NURS 3314 Health Assessment Midterm Questions With Complete Solutions
Types of Priority Problems - ANSWER-o 1st level priorities: Emergent, life threatening, and
immediate
o 2nd level priorities: Next in urgency, requiring attention so as to avoid further deterioration
o 3rd level priorities: important to patients health but can be addressed after more urgent
problems are addressed
o Collaborative problems: approach to treatment involves multiple disciplines
Types of Databases and When to Use Them - ANSWER-o Database: what is formed from
subjective and objective data)
• Complete total database: includes complete health history and full physical examination
(PRIMARY CARE)
• Episodic or problem-centered database: form a limited or short-term problem, collect "mini"
database, smaller scope and more focused than complete, concerns one problem
• Follow-up database: status of all identified problems should be evaluated at a regular and
appropriate intervals
• Emergency database: rapid collection of data, often compiled concurrently with lifesaving
measures (physical assess, history from family)
Barriers to EBP - ANSWER-o Time it takes for research to be implemented into practice
o Lack of time for us to look and read
Verbal Responses - ANSWER-o Empathy: recognizing the feeling and putting it into words
o Clarification: use when person's words are ambiguous or confusing
o Confrontation: Frame of reference shift's from patient's perspective to yours,
o Interpretation: based on your inference or conclusion (linking events)
o Explanation: inform the person
o Summary: final review of what the person has said; condense the facts
Questions for assessing quality, intensity, location, alleviating and aggravating factors - ANSWER-
• P = provocative
, • Q = quality or quanitiy
• R = Region
• S = Severity
• T = Timing
• U = Understanding patients perception
When to perform a full mental health status assessment - ANSWER-o Intial screening suggests
an anxiety or depression
o Behavioral changes (memory loss, inappropriate social interaction)
o Brain lesions
o Aphasia (disruption of language ability)
o Symptoms of psychiatric illness
Assessing Patient's Judgment - ANSWER-o Test with daily and long term goals (check how
rational they are)
Abnormals of Mood/Affect - ANSWER-o Flat affect: lack of emotion response
o Depression: sad and gloomy
o Depersonalization: loss of identidy
o Elation: Joy and optimism, overconfidence
o Euphoria: excessive well-being
o Anxiety: Worried, uneasy, apprehensive from the anticipation of a danger whose source is
unknown
o Fear: external danger is known
o Irrirability: Annoyed
o Rage: Furious, loss of control
o Ambivalence: The existence of opposing emotions toward an idea, object, person
o Lability: rapid shift of emotions
o Inappropriate affect: affect clearly discordant with content of person's speech
Types of Priority Problems - ANSWER-o 1st level priorities: Emergent, life threatening, and
immediate
o 2nd level priorities: Next in urgency, requiring attention so as to avoid further deterioration
o 3rd level priorities: important to patients health but can be addressed after more urgent
problems are addressed
o Collaborative problems: approach to treatment involves multiple disciplines
Types of Databases and When to Use Them - ANSWER-o Database: what is formed from
subjective and objective data)
• Complete total database: includes complete health history and full physical examination
(PRIMARY CARE)
• Episodic or problem-centered database: form a limited or short-term problem, collect "mini"
database, smaller scope and more focused than complete, concerns one problem
• Follow-up database: status of all identified problems should be evaluated at a regular and
appropriate intervals
• Emergency database: rapid collection of data, often compiled concurrently with lifesaving
measures (physical assess, history from family)
Barriers to EBP - ANSWER-o Time it takes for research to be implemented into practice
o Lack of time for us to look and read
Verbal Responses - ANSWER-o Empathy: recognizing the feeling and putting it into words
o Clarification: use when person's words are ambiguous or confusing
o Confrontation: Frame of reference shift's from patient's perspective to yours,
o Interpretation: based on your inference or conclusion (linking events)
o Explanation: inform the person
o Summary: final review of what the person has said; condense the facts
Questions for assessing quality, intensity, location, alleviating and aggravating factors - ANSWER-
• P = provocative
, • Q = quality or quanitiy
• R = Region
• S = Severity
• T = Timing
• U = Understanding patients perception
When to perform a full mental health status assessment - ANSWER-o Intial screening suggests
an anxiety or depression
o Behavioral changes (memory loss, inappropriate social interaction)
o Brain lesions
o Aphasia (disruption of language ability)
o Symptoms of psychiatric illness
Assessing Patient's Judgment - ANSWER-o Test with daily and long term goals (check how
rational they are)
Abnormals of Mood/Affect - ANSWER-o Flat affect: lack of emotion response
o Depression: sad and gloomy
o Depersonalization: loss of identidy
o Elation: Joy and optimism, overconfidence
o Euphoria: excessive well-being
o Anxiety: Worried, uneasy, apprehensive from the anticipation of a danger whose source is
unknown
o Fear: external danger is known
o Irrirability: Annoyed
o Rage: Furious, loss of control
o Ambivalence: The existence of opposing emotions toward an idea, object, person
o Lability: rapid shift of emotions
o Inappropriate affect: affect clearly discordant with content of person's speech
