20 Questions
What are the three steps of the nursing process according to Lydia Hall?
Observation, Administration of care, Validation
What does the ANA acronym stand for in the context of nursing assessment?
American Nursing Association
Which of the following is NOT one of the skills mentioned in the text as essential for nursing assessment?
Empathy and Compassion
What does the term 'Subjective' refer to in the context of nursing assessment?
Data obtained through patient-centered information
What is the purpose of an initial comprehensive assessment in nursing?
To facilitate a plan to deliver the best care for every patient.
What is the main focus of a problem-oriented assessment in nursing?
To address a specific health concern at a healthcare agency.
According to the World Health Organization (WHO), health is defined as:
A state of complete physical, mental, and social well-being.
What does the nursing process involve?
Extrapolating findings and formulating a plan of care.
What is the primary goal of health assessment in nursing?
To provide information for optimal patient care planning.
Which aspect is NOT included in the 6 facets of health according to WHO?
Environmental influences
Which equipment is used to visualize the tympanic membrane of the ear canal?
Otoscope
In which position is a small pillow placed under the head to best assess the abdomen?
Supine
Which assessment posture is commonly used for examining the rectum?
Sim's position
What is the main purpose of using a measuring tape during a nursing assessment?
To take 3D measurements
What is the primary purpose of percussion in a physical examination?
To assess underlying structures by producing sound waves
During palpation, what is the main purpose of moderate palpation?
To determine abnormal masses and their characteristics
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
Which type of percussion involves tapping a body part directly with the fingers or a reflex hammer?
Direct percussion
What is the characteristic of percussion sound intensity when assessing resonance?
Loud and heard over part air and part solid
When performing deep palpation in a physical exam, what is the typical depth of depression used?
2.5-5cm
Learn about the introduction of the nursing process by theorist Lydia Eloise Hall in 1955. Explore the steps involved in the nursing process, such as observation, administration of care, and validation, along with the evolution of the process by ANA in different eras.
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