HEALTH ASSESSMENT EXAM 1 ACTUAL QUESTIONS AND VERIFIED ANSWERS

HEALTH ASSESSMENT EXAM 1 ACTUAL
QUESTIONS AND VERIFIED ANSWERS

*Assessment*A-ACORRECTAANSWER-
*Assessment*AisAtheAcollectionAofAsubjectiveAandAobjectiveAdataAaboutAaApatient'sAhealth.

*SubjectiveAdata*A-ACORRECTAANSWER-
*SubjectiveAdata*AconsistAofAinformationAprovidedAbyAtheAaffectedAindividual.

*ObjectiveAdata*A-ACORRECTAANSWER-
*ObjectiveAdata*AincludeAinformationAobtainedAbyAtheAhealthAcareAproviderAthroughAphysicalAass
essment,AtheApatient'sArecord,AandAlaboratoryAstudies.

*TheAdatabase*A-ACORRECTAANSWER-
TheA*database*AisAtheAtotalityAofAinformationAavailableAaboutAtheApatient.ATheApurposeAofAassess
mentAisAtoAmakeAaAjudgmentAorAdiagnosis.

*DiagnosticAreasoning*A-ACORRECTAANSWER-
*DiagnosticAreasoning*AisAtheAprocessAofAanalyzingAhealthAdataAandAdrawingAconclusionsAtoAident
ifyAdiagnoses.

DiagnosticAreasoningAhasAwhichAfourAmajorAcomponents?A-ACORRECTAANSWER-
*DiagnosticAreasoning*AhasAwhichAfourAmajorAcomponents?

(1)A*AttendingAto*AinitiallyAavailableA*cues*,AwhichAareApiecesAofAinformation,Asigns,Asymptoms,A
orAlaboratoryAdata;A

(2)A*FormulatingAdiagnosticAhypotheses*,AwhichAareAtentativeAexplanationsAforAaAcueAorAaAsetAofA
cuesAandAcanAserveAasAaAbasisAforAfurtherAinvestigation;

(3)A*GatheringAdata*ArelativeAtoAtheAtentativeAhypotheses;A

(4)A*evaluatingAeachAhypothesis*AwithAtheAnewAdataAcollected,AwhichAleadsAtoAaAfinalAdiagnosis.

TheA*nursingAprocess*AincludesAwhichAsixAphases?A-ACORRECTAANSWER-
TheA*nursingAprocess*AincludesAwhichAsixAphases?

(1)A*assessment*,A

(2)A*diagnosis*,A

(3)A*outcomeAidentification*,

,(4)A*planning*,

(5)A*implementation*,Aand

(6)A*evaluation*.

ItAisAaAdynamic,AinteractiveAprocessAinAwhichApractitionersAmoveAbackAandAforthAwithinAtheAsteps.

TheA*noviceAnurse*A-ACORRECTAANSWER-
TheA*noviceAnurse*AhasAnoAexperienceAwithAspecificApatientApopulationsAandAusesArulesAtoAguideA
performance.

TheA*experiencedAnurse*A-ACORRECTAANSWER-
TheA*experiencedAnurse*AunderstandsAaApatientAsituationAasAaAwholeAratherAthanAasAaAlistAofAtask
s,AattendsAtoAanAassessmentAdataApattern,AandAactsAwithoutAconsciouslyAlabelingAit.

*CriticalAthinking*A-ACORRECTAANSWER-
*CriticalAthinking*AisAtheAmultidimensionalAthinkingAprocessAneededAforAsoundAdiagnosticAreasoni
ngAandAclinicalAjudgment.ASeventeenAcriticalAthinkingAskillsAhaveAbeenAidentified,AincludingA*setti
ngApriorities.*

*First-levelApriorityAproblems*A-ACORRECTAANSWER-*First-
levelApriorityAproblems*AareAemergent,Alife-
threatening,AandAimmediate,AsuchAasAestablishingAanAairwayAorAsupportingAbreathing.

*Second-levelApriorityAproblems*A-ACORRECTAANSWER-*Second-
levelApriorityAproblems*AareAnextAinAurgency.ATheyArequireApromptAinterventionAtoApreventAdeteri
oration,AandAmayAincludeAaAmentalAstatusAchangeAorAacuteApain.

*Third-levelApriorityAproblems*A-ACORRECTAANSWER-*Third-
levelApriorityAproblems*AareAimportantAtoAtheApatient'sAhealth,AbutAcanAbeAaddressedAafterAmoreA
urgentAproblems.AExamplesAincludeAlackAofAknowledgeAorAfamilyAcoping.

Evidence-basedApracticeA-ACORRECTAANSWER-Evidence-
basedApracticeAisAaAsystematicAapproachAtoApracticeAthatAusesAtheA*bestAevidence,*AtheA*clinician
'sAexperience,*AandAtheA*patient'sApreferencesAandAvalues*AtoAmakeAdecisionsAaboutAcareAandAtr
eatment.

