Holistic Health Assessment Midterm 1
Before starting assessment - Correct Answer ✅-Have all
equipment ready
-Clean/sterilize your equipment
-Routine precautions
Tangential lighting - Correct Answer ✅a source of
illumination directed from an angle to the side of what is
being examined; used to make a raised lesion cast a shadow,
for example
Oblique/indirect lighting - Correct Answer ✅-45 degrees
*jugular pulsation
Inspection - Correct Answer ✅-Compare right and left sides
(symmetrical)
-Use good lighting
>Otoscope
>Ophthalmoscope
>Specula: vaginal, nasal
>Penlight
,Holistic Health Assessment Midterm 1
Palpation - Correct Answer ✅-Slow and systemic
-Light versus deep palpation
-Intermittent pressure
-Bimanual palpation
Percussion - Correct Answer ✅-Tapping: short, sharp
strokes
-Assess underlying structures
Characteristic sounds:
>Resonant
>Hyperresonant
>Tympany
>Dull
>Flat
Auscultation - Correct Answer ✅-Sounds produced by
heart, lungs, BVs, and abdomen
-Normal sounds vs abnormal and extra sounds
,Holistic Health Assessment Midterm 1
Health history - Correct Answer ✅-Focuses on patient
concerns
-Establish a trusting relationship
-Gather info
-Assessment in nursing process
-medications
-allergies
Primary data source - Correct Answer ✅patient
Secondary data source - Correct Answer ✅Patient's family
and chart
>is the patient a reliable historian or inaccurate historian
>Document who provides info
Objective data - Correct Answer ✅-What you see during an
exam
-What you measure
-A "sign"
, Holistic Health Assessment Midterm 1
Subjective data - Correct Answer ✅-What the client tells
you
-What the client says
-A "symptom"
Components of nonverbal communication - Correct Answer
✅-Physical appearance
-Facial expression
-Posture and positioning
-Gestures
-Eye contact
-Use of touch
-Personal touch
Sex vs gender - Correct Answer ✅sex is biological; gender
is the predetermined roles for men and women in the
community
Before starting assessment - Correct Answer ✅-Have all
equipment ready
-Clean/sterilize your equipment
-Routine precautions
Tangential lighting - Correct Answer ✅a source of
illumination directed from an angle to the side of what is
being examined; used to make a raised lesion cast a shadow,
for example
Oblique/indirect lighting - Correct Answer ✅-45 degrees
*jugular pulsation
Inspection - Correct Answer ✅-Compare right and left sides
(symmetrical)
-Use good lighting
>Otoscope
>Ophthalmoscope
>Specula: vaginal, nasal
>Penlight
,Holistic Health Assessment Midterm 1
Palpation - Correct Answer ✅-Slow and systemic
-Light versus deep palpation
-Intermittent pressure
-Bimanual palpation
Percussion - Correct Answer ✅-Tapping: short, sharp
strokes
-Assess underlying structures
Characteristic sounds:
>Resonant
>Hyperresonant
>Tympany
>Dull
>Flat
Auscultation - Correct Answer ✅-Sounds produced by
heart, lungs, BVs, and abdomen
-Normal sounds vs abnormal and extra sounds
,Holistic Health Assessment Midterm 1
Health history - Correct Answer ✅-Focuses on patient
concerns
-Establish a trusting relationship
-Gather info
-Assessment in nursing process
-medications
-allergies
Primary data source - Correct Answer ✅patient
Secondary data source - Correct Answer ✅Patient's family
and chart
>is the patient a reliable historian or inaccurate historian
>Document who provides info
Objective data - Correct Answer ✅-What you see during an
exam
-What you measure
-A "sign"
, Holistic Health Assessment Midterm 1
Subjective data - Correct Answer ✅-What the client tells
you
-What the client says
-A "symptom"
Components of nonverbal communication - Correct Answer
✅-Physical appearance
-Facial expression
-Posture and positioning
-Gestures
-Eye contact
-Use of touch
-Personal touch
Sex vs gender - Correct Answer ✅sex is biological; gender
is the predetermined roles for men and women in the
community
