answers a rapid focused assessment conducted when
addressing a life-threatening or unstable situation
ongoing partial health assessment - Answers a follow-up assessment, to monitor
progress/decline
TECHNIQUES OF PHYSICAL ASSESSMENT: inspection - Answers assessing size, color, shape,
position, and symmetry
TECHNIQUES OF PHYSICAL ASSESSMENT: palpation - Answers assessing temperature, turgor
(elasticity), texture, moisture, vibrations, and shape
TECHNIQUES OF PHYSICAL ASSESSMENT: percussion - Answers assessing location, shape, size,
and density of tissues
TECHNIQUES OF PHYSICAL ASSESSMENT: auscultation - Answers assessing the four
characteristics of sound, that is, pitch, loudness, quality, and duration
macule - Answers -lesion less than or equal to 1 cm; flat, non-palpable change in skin color
-freckle
patch - Answers -lesion greater than or equal to 1 cm; flat, non-palpable change in skin color
-vitiligo
papule - Answers -mass less than or equal to 0.5 cm; palpable and elevated
-mole
plaque - Answers -mass greater than or equal to 0.5 cm; palpable and elevated
-coalesced papules
, nodule - Answers -mass 0.5cm-2cm; palpable, elevated, firmer than papule
-wart
tumor - Answers -mass greater than 2cm; palpable and elevated
-lipoma
wheal - Answers -irregular, superficial area of localized skin edema
-hives, mosquito bite
vesicle - Answers -less than or equal to 0.5cm; filled with serous fluid
-herpes simplex
bulla - Answers -greater than or equal to 0.5cm; filled with serous fluid
-2nd degree burn
pustule - Answers -filled with pus
-acne, impetigo
scales - Answers flakes of cornified skin layer
ex: psoriasis
crust - Answers dried exudate on skin
ex: impetigo
fissure - Answers cracks in skin
ex: athletes foot
keloid - Answers augmentation of scar tissue, creating a significant elevation on the skin surface
after healing
ex: postsurgical scar, postacne scar
erosion - Answers loss of epidermis that does not extend into dermis
Lichenification - Answers epidermal thickening and roughening of the skin with increased
visibility of skin surface furrows
ex: chronic atopic dermatitis
ulcer - Answers area of destruction of entire epidermis
ex: decubitus (pressure sore)