EveryAexaminerAneedsAtoAcollectA*fourAkindsAofAdatabases*AbasedAonAtheAsituation.AWhatAareAthe
AfourAkindsAofAdatabases?A-ACORRECTAANSWER-


EveryAexaminerAneedsAtoAcollectA*fourAkindsAofAdatabases*AbasedAonAtheAsituation.AWhatAareAthe
AfourAkindsAofAdatabases?

,(1)AAA*completeA(orAtotalAhealth)Adatabase*AincludesAaAcompleteAhealthAhistoryAandAaAfullAphysic
alAexamination.

(2)AAA*focusedA(orAproblem-centered)Adatabase*AisAusedAforAaAlimitedAorAshort-
termAproblem.AItAisAsmallerAinAscopeAandAmoreAtargetedAthanAtheAcompleteAdatabase.

(3)AAA*follow-
upAdatabase*AevaluatesAtheAstatusAofAanyAidentifiedAproblemAatAregularAintervalsAtoAfollowAupAonA
short-termAorAchronicAhealthAproblems.

(4)AAnA*emergencyAdatabase*AcallsAforArapidAcollectionAofAdata,AwhichAcommonlyAoccursAwhileAp
erformingAlifesavingAmeasures.

TheA*biomedicalAmodel*A-ACORRECTAANSWER-
TheA*biomedicalAmodel*AofAWesternAmedicineAviewsAhealthAasAtheAabsenceAofAdisease.AItAfocuse
sAonAcollectingAdataAonAbiophysicalAsignsAandAsymptomsAandAonAcuringAdisease.

TheA*holisticAhealthAmodel*A-ACORRECTAANSWER-
TheA*holisticAhealthAmodel*AassessesAtheAwholeApersonAbecauseAitAviewsAtheAmind,Abody,AandAspi
ritAasAinterdependentAandAfunctioningAasAaAwholeAwithinAtheAenvironment.AHealthAdependsAonAal
lAtheseAfactorsAworkingAtogether.

TheAconceptAofAhealthAalsoAincludesAhealthApromotionAandAdiseaseAprevention.A-
ACORRECTAANSWER-...



HealthAassessmentAalsoAshouldAconsiderAwhatAtwoAotherAfactors?A-ACORRECTAANSWER-
HealthAassessmentAalsoAshouldAconsiderAwhatAtwoAotherAfactors?A



(1)ATheAusualAandAexpectedA*developmentalAtasks*AforAeachAageAgroup

(2)AtheA*culturalAbeliefsAandApractices*AofAdifferentApeople.AObtainingAaAheritageAassessmentAhel
psAgatherAdataAthatAareAaccurateAandAmeaningfulAandAcanAguideAculturallyAsensitiveAandAappropri
ateAcare.

AccordingAtoAtheAbiomedicalAmodel,AaAnarrowAdefinitionAofAhealthAis:



A)AanAoptimalAfunctioningAofAmind,Abody,AandAspiritAwithinAtheAenvironment.

B)AtheAabsenceAofAdisease.

C)AtheAresponseAofAtheAwholeApersonAtoAactualAorApotentialAproblems.

, D)ApreventionAofAdisease.A-ACORRECTAANSWER-
AccordingAtoAtheAbiomedicalAmodel,AaAnarrowAdefinitionAofAhealthAis:



A)AanAoptimalAfunctioningAofAmind,Abody,AandAspiritAwithinAtheAenvironment.

Feedback:AINCORRECT

NursingAhasAanAexpandedAconceptAofAhealth;AholisticAhealthAincludesAtheAmind,Abody,AandAspiritAa
sAinterdependentAandAfunctioningAasAaAwholeAwithinAtheAenvironment.



*B)AtheAabsenceAofAdisease.*

*Feedback:ACORRECT*

FromAaAbiomedicalAperspective,AhealthAisAdefinedAasAtheAabsenceAofAdiseaseAorAeliminationAofAsy
mptomsAandAsignsAofAdisease.



C)AtheAresponseAofAtheAwholeApersonAtoAactualAorApotentialAproblems.

Feedback:AINCORRECT

NursingAdiagnosesAareAclinicalAjudgmentsAaboutAaAperson'sAresponseAtoAanAactualAorApotentialAhe
althAstate.



D)ApreventionAofAdisease.

Feedback:AINCORRECT

HealthApromotionAandAdiseaseApreventionAareAimportantAaspectsAofAnursing'sAconceptAofAhealth.

WhatAtypeAofAdataAbaseAisAmostAappropriateAwhenAaArapidAcollectionAofAdataAisArequiredAandAofte
nAcompiledAconcurrentlyAwithAlife-savingAmeasures?



A)AEpisodic

B)AFollow-up

C)AEmergency