complete detailed correct answers
Physical appearance, body structure, mobility, behavior, and measurement - answer ✔✔-What
are the elements of a general survey and health assessment?
Subjective data is what the patient say about themselves during the history taking.
Objective data is observed when inspecting, percussing, palpating, and auscultating the patient
during the physical exam. - answer ✔✔-What is the difference between subjective and
objective data?
A comprehensive assessment includes the patient's history, physical exam, and VS; yearly health
exams.
A focused assessment is a more detailed assessment that related to a current medical
condition/patient complaint; ER situations or after a diagnosis - answer ✔✔-What is the
difference between a comprehensive assessment and a focused assessment?
Answer: d
HIPAA establishes national standards for the protection of certain health info. The privacy rule
can be violated if a client's health info is on the computer screen and the nurse leaves it up
while taking care of other clients. - answer ✔✔-A nurse is caring for a client who asks about
measures the nurse takes to protect client privacy. Which of the following is an appropriate
response by the nurse?
a. "I will provide their information to anyone who requests it."
,b. "I will make sure my password to log into the system is the same one I use for everything
else."
c. "I will talk to my friends about the client in order to get advice."
d. "I will log off the computer in between seeing clients."
Gender, genetics, education, socioeconomic status, ethnicity, lifestyle, chronic illness/disability,
and race - answer ✔✔-What factors affect health promotion and disease prevention throughout
the lifespan?
Answer: all of them :)
A functional assessment also includes mental status, affect, home environment, and social
support! - answer ✔✔-Which of these are components of a functional assessment? (Select all
that apply)
a. vision and hearing
b. mobility
c. continence
d. nutrition
e. ADL-IADL
Being self-aware and having knowledge of one's own culture - answer ✔✔-What is the key to
understanding cultural diversity?
F = faith
I = importance/influence
C = community
A = address/action - answer ✔✔-FICA is an assessment tool used to determine a patient's
spiritual history. What does FICA stand for?
, Heritage, health practices, communication, family roles & social orientation, nutrition,
pregnancy, spirituality/religion, death, and role of health providers - answer ✔✔-What
components should be assessed and asked about when completing a cultural assessment?
1. Visceral pain = large interior organs (e.g., appendicitis, gallstones)
2. Deep somatic pain = blood vessels, joints, tendons, muscles, and bone injury (e.g., sprain,
broken bone)
3. Cutaneous pain = skin surface and subcutaneous tissues (e.g., paper cut)
4. Referred pain = felt at a particular site but originates from another location (e.g., left arm
hurting during an MI although the issue is with the heart) - answer ✔✔-What are the four
sources of pain? (Provide some examples for each)
Answer: B
Answers A, C, and D are incorrect because pain management should be collaborative, and the
patient is not part of the decision making process in these answers. - answer ✔✔-A patient is
crying and says, "Please get me something to relieve this pain." What should the nurse do next?
a. Verify that the patient has an order for pain medications and administer order as directed
b. Assess the level of pain and ask patient what usually works for his or her pain, administer
pain medication as needed, then reassess pain level
c. Assess the level of pain and give medications according to pain level, and then reassess pain
d. Reposition the patient, then reassess the pain after intervention
Subjective! - answer ✔✔-Pain is always ____?
Answer: d