Podcast
Questions and Answers
According to the Canadian Nurses Association Code of Ethics, which of the following is NOT a core nursing value?
According to the Canadian Nurses Association Code of Ethics, which of the following is NOT a core nursing value?
Which level of health prevention is primarily focused on mitigating harms stemming directly from the healthcare system itself?
Which level of health prevention is primarily focused on mitigating harms stemming directly from the healthcare system itself?
A nurse is working with a community to implement a smoke free initiative for youths. This is an example of which type of prevention?
A nurse is working with a community to implement a smoke free initiative for youths. This is an example of which type of prevention?
Which action best demonstrates a nurse's commitment to promoting patient autonomy as outlined in the Canadian Nurses Association Code of Ethics?
Which action best demonstrates a nurse's commitment to promoting patient autonomy as outlined in the Canadian Nurses Association Code of Ethics?
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A patient who experiences a stroke is attending a specialized rehabilitation program that helps them to regain lost function and improve quality of life. This is an example of which type of prevention?
A patient who experiences a stroke is attending a specialized rehabilitation program that helps them to regain lost function and improve quality of life. This is an example of which type of prevention?
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Which data collection method primarily focuses on the patient's experiences and perceptions?
Which data collection method primarily focuses on the patient's experiences and perceptions?
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In the context of health assessment, what constitutes 'objective data'?
In the context of health assessment, what constitutes 'objective data'?
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According to the provided model, the 'health and illness' concept is directly related to which element?
According to the provided model, the 'health and illness' concept is directly related to which element?
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In Tanner’s Clinical Judgement Model, what is the primary emphasis regarding the mindset of a nurse?
In Tanner’s Clinical Judgement Model, what is the primary emphasis regarding the mindset of a nurse?
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What does 'functional health assessment' primarily involve?
What does 'functional health assessment' primarily involve?
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Which framework is most likely to explore what a patient believes may be impacting their health using questioning?
Which framework is most likely to explore what a patient believes may be impacting their health using questioning?
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Which action is NOT a stated goal when collecting a health history?
Which action is NOT a stated goal when collecting a health history?
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Where does the 'constant assessing' component fit into the overall nursing process as described?
Where does the 'constant assessing' component fit into the overall nursing process as described?
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What is an appropriate response when a patient is crying?
What is an appropriate response when a patient is crying?
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Which of the following is considered a nontherapeutic response?
Which of the following is considered a nontherapeutic response?
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Why is it important to position yourself at eye level when communicating with a patient?
Why is it important to position yourself at eye level when communicating with a patient?
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What should not be done when acknowledging differences between you and the patient?
What should not be done when acknowledging differences between you and the patient?
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Which of the following behaviors is a distraction that should be minimized during patient interactions?
Which of the following behaviors is a distraction that should be minimized during patient interactions?
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According to the provided material, which of the following is NOT a component of disease management?
According to the provided material, which of the following is NOT a component of disease management?
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In the context of the provided nursing program information, what is the primary focus of the 'Knowledge Development for RNs' section?
In the context of the provided nursing program information, what is the primary focus of the 'Knowledge Development for RNs' section?
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Based on the course's structure, what is the weighting of the 'Letter Grade' component within the total grading scheme?
Based on the course's structure, what is the weighting of the 'Letter Grade' component within the total grading scheme?
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According to the provided infographic, which of the following options is NOT explicitly listed as a component of 'Health Assessment'?
According to the provided infographic, which of the following options is NOT explicitly listed as a component of 'Health Assessment'?
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The provided text emphasizes a specific type of learning in clinical practice, what is that
The provided text emphasizes a specific type of learning in clinical practice, what is that
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What is the expected prerequisite knowledge for students regarding anatomy and physiology in this nursing program according to the provided information?
What is the expected prerequisite knowledge for students regarding anatomy and physiology in this nursing program according to the provided information?
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Within the grading breakdown for this nursing program, which category contributes the second largest percentage towards the final grade?
Within the grading breakdown for this nursing program, which category contributes the second largest percentage towards the final grade?
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Based on the 'How To Succeed in Health Assessment' section, which activity is primarily intended to provide a hands-on demonstration of the procedures and assessments?
Based on the 'How To Succeed in Health Assessment' section, which activity is primarily intended to provide a hands-on demonstration of the procedures and assessments?
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What is the most appropriate way to communicate with a patient who has a low level of consciousness?
What is the most appropriate way to communicate with a patient who has a low level of consciousness?
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Why is it advised not to use a family member as an interpreter in health care settings?
Why is it advised not to use a family member as an interpreter in health care settings?
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What is a recommended approach when communicating with patients who are hearing impaired?
What is a recommended approach when communicating with patients who are hearing impaired?
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Which of the following is a critical consideration for communicating with older adults?
Which of the following is a critical consideration for communicating with older adults?
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When communicating with patients experiencing anxiety, the best approach is to:
When communicating with patients experiencing anxiety, the best approach is to:
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Which type of health assessment is typically used in a long-term care setting?
Which type of health assessment is typically used in a long-term care setting?
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In acute care settings, which type of assessment may sometimes be combined with urgent evaluation?
In acute care settings, which type of assessment may sometimes be combined with urgent evaluation?
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What is the primary focus of periodic health assessments?
What is the primary focus of periodic health assessments?
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Which communication technique is essential in health assessments to fully understand patient perspectives?
Which communication technique is essential in health assessments to fully understand patient perspectives?
