NSG 121 EXAM 1 QUESTIONS WITH VERIFIED
ANSWERS
nurse's role in health assessment: 4 goals - Answers - promote health
prevent illness
treat human responses to health or illness
advocate for individuals, families, communities, and populations
types of assessment - Answers - Emergency (center on immediate and highest priority
problem)
Comprehensive
General Survey
Focused
emergency assessment - Answers - involves a life-threatening or unstable situation
A—Airway (with cervical spine protection if an injury is suspected)
B—Breathing—rate and depth, use of accessory muscles
C—Circulation—pulse rate and rhythm, skin color
D—Disability—level of consciousness, pupils, movement
E—Exposure
comprehensive assessment - Answers - broad and complete; includes a complete
health history and physical assessment and all body systems and areas; a patient's
perception of health, strengths to build upon, risk factors for illness, functional abilities,
methods of coping, and support systems
general survey assessment - Answers - begins immediately upon meeting client and
continues throughout assessment; no measurements are done
-overall appearance, hygiene and dress, skin color, body structure and development,
behavior, facial expressions, posture, ROM, gait, speech, LOC
focused assesssment - Answers - based on the patient's health issues; usually involves
one or two body systems and is smaller in scope than the comprehensive assessment,
but more in-depth on the specific issue or issues
example is a patient who presents to the clinic with a cough.
levels of intervention to promote healthy change - Answers - Primary prevention
Secondary prevention
Tertiary prevention
primary prevention - Answers - involves strategies aimed at preventing problems and
focuses on people and groups. Examples: Immunizations, health teaching, safety
, precautions, and nutrition counseling, family planning services, providing poison-control
information, and accident-prevention education
secondary prevention - Answers - focus on screening for early detection of disease with
prompt diagnosis and treatment
examples: Vision screening, Pap smears, BP screening, hearing testing, scoliosis
screening, and tuberculin skin testing
tertiary prevention - Answers - focuses on preventing complications of an existing
disease and promoting health to the highest level
examples: Diet teaching, exercise programs, physical therapy, medication, surgical
treatment
what is health assessment? - Answers - gathering information about the health status of
the patient, analyzing and synthesizing those data, making judgments about nursing
interventions based on the findings, and evaluating patient care outcomes
health assessment includes - Answers - healthy history and physical assessment
critical thinking in nursing - Answers - -Purposeful, outcome-directed (result-oriented)
thinking
-Is driven by patient, family, and community needs
-Is based on the nursing process, evidence-based thinking, and the scientific method
-Requires specific knowledge, skills, and experience
-New nurses must question
-Guided by professional standards and ethic codes
-Is constantly reevaluating, self-correcting, and striving to improve
health promotion - Answers - the behavior of a person who is motivated by a personal
desire to increase well-being and health potential
All life-threatening problems identified during the initial assessment require the initiation
of critical interventions: - Answers - Provide assistance with circulation
(cardiopulmonary resuscitation if needed).
Open the patient's airway.
Assist the patient's breathing.
Protect the cervical spine if the patient is injured.
Ensure that the disoriented or suicidal patient is safe.
Provide pain management and sedation.
functional assessment - Answers - focuses on the functional patterns that all humans
share: health perception and health management, activity and exercise, nutrition and
metabolism, elimination, sleep and rest, cognition and perception, self-perception and
self-concept, roles and relationships, coping and stress tolerance, sexuality and
reproduction, and values and beliefs; used to collect subjective data and a head-to-toe
approach for the physical assessment
ANSWERS
nurse's role in health assessment: 4 goals - Answers - promote health
prevent illness
treat human responses to health or illness
advocate for individuals, families, communities, and populations
types of assessment - Answers - Emergency (center on immediate and highest priority
problem)
Comprehensive
General Survey
Focused
emergency assessment - Answers - involves a life-threatening or unstable situation
A—Airway (with cervical spine protection if an injury is suspected)
B—Breathing—rate and depth, use of accessory muscles
C—Circulation—pulse rate and rhythm, skin color
D—Disability—level of consciousness, pupils, movement
E—Exposure
comprehensive assessment - Answers - broad and complete; includes a complete
health history and physical assessment and all body systems and areas; a patient's
perception of health, strengths to build upon, risk factors for illness, functional abilities,
methods of coping, and support systems
general survey assessment - Answers - begins immediately upon meeting client and
continues throughout assessment; no measurements are done
-overall appearance, hygiene and dress, skin color, body structure and development,
behavior, facial expressions, posture, ROM, gait, speech, LOC
focused assesssment - Answers - based on the patient's health issues; usually involves
one or two body systems and is smaller in scope than the comprehensive assessment,
but more in-depth on the specific issue or issues
example is a patient who presents to the clinic with a cough.
levels of intervention to promote healthy change - Answers - Primary prevention
Secondary prevention
Tertiary prevention
primary prevention - Answers - involves strategies aimed at preventing problems and
focuses on people and groups. Examples: Immunizations, health teaching, safety
, precautions, and nutrition counseling, family planning services, providing poison-control
information, and accident-prevention education
secondary prevention - Answers - focus on screening for early detection of disease with
prompt diagnosis and treatment
examples: Vision screening, Pap smears, BP screening, hearing testing, scoliosis
screening, and tuberculin skin testing
tertiary prevention - Answers - focuses on preventing complications of an existing
disease and promoting health to the highest level
examples: Diet teaching, exercise programs, physical therapy, medication, surgical
treatment
what is health assessment? - Answers - gathering information about the health status of
the patient, analyzing and synthesizing those data, making judgments about nursing
interventions based on the findings, and evaluating patient care outcomes
health assessment includes - Answers - healthy history and physical assessment
critical thinking in nursing - Answers - -Purposeful, outcome-directed (result-oriented)
thinking
-Is driven by patient, family, and community needs
-Is based on the nursing process, evidence-based thinking, and the scientific method
-Requires specific knowledge, skills, and experience
-New nurses must question
-Guided by professional standards and ethic codes
-Is constantly reevaluating, self-correcting, and striving to improve
health promotion - Answers - the behavior of a person who is motivated by a personal
desire to increase well-being and health potential
All life-threatening problems identified during the initial assessment require the initiation
of critical interventions: - Answers - Provide assistance with circulation
(cardiopulmonary resuscitation if needed).
Open the patient's airway.
Assist the patient's breathing.
Protect the cervical spine if the patient is injured.
Ensure that the disoriented or suicidal patient is safe.
Provide pain management and sedation.
functional assessment - Answers - focuses on the functional patterns that all humans
share: health perception and health management, activity and exercise, nutrition and
metabolism, elimination, sleep and rest, cognition and perception, self-perception and
self-concept, roles and relationships, coping and stress tolerance, sexuality and
reproduction, and values and beliefs; used to collect subjective data and a head-to-toe
approach for the physical assessment
