Test Bank for Health Assessment in Nursing 2024
What is the purpose of nursing health assessment? - Correct answer-
1) Determine clients health status
2) Identify risk factors
3) Identify need for education as a basis for developing a nursing plan of care
What are the components of the nursing health assessment? - Correct answer-health history and
physical exam
The extent of the nursing assessment is determined by what? - Correct answer-the acuity of the client’s
condition and the site of care
During the health history, what does the nurse do? - Correct answer-asks pertinent questions to gather
data from the client and/or family
When can past medical records be used to collect data during the health history? - Correct answer-if the
patient is unreliable or has no family or support system available
Physical exam is a structured _____ to _____ examination. - Correct answer-head to toe
What is the role of the nurse in assessment? - Correct answer-- collect data
,- assess client needs
- formulate a nursing plan of care
- develop interventions based on identified needs
- educate and counsel patient
- collaborate with others in health care team
What are the two types of data? - Correct answer-subjective and objectice
What is subjective data? - Correct answer-- what the patient says
- obtained from the patient and/or family
- includes past medical history, chief complaint (reason for seeking care) & review of systems
- ex. "shortness of breath," "my head hurts"
Always open the chief complaint interview with what type of question? - Correct answer-open ended
Health Assessment
Health assessment in nursing involves the collection and analysis of data to evaluate the health status of
individuals.
Long-Term Evolution (LTE)
LTE is a standard for wireless broadband communication, providing high-speed data transmission for
mobile devices and data terminals.
Susan Fickertt
Susan Fickertt is an author or contributor to the book 'Health Assessment for Nursing Practice, 7th
Edition', providing valuable insights into nursing health assessment.
Jean Foret
Jean Foret is an author or contributor to the book 'Health Assessment for Nursing Practice, 7th Edition',
offering expertise in nursing health assessment.
Wilson Giddens
,Wilson Giddens is an author or contributor to the book 'Health Assessment for Nursing Practice, 7th
Edition', providing valuable knowledge in nursing health assessment.
Focused assessment
An assessment that is limited to a specific problem or area of concern
Comprehensive assessment
An assessment that includes a detailed history and complete physical examination
Screening assessment
An assessment focused on detecting diseases, often conducted at health fairs
Shift assessment
An assessment performed on a patient recovering in the hospital after surgery
nursing is defined as
-protection
-promotion
-optimization of : health and abilities
- prevention of illness and injury
- alleviation of suffering
-advocacy in care of : individuals, families, communities, and populations
What are examples of an open ended question you can ask when beginning the chief complaint
interview? - Correct answer-- "what brought you here today"
- "tell me about the chest pressure, from when it begin until now"
- "what problems are you experiencing"
, What is objective data? - Correct answer-- what you observe
- physical examination findings
- ex. BP, pulse, height, weight, etc.
What is a symptom? - Correct answer-subjective sensation described by the client
What is a sign? - Correct answer-objective abnormality that the examiner detects on physical
examination
Symptom is the same as what type of data? - Correct answer-subjective
Sign is the same as what type of data? - Correct answer-objective
What are the three steps in exploring symptoms? - Correct answer-1) ask open-ended questions to hear
"the story of the symptom" in the patients own words
2) ask more specific questions to elicit "the seven features of every symptom" ( OLD CART)
3) ask yes or no questions or "pertinent positives and negatives" from the relevant section of the review
of systems
What are the 7 features of every symptom? (history of present illness) - Correct answer-OLD CART
- onset
- location
- duration
- character
- associated manifestations
- relieving/exacerbating factors
- treatment
What is onset? - Correct answer-when the sign or symptom began
What is the purpose of nursing health assessment? - Correct answer-
1) Determine clients health status
2) Identify risk factors
3) Identify need for education as a basis for developing a nursing plan of care
What are the components of the nursing health assessment? - Correct answer-health history and
physical exam
The extent of the nursing assessment is determined by what? - Correct answer-the acuity of the client’s
condition and the site of care
During the health history, what does the nurse do? - Correct answer-asks pertinent questions to gather
data from the client and/or family
When can past medical records be used to collect data during the health history? - Correct answer-if the
patient is unreliable or has no family or support system available
Physical exam is a structured _____ to _____ examination. - Correct answer-head to toe
What is the role of the nurse in assessment? - Correct answer-- collect data
,- assess client needs
- formulate a nursing plan of care
- develop interventions based on identified needs
- educate and counsel patient
- collaborate with others in health care team
What are the two types of data? - Correct answer-subjective and objectice
What is subjective data? - Correct answer-- what the patient says
- obtained from the patient and/or family
- includes past medical history, chief complaint (reason for seeking care) & review of systems
- ex. "shortness of breath," "my head hurts"
Always open the chief complaint interview with what type of question? - Correct answer-open ended
Health Assessment
Health assessment in nursing involves the collection and analysis of data to evaluate the health status of
individuals.
Long-Term Evolution (LTE)
LTE is a standard for wireless broadband communication, providing high-speed data transmission for
mobile devices and data terminals.
Susan Fickertt
Susan Fickertt is an author or contributor to the book 'Health Assessment for Nursing Practice, 7th
Edition', providing valuable insights into nursing health assessment.
Jean Foret
Jean Foret is an author or contributor to the book 'Health Assessment for Nursing Practice, 7th Edition',
offering expertise in nursing health assessment.
Wilson Giddens
,Wilson Giddens is an author or contributor to the book 'Health Assessment for Nursing Practice, 7th
Edition', providing valuable knowledge in nursing health assessment.
Focused assessment
An assessment that is limited to a specific problem or area of concern
Comprehensive assessment
An assessment that includes a detailed history and complete physical examination
Screening assessment
An assessment focused on detecting diseases, often conducted at health fairs
Shift assessment
An assessment performed on a patient recovering in the hospital after surgery
nursing is defined as
-protection
-promotion
-optimization of : health and abilities
- prevention of illness and injury
- alleviation of suffering
-advocacy in care of : individuals, families, communities, and populations
What are examples of an open ended question you can ask when beginning the chief complaint
interview? - Correct answer-- "what brought you here today"
- "tell me about the chest pressure, from when it begin until now"
- "what problems are you experiencing"
, What is objective data? - Correct answer-- what you observe
- physical examination findings
- ex. BP, pulse, height, weight, etc.
What is a symptom? - Correct answer-subjective sensation described by the client
What is a sign? - Correct answer-objective abnormality that the examiner detects on physical
examination
Symptom is the same as what type of data? - Correct answer-subjective
Sign is the same as what type of data? - Correct answer-objective
What are the three steps in exploring symptoms? - Correct answer-1) ask open-ended questions to hear
"the story of the symptom" in the patients own words
2) ask more specific questions to elicit "the seven features of every symptom" ( OLD CART)
3) ask yes or no questions or "pertinent positives and negatives" from the relevant section of the review
of systems
What are the 7 features of every symptom? (history of present illness) - Correct answer-OLD CART
- onset
- location
- duration
- character
- associated manifestations
- relieving/exacerbating factors
- treatment
What is onset? - Correct answer-when the sign or symptom began
