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

    What is the primary focus of a Physical Medical Assessment?

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

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

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

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

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

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

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

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

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

    Which aspect of collecting objective data involves physical examination techniques?

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

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

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

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

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

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

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

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

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

    What does the prone position help to assess primarily?

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

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