Health Assessment Lecture 1
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Questions and Answers

What is the primary purpose of the interview in health assessment?

  • To inspect, palpate, percuss, and auscultate the patient
  • To teach the patient about health promotion and disease prevention
  • To establish a diagnosis and develop a treatment plan
  • To collect subjective data about the patient's health state (correct)

    • What are the two main components of a complete health database?

  • History taking and laboratory studies
  • Subjective and objective data (correct)
  • Physical examination and patient's record
  • Patient's record and laboratory studies

    • What type of database is used in emergency situations?

  • Emergency Database (correct)
  • Focused or Problem-Centered Database
  • Follow-Up Database
  • Complete (Total Health) Database

    • What is an important aspect of the interview in health assessment?

    <p>Establishing a trust and therapeutic relationship with the patient</p> Signup and view all the answers

    What is a characteristic of a successful interview?

    <p>It ends with a complete and accurate health history</p> Signup and view all the answers

    What is the purpose of health assessment?

    <p>To collect data about an individual's health state to reveal health problems</p> Signup and view all the answers

    What is an example of a type of data collected during the physical examination?

    <p>What the healthcare professional observes during the physical examination</p> Signup and view all the answers

    What is communication based on?

    <p>Behavior, conscious and unconscious, verbal and nonverbal</p> Signup and view all the answers

    What is an important factor to consider when conducting a health assessment?

    <p>The patient's cultural and family values</p> Signup and view all the answers

    What is an important aspect of nonverbal communication?

    <p>Your body language</p> Signup and view all the answers

    In receiving messages, what do receivers use to interpret the meaning of the message?

    <p>Their past experiences, culture, and self-concept, as well as current physical and emotional state</p> Signup and view all the answers

    What is an internal factor that can affect an interview?

    <p>The interviewer's self-awareness</p> Signup and view all the answers

    What is the purpose of the introduction phase of an interview?

    <p>To introduce yourself and state the purpose of the interview</p> Signup and view all the answers

    What type of question is used to collect narrative information in an interview?

    <p>Open-ended question</p> Signup and view all the answers

    What is necessary for effective communication to occur?

    <p>More than talking and hearing</p> Signup and view all the answers

    What is an example of a nonverbal cue in communication?

    <p>Foot tapping</p> Signup and view all the answers

    What should an interviewer avoid during the closing phase of an interview?

    <p>Providing false assurance or reassurance</p> Signup and view all the answers

    Which of the following is an example of nonverbal communication?

    <p>Maintaining eye contact</p> Signup and view all the answers

    What is the purpose of collecting health history in a patient's care?

    <p>To form a complete picture of the person's past and present health</p> Signup and view all the answers

    What should an interviewer avoid asking during an interview?

    <p>Leading questions</p> Signup and view all the answers

    What is an example of a trap of interviewing?

    <p>Giving unwanted advice</p> Signup and view all the answers

    What is the importance of silence in an interview?

    <p>It gives the respondent time to reflect</p> Signup and view all the answers

    What is an example of inappropriate nonverbal communication by a nurse?

    <p>Standing instead of sitting at the patient's eye level</p> Signup and view all the answers

    What is the main goal of an interviewer?

    <p>To listen more than they talk</p> Signup and view all the answers

    What does a health history describe?

    <p>The individual as a whole and how they interact with the environment</p> Signup and view all the answers

    What is the purpose of a health history?

    <p>To record ways of responding to health problems</p> Signup and view all the answers

    What is included in biographical data?

    <p>Name, age, gender, birth place, marital status, race, religion, occupation, and address</p> Signup and view all the answers

    What is the purpose of the chief complaint?

    <p>To provide a brief spontaneous statement in the person's own words</p> Signup and view all the answers

    What does the history of present illness include?

    <p>Details of the reason for seeking care from the time the symptom first started until now</p> Signup and view all the answers

    What is included in the details of the history of present illness?

    <p>PQRSTU, which includes provocative, quality, region, severity, timing, and understanding the patient's perception</p> Signup and view all the answers

    What is the purpose of understanding the patient's perception in the history of present illness?

    <p>To understand what the patient thinks the symptom means</p> Signup and view all the answers

    What is the purpose of the review of systems?

