HEALTH ASSESSMENT IN NURSING EXAM STUDY
GUIDE ACCURATE QUESTIONS WITH CORRECT
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<RECENT VERSION>
Name the five steps of the nursing process
.......Answer.........Assessment, diagnosis, planning, implementation
and evaluation
What are the four sections of the nursing assessment framework?
.......Answer.........History of present health concern, past health
history, family history and lifestyle and health practices
What are the four basic types of assessments?
.......Answer.........Initial comprehensive assessment, ongoing or
partial assessment, focused or problem oriented assessment and
emergency assessment
,age 2 of 31
Name the four major steps of the assessment phase
.......Answer.........Collection of subjective data, collection of
objective data, validation of data and documentation data
Explain the importance of a contextual approach to nursing
health assessment .......Answer.........The client's culture, family,
community and spirituality all affect their overall health
What is the purpose of conducting a health history interview?
.......Answer.........Establishing rapport and a trusting relationship
with the client to elicit accurate and meaningful information and
to gather information on the client's developmental,
psychological, physiologic, sociocultural and spiritual statuses
What are the steps or phases of the health history interview?
.......Answer.........Introductory phase, working phase, summary
and closing phase
,age 3 of 31
Assessment .......Answer.........Collection of subjective and objective
data
Diagnoses .......Answer.........Analysis of subjective and objective
data to make a professional nursing judgement
Planning .......Answer.........Developing a plan of nursing care and
outcome criteria
Implementation .......Answer.........Carrying out the plan of care
Evaluation .......Answer.........Assessing whether outcome criteria
have been met and revising the plan of care if necessary
Nursing Diagnosis .......Answer.........Clinical judgement about
individual, family or community responses to actual or potential
health problems and life processes
, age 4 of 31
Subjective Data .......Answer.........Sensations or symptoms that can
be verified only by the client (ex. pain)
Objective Data .......Answer.........Findings directly observed or
indirectly observed through measurements (ex. body
temperature)
Collaborative Problem .......Answer.........Physiologic complications
that nurses monitor to detect their onset or changes in status
Referral Problem .......Answer.........Problem that requires the
attention or assistance of other health care professionals
A medical examination differs from a comprehensive nursing
examination in that the medical examination focuses primarily on
the client's .......Answer.........Physiologic status