Health Assessment for Nursing Practice
Nurs 314 Health Assessment for Nursing Practice
Final Exam Prep 2025 Questions and Answers
Describe the Nursing Process
1. Assessment
2. Diagnosis
3. Planning & Outcome Identification
4. Implementation
5. Evaluation
What are the Components of Health Assessment
1. Health History
2. Physical Examination
Health History
Subjective Data
- Symptoms
- Primary source of data: client
- Secondary source of data: others (family, etc.)
,Health Assessment for Nursing Practice
Physical Examination
Objective data
- Signs
- Measurements, vital signs, observations, labs, odors
- Palpation, auscultation, percussion, inspection
Documentation
- Complete, accurate, descriptive
- Legal permanent record
- Make sure to include client's statements in quotation marks
Types of Health Assessment
- Comprehensive
- Problem based or focused
- Episodic
- Shift assessment
- Screening assessment
,Health Assessment for Nursing Practice
Comprehensive Assessment
- Detailed exam
- Usually done at onset of admission or if first appointment in a long time
- H&P
Problem-Based or Focused Assessment
- Limited to specific problem/complaint
- Usually done at clinic or urgent care
Shift Assessment
- Done by nurse at change of shift
Episodic Assessment
- Follow-up to previous visit
Screening Assessment
- Focused on disease prevention
- Also done prior to admission to school program or sport
- Health fair
, Health Assessment for Nursing Practice
Core Examination Skills- Skin
- Inspect skin
- Inspect for skin lesions and wounds
Core Examination Skills- Head, Eyes, Ears, Nose, Throat
- Inspect face
- Inspect oral cavity
- Assess hearing (based on conversation)
- Inspect external eyes
- Inspect pupils and response to light and accommodation
- Assess visual acuity
Core Examination Skills- Chest and Lungs
- Inspect chest
- Evaluate breathing effort
- Auscultate lung sounds
- Palpate thoracic expansion
Nurs 314 Health Assessment for Nursing Practice
Final Exam Prep 2025 Questions and Answers
Describe the Nursing Process
1. Assessment
2. Diagnosis
3. Planning & Outcome Identification
4. Implementation
5. Evaluation
What are the Components of Health Assessment
1. Health History
2. Physical Examination
Health History
Subjective Data
- Symptoms
- Primary source of data: client
- Secondary source of data: others (family, etc.)
,Health Assessment for Nursing Practice
Physical Examination
Objective data
- Signs
- Measurements, vital signs, observations, labs, odors
- Palpation, auscultation, percussion, inspection
Documentation
- Complete, accurate, descriptive
- Legal permanent record
- Make sure to include client's statements in quotation marks
Types of Health Assessment
- Comprehensive
- Problem based or focused
- Episodic
- Shift assessment
- Screening assessment
,Health Assessment for Nursing Practice
Comprehensive Assessment
- Detailed exam
- Usually done at onset of admission or if first appointment in a long time
- H&P
Problem-Based or Focused Assessment
- Limited to specific problem/complaint
- Usually done at clinic or urgent care
Shift Assessment
- Done by nurse at change of shift
Episodic Assessment
- Follow-up to previous visit
Screening Assessment
- Focused on disease prevention
- Also done prior to admission to school program or sport
- Health fair
, Health Assessment for Nursing Practice
Core Examination Skills- Skin
- Inspect skin
- Inspect for skin lesions and wounds
Core Examination Skills- Head, Eyes, Ears, Nose, Throat
- Inspect face
- Inspect oral cavity
- Assess hearing (based on conversation)
- Inspect external eyes
- Inspect pupils and response to light and accommodation
- Assess visual acuity
Core Examination Skills- Chest and Lungs
- Inspect chest
- Evaluate breathing effort
- Auscultate lung sounds
- Palpate thoracic expansion