    <p>To assess the impact of the health problem on the individual's daily life</p> Signup and view all the answers

    What is the purpose of the Review of Systems (ROS)?

    <p>To evaluate the past and present health state of each body system</p> Signup and view all the answers

    What is included in the obstetric history?

    <p>Number of pregnancies and abortions</p> Signup and view all the answers

    What is the purpose of constructing a genogram?

    <p>To construct an accurate family tree or genogram</p> Signup and view all the answers

    What is included in the past health history?

    <p>Childhood illnesses, accidents or injuries, and chronic illnesses</p> Signup and view all the answers

    What is assessed in the functional assessment?

    <p>All of the above</p> Signup and view all the answers

    What is the order of examination in the Review of Systems?

    <p>From head to toe</p> Signup and view all the answers

    What is recorded in the Review of Systems?

    <p>The presence or absence of all symptoms</p> Signup and view all the answers

    Why is the Review of Systems used?

    <p>To double-check in case significant data were missing from the present health history</p> Signup and view all the answers

    Study Notes

    Health Assessment

    • Health assessment is the collection of data about an individual's health state to reveal health problems, including subjective data (what the person says about themselves) and objective data (what the healthcare professional observes during the physical examination).

    Types of Databases

    • There are four types of databases:
    • Complete (Total Health) Database: includes complete health history and full physical examination
    • Focused or Problem-Centered Database: collects "mini" data related to the system with a problem
    • Follow-Up Database: evaluates the status of an individual's health
    • Emergency Database: rapid collection of data in emergency situations

    The Interview

    • The interview is a structured interaction between the healthcare provider and the patient, and is the first point of contact with a client and the most important part of data collection.
    • Characteristics of a successful interview include:
    • Ending with a complete and accurate health history
    • Discussing health promotion and disease prevention
    • Initiating teaching
    • Establishing a trust and therapeutic relationship with the patient
    • Communication is exchanging information so each person clearly understands the other, and is based on behavior, conscious and unconscious, verbal and nonverbal.

    Communication

    • Communication involves sending and receiving messages, and is affected by internal factors (e.g. liking others, empathy, self-awareness) and external factors (e.g. privacy, interruptions, physical environment).
    • The interview has three phases: introduction, working, and closing, and involves verbal responses to gather more data, such as facilitation, silence, reflection, empathy, clarification, confrontation, interpretation, explanation, and summary.

    Traps of Interviewing

    • Traps of interviewing include providing false assurance or reassurance, giving unwanted advice, using authority, using avoidance language, engaging in distancing, using professional jargon, using leading or biased questions, talking too much, and interrupting.

    Nonverbal Communication

    • Nonverbal communication involves physical appearance, posture, gestures, facial expression, eye contact, voice, and touch.
    • Examples of inappropriate communication include standing instead of sitting at the patient's eye level and talking to the patient's mother rather than directly to the patient.

    Health History

    • The purpose of health history is to collect subjective data (patient's story) and provide a complete picture of a person's past and present health.
    • Components of health history include biographical data, reason for seeking care, history of present illness, past health history, family history, review of systems, functional assessment, and perception of health.
    • Biographical data includes name, age, gender, birth place, marital status, race, religion, occupation, and address.
    • Reason for seeking care includes a brief spontaneous statement in the person's own words that describes the reason for seeking care, and is framed by the patient's own words.
    • History of present illness includes details (PQRSTU) of the reason for seeking care from the time the symptom first started until now.

    Review of Systems (ROS)

    • Review of Systems (ROS) evaluates the past and present health state of each body system, and includes the head, chest, abdomen, musculoskeletal, and neurological systems.
    • The order of examination is from head to toe, and excludes symptoms covered in the present health history.

    Functional Assessment

    • Functional Assessment measures a person's self-care ability, including self-esteem, self-concept, education, income, and religious practices, as well as activity/exercise, including activity of daily living (ADLs) such as bathing, dressing, toileting, eating, and walking.

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    Related Documents

    Health Assessment / Theory PDF

    Description

    Introduction to health assessment, including the importance of collecting data to identify health problems and the types of data collected during a health history.

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