NURS 251 FINAL Exam Questions with 100%
Verified Correct Answers
What are the components of a health history?
1. Biographic data
2. Reason for seeking care
3. History of Present Illness
4. Past Medical History
5. Family History
6. Review of Systems
7. Functional Assessment
What's in biographic data?
name, age, gender, relationship status, ethnic origin, occupation, language
What's included in reason for seeking care?
A brief statement in persons own words
What is a symptom?
subjective sensation that the person feels from the disorder
What is a sign?
objective abnormality that can be detected on physical examination or in laboratory reports
What questions do you ask for history of present illness?
PQRST
What is past medical history?
,the patients diagnoses, past illnesses, medications, allergies
If allergies then we document
The reactions
What is a genogram?
A graphic family tree of at least three generations to highlight family members diseases and
conditions and helps indemnify what conditions a patient is at risk for
What is in functional assessment?
measures a person's self-care ability in the areas of general physical health or absence of
illness (i.e., diet, exercise, coping, sleep, nutrition, etc); will provide data on the lifestyle and
type of living environment
What is subjective data?
what the person says about himself/herself during history taking;also referred to as symptoms
(ex: obtaining a health history)
What is objective data?
what you as the health professional observe by inspecting, percussing, palpating, and
auscultating during the physical examination; also referred to as signs
What is a complete (baseline) health history?
total health history and full physical examination describing current and past healed state (ex:
nursing home, admission to hospital, surgical/anesthesia)
What is a focused (problem centered) health history?
,limited, targeted, mainly 1 problem or 1 body system (ex: patient presents with a rash,
respiratory illness)
What is an episodic or emergency health history?
Urgent, rapid collection of information with lifesaving measures (ex: airway obstruction)
Therapeutic Communication (patient leads and reactions obtained from the
interviewer)
facilitation, silence, reflection, empathy, clarification
What is facilitation?
encourage patient to give more information
"go on, I'm listening"
What is silence?
directed attentiveness
What is reflection?
echoes to help express meaning, mirrors clients words to elaborate on problem
What is empathy?
names a feeling and allows its expression
What is clarification?
useful when person's word choice is ambiguous or confusing
Therapeutic Communication (interviewer leads and expression of own thoughts based
on obtained information)
Confrontation, interpretation, explanation, summary
, What is confrontation?
clarifying inconsistent information
What is interpretation?
makes association to identify cause or conclusion
What is explanation?
informing person by sharing factual and objective information
What is summary?
provides conclusion based on verified information which in turn identifies that the interview
process is closing
What is evidence based practice?
up to date research + patient values + providers clinical expertise
When was the development of evidence based practice?
1970s Dr. Cochrane
When are the 5 moments to use hand hygiene?
1. Before touching a patient/donning gloves
2. Before clean/aseptic procedures
3. After bodily fluid exposure/risk
4. After touching a patient/donning gloves
5. After touching a patients surroundings
What are standard precautions?
Verified Correct Answers
What are the components of a health history?
1. Biographic data
2. Reason for seeking care
3. History of Present Illness
4. Past Medical History
5. Family History
6. Review of Systems
7. Functional Assessment
What's in biographic data?
name, age, gender, relationship status, ethnic origin, occupation, language
What's included in reason for seeking care?
A brief statement in persons own words
What is a symptom?
subjective sensation that the person feels from the disorder
What is a sign?
objective abnormality that can be detected on physical examination or in laboratory reports
What questions do you ask for history of present illness?
PQRST
What is past medical history?
,the patients diagnoses, past illnesses, medications, allergies
If allergies then we document
The reactions
What is a genogram?
A graphic family tree of at least three generations to highlight family members diseases and
conditions and helps indemnify what conditions a patient is at risk for
What is in functional assessment?
measures a person's self-care ability in the areas of general physical health or absence of
illness (i.e., diet, exercise, coping, sleep, nutrition, etc); will provide data on the lifestyle and
type of living environment
What is subjective data?
what the person says about himself/herself during history taking;also referred to as symptoms
(ex: obtaining a health history)
What is objective data?
what you as the health professional observe by inspecting, percussing, palpating, and
auscultating during the physical examination; also referred to as signs
What is a complete (baseline) health history?
total health history and full physical examination describing current and past healed state (ex:
nursing home, admission to hospital, surgical/anesthesia)
What is a focused (problem centered) health history?
,limited, targeted, mainly 1 problem or 1 body system (ex: patient presents with a rash,
respiratory illness)
What is an episodic or emergency health history?
Urgent, rapid collection of information with lifesaving measures (ex: airway obstruction)
Therapeutic Communication (patient leads and reactions obtained from the
interviewer)
facilitation, silence, reflection, empathy, clarification
What is facilitation?
encourage patient to give more information
"go on, I'm listening"
What is silence?
directed attentiveness
What is reflection?
echoes to help express meaning, mirrors clients words to elaborate on problem
What is empathy?
names a feeling and allows its expression
What is clarification?
useful when person's word choice is ambiguous or confusing
Therapeutic Communication (interviewer leads and expression of own thoughts based
on obtained information)
Confrontation, interpretation, explanation, summary
, What is confrontation?
clarifying inconsistent information
What is interpretation?
makes association to identify cause or conclusion
What is explanation?
informing person by sharing factual and objective information
What is summary?
provides conclusion based on verified information which in turn identifies that the interview
process is closing
What is evidence based practice?
up to date research + patient values + providers clinical expertise
When was the development of evidence based practice?
1970s Dr. Cochrane
When are the 5 moments to use hand hygiene?
1. Before touching a patient/donning gloves
2. Before clean/aseptic procedures
3. After bodily fluid exposure/risk
4. After touching a patient/donning gloves
5. After touching a patients surroundings
What are standard precautions?
