NSG121/ NSG 121 (LATEST 2024/ 2025
UPDATE) HEALTH ASSESSMENT | REVIEW
WITH QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT
nurse's role in health assessment: 4 goals - ANSWER-promote health
prevent illness
treat human responses to health or illness
advocate for individuals, families, communities, and populations
types of assessment - ANSWER-Emergency (center on immediate and
highest priority problem)
Comprehensive
General Survey
Focused
emergency assessment - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-Primary
prevention
Secondary prevention
Tertiary prevention
primary prevention - ANSWER-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 - ANSWER-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 - ANSWER-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? - ANSWER-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 - ANSWER-healthy history and physical
assessment
, critical thinking in nursing - ANSWER--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 - ANSWER-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: - ANSWER-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 - ANSWER-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
3 common types of nursing assessments - ANSWER-emergency
comprehensive
focused
head-to-toe assessment - ANSWER-most organized system for gathering
comprehensive physical data
body systems assessment - ANSWER-tool for organizing data when
documenting and communicating findings; promotes critical thinking
UPDATE) HEALTH ASSESSMENT | REVIEW
WITH QUESTIONS AND VERIFIED
ANSWERS| 100% CORRECT
nurse's role in health assessment: 4 goals - ANSWER-promote health
prevent illness
treat human responses to health or illness
advocate for individuals, families, communities, and populations
types of assessment - ANSWER-Emergency (center on immediate and
highest priority problem)
Comprehensive
General Survey
Focused
emergency assessment - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-Primary
prevention
Secondary prevention
Tertiary prevention
primary prevention - ANSWER-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 - ANSWER-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 - ANSWER-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? - ANSWER-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 - ANSWER-healthy history and physical
assessment
, critical thinking in nursing - ANSWER--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 - ANSWER-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: - ANSWER-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 - ANSWER-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
3 common types of nursing assessments - ANSWER-emergency
comprehensive
focused
head-to-toe assessment - ANSWER-most organized system for gathering
comprehensive physical data
body systems assessment - ANSWER-tool for organizing data when
documenting and communicating findings; promotes critical thinking
