Introduction to Nursing Process: Lydia Eloise Hall
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Questions and Answers

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?

    <p>Data obtained through patient-centered information</p> Signup and view all the answers

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

    <p>To facilitate a plan to deliver the best care for every patient.</p> Signup and view all the answers

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

    <p>To address a specific health concern at a healthcare agency.</p> Signup and view all the answers

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

    <p>A state of complete physical, mental, and social well-being.</p> Signup and view all the answers

    What does the nursing process involve?

    <p>Extrapolating findings and formulating a plan of care.</p> Signup and view all the answers

    What is the primary goal of health assessment in nursing?

    <p>To provide information for optimal patient care planning.</p> Signup and view all the answers

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

    <p>Environmental influences</p> Signup and view all the answers

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

    <p>Otoscope</p> Signup and view all the answers

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

    <p>Supine</p> Signup and view all the answers

    Which assessment posture is commonly used for examining the rectum?

    <p>Sim's position</p> Signup and view all the answers

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

    <p>To take 3D measurements</p> Signup and view all the answers

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

    <p>To assess underlying structures by producing sound waves</p> Signup and view all the answers

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

    <p>To determine abnormal masses and their characteristics</p> Signup and view all the answers

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

    <p>To use one hand to press while the other feels and assesses organs like the uterus</p> Signup and view all the answers

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

    <p>Direct percussion</p> Signup and view all the answers

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

    <p>Loud and heard over part air and part solid</p> Signup and view all the answers

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

    <p>2.5-5cm</p> Signup and view all the answers

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