CORRECT WELL DETAILED ANSWERS|LATEST
PASS
General Survey - ANSWER study of the whole person, covering the general health
state and any obvious physical characteristics. Should begin at first contact with patient.
Deviations Led to Focused Assessments - ANSWER Appearance/Behavior,
Grooming/Hygiene, Body Type/Posture, Mental State, Speech, Vital Signs, Weight/Height
Components of General Survey - ANSWER Physical Appearance, Mental Status,
Mobility, Behavior and Life Span Considerations
Physical Appearance - ANSWER -Body shape
-Build: Height and weight when compared to age
-Assessment of function and symmetry
Mental Status - ANSWER - Orientation
- Affect
- Anxiety
If patient appears confused, ask: - ANSWER -"Tell me your name."
-"Where are you now?"
-"What is today's date?"
-"What time is it?"
1
,Mobility - ANSWER -Posture: how we hold our bodies while standing, sitting and lying
down.
-Gait: being able to walk
-Range of Motion: extent of movement of a joint
Patient Behaviors - ANSWER -Grooming
-Body Odors
-Hygiene
-Facial Expression
-Mood
-Level of Anxiety
-Speech
Life Span Considerations: Pediatric Patients - ANSWER Compare developmental stage
to expected findings based on the age of patient
Life Span Considerations: Older Adults - ANSWER -Grooming and hygiene becomes
affected by mobility
-Gait becomes slower with shorter steps
-Behavior may be affected by various disorders.
Height - ANSWER The measurement of someone or something from head to foot or
from base to top.
How should someones height be taken? - ANSWER -Patient should looks taught ahead
while standing straight.
-Heels together & Shoulders Back
- Place level on crown of patient's head at right angle
2
, How is weight taken? - ANSWER -On standard platform or digital scale.
-Best to use same scale, clothing and weigh around same time.
What is a Nursing Physical Examination? - ANSWER -Part of a general health
assessment
-Used to gather data about the client
-Focuses on functional abilities and responses to illness and stressors
Purpose of Nursing Physical Examination - ANSWER -Establishes baseline data for
patients
-Identifies nursing diagnoses, collaborative problems and wellness diagnoses
Types of Nursing Examinations - ANSWER -Comprehensive
-Focused
-Ongoing
Comprehensive Examination - ANSWER Includes interview plus a complete head-to-
toe examination
Focused Examination - ANSWER Focused on the presenting problem or chief
complaint
Ongoing Examination - ANSWER Performed as needed to assess status, evaluates
client outcomes
Physical Assessment Skills - ANSWER 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
3
PASS
General Survey - ANSWER study of the whole person, covering the general health
state and any obvious physical characteristics. Should begin at first contact with patient.
Deviations Led to Focused Assessments - ANSWER Appearance/Behavior,
Grooming/Hygiene, Body Type/Posture, Mental State, Speech, Vital Signs, Weight/Height
Components of General Survey - ANSWER Physical Appearance, Mental Status,
Mobility, Behavior and Life Span Considerations
Physical Appearance - ANSWER -Body shape
-Build: Height and weight when compared to age
-Assessment of function and symmetry
Mental Status - ANSWER - Orientation
- Affect
- Anxiety
If patient appears confused, ask: - ANSWER -"Tell me your name."
-"Where are you now?"
-"What is today's date?"
-"What time is it?"
1
,Mobility - ANSWER -Posture: how we hold our bodies while standing, sitting and lying
down.
-Gait: being able to walk
-Range of Motion: extent of movement of a joint
Patient Behaviors - ANSWER -Grooming
-Body Odors
-Hygiene
-Facial Expression
-Mood
-Level of Anxiety
-Speech
Life Span Considerations: Pediatric Patients - ANSWER Compare developmental stage
to expected findings based on the age of patient
Life Span Considerations: Older Adults - ANSWER -Grooming and hygiene becomes
affected by mobility
-Gait becomes slower with shorter steps
-Behavior may be affected by various disorders.
Height - ANSWER The measurement of someone or something from head to foot or
from base to top.
How should someones height be taken? - ANSWER -Patient should looks taught ahead
while standing straight.
-Heels together & Shoulders Back
- Place level on crown of patient's head at right angle
2
, How is weight taken? - ANSWER -On standard platform or digital scale.
-Best to use same scale, clothing and weigh around same time.
What is a Nursing Physical Examination? - ANSWER -Part of a general health
assessment
-Used to gather data about the client
-Focuses on functional abilities and responses to illness and stressors
Purpose of Nursing Physical Examination - ANSWER -Establishes baseline data for
patients
-Identifies nursing diagnoses, collaborative problems and wellness diagnoses
Types of Nursing Examinations - ANSWER -Comprehensive
-Focused
-Ongoing
Comprehensive Examination - ANSWER Includes interview plus a complete head-to-
toe examination
Focused Examination - ANSWER Focused on the presenting problem or chief
complaint
Ongoing Examination - ANSWER Performed as needed to assess status, evaluates
client outcomes
Physical Assessment Skills - ANSWER 1. Inspection
2. Palpation
3. Percussion
4. Auscultation
3
