NCM 02: Health Assessment (Lecture) - Nursing Process Overview
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Questions and Answers

What is the main purpose of the nursing process?

  • To conduct physical examinations
  • To guide all nursing actions in delivering holistic care (correct)
  • To prioritize patient complaints
  • To implement treatments for patients

Which phase of the nursing process involves collecting subjective and objective data?

  • Assessment (correct)
  • Evaluation
  • Diagnosis
  • Planning

In the nursing process, what type of data is directly observed through experimentation?

  • Subjective data
  • Treatment data
  • Diagnostic data
  • Objective data (correct)

Which skills are essential for obtaining subjective data during the assessment phase?

<p>Therapeutic communication and interview skills (C)</p> Signup and view all the answers

What is the primary goal of analyzing subjective and objective data in the diagnosis phase of the nursing process?

<p>To identify patient concerns and collaborative problems (C)</p> Signup and view all the answers

Which phase of the nursing process involves generating solutions and developing a plan based on assessment and diagnosis?

<p>Planning (B)</p> Signup and view all the answers

What is the primary focus of a Physical Medical Assessment?

<p>Client's physiological status (A)</p> Signup and view all the answers

What does an 'Ongoing or Partial Assessment' in health assessment involve?

<p>Mini overview of the client’s body systems and follow-up on health status (C)</p> Signup and view all the answers

What is the purpose of an 'Emergency Assessment' in health assessment?

<p>To provide prompt treatment in life-threatening situations (D)</p> Signup and view all the answers

When is a 'Focused or Problem-Oriented Assessment' typically conducted?

<p>When problems were initially detected (D)</p> Signup and view all the answers

What is included in an 'Initial Comprehensive Assessment' in health assessment?

<p>Collection of subjective and objective data about the client’s perception of their health (D)</p> Signup and view all the answers

What does a 'Holistic Nursing Assessment' aim to determine?

<p>The client's overall level of functioning (D)</p> Signup and view all the answers

What component of a complete health history serves as the foundation for clinical judgments in identifying nursing problems?

<p>History of Present Health Concern (C)</p> Signup and view all the answers

Which section of the health history involves asking about signs and symptoms, onset, location, duration, and severity of a health concern?

<p>History of Present Health Concern (A)</p> Signup and view all the answers

In the mnemonic COLDSPA, what does the letter D represent?

<p>Duration (A)</p> Signup and view all the answers

What does the letter P stand for in the PQRST pain analysis mnemonic?

<p>Provocative/Palliative (B)</p> Signup and view all the answers

Which aspect of collecting objective data involves physical examination techniques?

<p>Listening Skills (D)</p> Signup and view all the answers

What is the main purpose of the section 'Reasons for Seeking Health Care' in a health history?

<p>To understand the current health concerns and motivation for seeking care (A)</p> Signup and view all the answers

What is the primary focus of the working phase of the nurse-client interaction?

<p>Listening and observing cues from the client (C)</p> Signup and view all the answers

In the summary and closing phase, what does the nurse do after summarizing the information obtained during the working phase?

<p>Validates problems and goals with the client (D)</p> Signup and view all the answers

Which aspect of communication is emphasized in the working phase of the nurse-client interaction?

<p>Nonverbal cues interpretation (D)</p> Signup and view all the answers

What is an essential activity in the working phase that aids in interpreting information from the client?

<p>Observing cues and listening actively (B)</p> Signup and view all the answers

During the summary and closing phase, what does the nurse ensure before discussing possible plans for problem resolution?

<p>Validating problems and goals with the client (A)</p> Signup and view all the answers

Which of these is a key purpose of summarizing information in the nurse-client interaction?

<p>Validating problems and goals with the client (A)</p> Signup and view all the answers

When a client is in lithotomy position, what part of the body is primarily assessed?

<p>Hips (C)</p> Signup and view all the answers

What is the main purpose of the knee-chest position during a physical examination?

<p>Assessing rectum (A)</p> Signup and view all the answers

In the prone position, what part of the body is primarily examined?

<p>Back (A)</p> Signup and view all the answers

For patients lying face-down with head on the side, which position are they in?

<p>Prone position (B)</p> Signup and view all the answers

Which position is considered ideal for patients who will give birth?

<p>Lithotomy position (C)</p> Signup and view all the answers

What does the prone position help to assess primarily?

<p>Hip joint and back (B)</p> Signup and view all the answers

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