NUR 203 EXAM 1 URI Exam #1 Question with verified
answers
3 PURPOSES OF HEALTH ASSESSMENT- √√determine current health status, predict health
risks, identify health promotion activity
health assessment includes 2 types of exams- √√health history and physical examination
what data type is used for health history?- √√subjective data aka symptoms
primary source for health history- √√patient
secondary source for health history- √√family member, medical records
what data type is used for physical examination?- √√objective data aka signs
subjective data- √√what person says, ALWAYS pain, interpretation of fact
objective data- √√info gathered from physical exam and lab tests
What is nursing diagnosis?- √√actual/potential problem that can be resolved/changed by
nursing intervention
6 diagnosis steps- √√gather preliminary data, form hypothesis, gather supporting data,
organize data, select/validate diagnosis, identify etiology and related factors
4 steps in nursing process- √√assessment/diagnosis, planning, implementation, evaluation
5 steps in problem solving- √√gather info, form hypothesis, formulate plan, implement plan,
evaluation
4 phases of interview- √√pre-interview, introduction, working, termination
PREINTERVIEW- √√setting stage, look professional
INTRODUCTION- √√puts patient at ease
, WORKING- √√obtaining info
TERMINATION- √√giving feedback
IMPORTANT COMPONENTS OF INTERVIEW- √√comfortable environment, interview should
be aware of biases, be aware of client, communication process itself
4 components of HISTORY OF PRESENT ILLNESS (HPI)- √√chief complaint, reasons for
seeking care, statement of patients own words, broad opening, full description
7 attributes of HPI- √√onset, location, duration, characteristics, associated symptoms,
relieving factors, treatment,
6 ways to prepare for exam- √√provide privacy, reflect approach, good lighting, review
patient chart, make patient feel comfortable, equipment
EQUIPMENT REQUIRED FOR EXAM- √√penlight, magnifying glass, CM ruler, gloves
4 types of exam- √√inspection, palpation, percussion, auscultation
inspection- √√observing patients behavior, movement, appearance
palpation- √√palmar finger pads asses for skin elevation, depression, temperature,
tenderness
percussion- √√striking/plexor finger tap against distal pleximeter finger laid against surface
of organ
auscultation- √√use of diaphragm of stethoscope to detect heart, lungs and bowel sounds
including location, timing, duration, pitch, intensity
life threatening headaches- √√meningitis,hemorrhages, tumor
headache questions- √√bilateral, severe with sudden onset, steady or throbbing,
continuous or comes and goes
Red flags of headache- √√recent onset, elevated BP, rash/infection, vomiting
answers
3 PURPOSES OF HEALTH ASSESSMENT- √√determine current health status, predict health
risks, identify health promotion activity
health assessment includes 2 types of exams- √√health history and physical examination
what data type is used for health history?- √√subjective data aka symptoms
primary source for health history- √√patient
secondary source for health history- √√family member, medical records
what data type is used for physical examination?- √√objective data aka signs
subjective data- √√what person says, ALWAYS pain, interpretation of fact
objective data- √√info gathered from physical exam and lab tests
What is nursing diagnosis?- √√actual/potential problem that can be resolved/changed by
nursing intervention
6 diagnosis steps- √√gather preliminary data, form hypothesis, gather supporting data,
organize data, select/validate diagnosis, identify etiology and related factors
4 steps in nursing process- √√assessment/diagnosis, planning, implementation, evaluation
5 steps in problem solving- √√gather info, form hypothesis, formulate plan, implement plan,
evaluation
4 phases of interview- √√pre-interview, introduction, working, termination
PREINTERVIEW- √√setting stage, look professional
INTRODUCTION- √√puts patient at ease
, WORKING- √√obtaining info
TERMINATION- √√giving feedback
IMPORTANT COMPONENTS OF INTERVIEW- √√comfortable environment, interview should
be aware of biases, be aware of client, communication process itself
4 components of HISTORY OF PRESENT ILLNESS (HPI)- √√chief complaint, reasons for
seeking care, statement of patients own words, broad opening, full description
7 attributes of HPI- √√onset, location, duration, characteristics, associated symptoms,
relieving factors, treatment,
6 ways to prepare for exam- √√provide privacy, reflect approach, good lighting, review
patient chart, make patient feel comfortable, equipment
EQUIPMENT REQUIRED FOR EXAM- √√penlight, magnifying glass, CM ruler, gloves
4 types of exam- √√inspection, palpation, percussion, auscultation
inspection- √√observing patients behavior, movement, appearance
palpation- √√palmar finger pads asses for skin elevation, depression, temperature,
tenderness
percussion- √√striking/plexor finger tap against distal pleximeter finger laid against surface
of organ
auscultation- √√use of diaphragm of stethoscope to detect heart, lungs and bowel sounds
including location, timing, duration, pitch, intensity
life threatening headaches- √√meningitis,hemorrhages, tumor
headache questions- √√bilateral, severe with sudden onset, steady or throbbing,
continuous or comes and goes
Red flags of headache- √√recent onset, elevated BP, rash/infection, vomiting
