NUR 216 HEALTH ASSESSMENT FINAL/ 465+ Question & Answers 2025/2026.

NUR 216 HEALTH ASSESSMENT FINAL/ 465+ Question & Answers 2025/2026. Assessment - Ans Collecting data, talking, open ended questions and clustering information Health History - Ans Biographical data Reason for seeking care present health/present illness Past history Medical reconciliation Family History Review of Systems Functional assessment (ADL's) Adult health history - Ans Biographic data: source of history (who, reliability) Reason for seeking care Present health/history of present illness Final summary of symptom (location, character/quality, quantity/severity, setting, aggravating/relieving factors, associated factors and patients perception PQRSTU (provocative/palliative, quality/quantity, region/radiation, severity, timing, and understanding patient perception) Past health/present illness (childhood, accidents/injuries, hospitalizations, operations, births, immunizations, last exam, allergies and current meds) Family history Review of the systems (start head to toe unless patient makes clear what is affecting them and do that body system) Functional assessments (self esteem concept, activity/exercise, sleep/rest, nutrition/elimination, interpersonal relationships/resources, spiritual resources FICA; faith influence community address, coping/stress management, personal habits, alcohol use CAGE; cut down, annoyed, guilty, eye opening... 2+ yeses means concern, drugs, environment/hazards, intimate partner violence and occupational health Interviewing Techniques - Ans Standardized Techniques: fraemwork for obtaining information about clinical clients physical, developmental, emotional, intellectual, social and spiritual demensions Therapeutic Techniques: For health assessment to foster comms and create an environment that promotes an optimal health assessment/data collection experience Therapeutic comm techniques - Ans Active listening, open-ended questions, clarifying, back channeling, probing, close ended questions (clarify info) and summarizing Physical Assessment Techniques for older adults - Ans Allow enough time for position changes, preform in several shorter assessments, making sure they use sensory aids and invite them to use the bathroom before beginning the exam IPPA - Ans Inspection Palpation Percussion Auscultation Palpation - Ans Use of touch to determine size, consistency, temp, texture, location and tenderness of the skin, tissues and organs. Dorsal surface is for temp Palmar surface/base of fingers: vibration Fingertips: pulsation, position, texture, turgor, size and consistency. Finger/thumb: grasping an organ or mass LIGHT THEN DEEP Percussion - Ans tapping body parts with fingers or small instruments to vibrate underlying tissue and evaluate size, location, tenderness and presence/absence of fluid/air in the body. Direct: striking body to elicit sounds Indirect: placing hand flatly on body as striking surface to produce sound Fist: helps identify tenderness over the kidneys liver and gallbladder Auscultation - Ans Listen for amplitude/intensity, pitch/frequency, duration, and quality BELL is for low pitched while DIAPHRAGM is for high pitched General Survey - Ans Gather from first encounter and continue to make observations throughout assessment. Physical appearance (age, gender, race, skin color, LOC, facial features, signs of distress, signs of abuse/neglect, and signs of substance abuse Body structure (build, stature, height and weight, nutritional status, symmetry of body parts, posture and gross abnormalities Mobility (gait, movements, TORM and motor activity Behavior (facial expressions, mood and affect, speech, dress, hygiene, grooming and odors Vital Signs (temp, pulse, respirations, BP and oxygen saturation. Temperature - Ans Neurological and Cardiovascular system works together to regulate temperature. Rectum, tympanic membrane, temporal/pulmonary artery, esophagus and urinary bladder are core measurement sites Skin, mouth and axillae are surface temperature measurement sites. Heat Production - Ans Increase of BMR, muscle activity, thyroxine output, testosterone and sympathetic stimulation Heat loss - Ans Conduction: transfer of heat from body directly to another surface Convection: Dispersion of heat by air currents Radiation: Transfer of heat from one object to another without contact b/w them. Evaporation: Dispersion of heat through water (perspiration) Diaphoresis: Visible perspiration on the skin Expected Temp Ranges - Ans Oral: 96.8-100.4 Rectal: 0.5 degree higher than ear and oral temps Axillary: 0.5 degree lower than oral and axillary Temporal: 1 degree higher than oral and axillary