Introduction to Nursing Process: Lydia Eloise Hall

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What are the three steps of the nursing process according to Lydia Hall?

Assessment, Diagnosis, Planning
Administration of care, Validation, Communication
Observation, Documentation, Evaluation
Observation, Administration of care, Validation (correct)

What does the ANA acronym stand for in the context of nursing assessment?

Aide for Nursing Assessment
American Nurse Association
Association of Nursing Assessment
American Nursing Association (correct)

Which of the following is NOT one of the skills mentioned in the text as essential for nursing assessment?

Critical thinking
Flexibility and Adaptability
Effective Communication
Empathy and Compassion (correct)

What does the term 'Subjective' refer to in the context of nursing assessment?

Data obtained through patient-centered information (A) Signup and view all the answers

What is the purpose of an initial comprehensive assessment in nursing?

To facilitate a plan to deliver the best care for every patient. (C) Signup and view all the answers

What is the main focus of a problem-oriented assessment in nursing?

To address a specific health concern at a healthcare agency. (B) Signup and view all the answers

According to the World Health Organization (WHO), health is defined as:

A state of complete physical, mental, and social well-being. (A) Signup and view all the answers

What does the nursing process involve?

Extrapolating findings and formulating a plan of care. (B) Signup and view all the answers

What is the primary goal of health assessment in nursing?

To provide information for optimal patient care planning. (C) Signup and view all the answers

Which aspect is NOT included in the 6 facets of health according to WHO?

Environmental influences (C) Signup and view all the answers

Which equipment is used to visualize the tympanic membrane of the ear canal?

Otoscope (D) Signup and view all the answers

In which position is a small pillow placed under the head to best assess the abdomen?

Supine (C) Signup and view all the answers

Which assessment posture is commonly used for examining the rectum?

Sim's position (D) Signup and view all the answers

What is the main purpose of using a measuring tape during a nursing assessment?

To take 3D measurements (A) Signup and view all the answers

What is the primary purpose of percussion in a physical examination?

To assess underlying structures by producing sound waves (A) Signup and view all the answers

During palpation, what is the main purpose of moderate palpation?

To determine abnormal masses and their characteristics (D) Signup and view all the answers

What is the key function of bimanual palpation during a physical examination?

To use one hand to press while the other feels and assesses organs like the uterus (C) Signup and view all the answers

Which type of percussion involves tapping a body part directly with the fingers or a reflex hammer?

Direct percussion (B) Signup and view all the answers

What is the characteristic of percussion sound intensity when assessing resonance?

Loud and heard over part air and part solid (D) Signup and view all the answers

When performing deep palpation in a physical exam, what is the typical depth of depression used?

2.5-5cm (B) Signup and view all the answers