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What kind of assessment should be undertaken for patients with chronic conditions?
What kind of assessment should be undertaken for patients with chronic conditions?
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Why is nonverbal communication considered equally important as verbal communication in health assessments?
Why is nonverbal communication considered equally important as verbal communication in health assessments?
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How should guided questioning be structured during health assessments for optimal results?
How should guided questioning be structured during health assessments for optimal results?
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What is a common misconception about the frequency of health assessments?
What is a common misconception about the frequency of health assessments?
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Study Notes
Introduction to Health Assessment
- This is an introduction to health assessment.
- The copyrighted material is for individual use only; further distribution may infringe copyright.
Who are RNs and what do we do?
- RNs are Registered Nurses
- Image of a group of RNs is presented.
Canadian Nurses Association Code of Ethics (2017)
- Nursing Values and Ethical Responsibilities include:
- Providing safe, compassionate, competent, and ethical care
- Promoting health and well-being
- Promoting and respecting informed decision making
- Honoring dignity
- Maintaining privacy and confidentiality
- Promoting justice
- Being accountable
Health Promotion Primary Secondary & Tertiary Prevention
- Levels of Prevention Strategies are presented:
- Primordial: Population-level risk factor mitigation
- Primary: Avoid development of disease, remove risk factors.
- Secondary: Early detection, treatment, prevent progression of disease.
- Tertiary: Reducing complications of established disease, dealing with after effects.
- Quaternary: Mitigating harms from the healthcare system (e.g., over-diagnosis, iatrogenic effects, medicalization, and polypharmacy).
- The earlier you can engage with patients the better.
Knowledge Development for RNs
- Required knowledge for RNs includes:
- Anatomy, Physiology, Pathophysiology, and Pharmacology
- Psychomotor Skills and Rationale
- Theoretical and conceptual frameworks for practice and care
- Critical Thinking/Clinical Judgment
- Clinical Area Specifics
- Therapeutic relationship and communication
- Health Assessment
How to Succeed in Health Assessment
- Review weekly online outcomes and lab learning outcomes.
- Read chapters and complete quizzes, review anatomy & physiology.
- Watch the Bate's videos for hands-on demonstrations of assessments.
- Review head-to-toe and systems assessments from the syllabus.
- Relate learning to class activities.
- Expect exam questions to cover memorization and applications.
- Practice is crucial, focusing on expected findings.
Assignments/Exams
- Reading Knowledge Checks (10%)
- Lab Learning Assessment (10%)
- In-class quizzes (3 x 15%)
- Final Exam (35%)
- Letter grades are based on percentages.
Basics of Health Assessment
- Copyright material is available for individual use only.
What is Health Assessment?
- Health Assessment involves collecting subjective and objective data.
- This involves the General Survey, Health History, Review of Systems, and Physical Examination.
Overarching Concepts for Nursing Practice
- Professional Nursing, individual patient/client characteristics, health and illness/healing, and health care contexts are all interconnected concepts for nursing.
- Health assessment is central to the nursing process.
Nursing Process and Health Assessment
- Assessment, analysis, diagnosis, planning, implementation, and evaluation are all parts of the nursing process.
- Data from patients, families, groups, and communities are all considered.
Tanner's Clinical Judgement Model
- Tanner's Clinical Judgement Model has the following stages:
- Noticing, interpreting, responding.
- Context, background, relationship, expectations, initial grasp, intuitive and analytical narratives, action, reflection on action & clinical learning, and reflection in action and outcomes are all subparts.
Guiding Frameworks
- Functional questioning during health history and body systems and concepts are two major frameworks to approach health assessment.
- Efficient head-to-toe physical examination is needed.
Types of Assessment
- Common types include: urgent, comprehensive, and focused assessments.
Frequency of Health Assessment
- Frequency depends on patient needs, purpose, and health care context (e.g., long-term care, acute care, intensive care, outpatient/community care).
- Focus may be on screening, prevention, or unique issues based on circumstances.
Communication
- Communication is a crucial aspect of the interview process, involving phases like pre-interaction, beginning, working, and closing.
- Importance of building rapport and actively listening.
Communication Tips for Health Assessment
- Active Listening
- Guided Questioning
- Questions at a time: Single question at a time
- Offer choices to support choices
- Express empathy
- Avoid negative questions.
Nonverbal Communication Skills
- Observe nonverbal cues.
- Position yourself at eye-level.
- Touch may be appropriate in some cases.
- Ongoing self-reflection.
Nontherapeutic Responses
- False reassurance
- Unwanted advice
- Biased questions
- Changes of subject
- Distractions
- Technical or overwhelming language, interrupting.
Intercultural Communication
- Acknowledge cultural diversity in communication, values, and experiences when assessing patients.
- Use appropriate etiquette
- Limit jargon
- Work with interpreters essential.
Lifespan Considerations
- Different approaches are needed when assessing patients of different ages.
What Communication Skills to Support
- Support patients in varied settings: hearing impaired, low consciousness level, cognitive impairment, mental health, anxiety, crying.
- Be observant.
Summary
- Summary of the health assessment presentation.
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Description
This quiz covers the fundamentals of health assessment, including the roles of Registered Nurses (RNs) and the Canadian Nurses Association Code of Ethics. It discusses the ethical responsibilities in nursing practice and various levels of health promotion and prevention strategies. Test your understanding of these essential nursing concepts.
