Nursing Health Assessment

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What type of questions should be used to obtain facts and focus on specific information?

CLOSED-ENDED QUESTIONS

When should closed-ended questions be used?

To clarify or obtain more accurate information

What should one assess before examining the client?

Own feelings and anxieties

What equipment is needed for a thoracic & lung examination?

Specific equipment for thoracic & lung examination Signup and view all the answers

Why is it important to wash hands before beginning the examination?

To prevent the transmission of infectious agents Signup and view all the answers

What should be done if a pin is used to assess sensory perception?

Discard the pin and use a new one for the next client Signup and view all the answers

What are the three main components that a health assessment helps to identify?

A. The strengths of the clients in promoting health. B. Client’s needs and clinical problems. C. Responses of each person to health problems and intervention. Signup and view all the answers

According to Arkinson & Muray (1991), what role does assessment play in nursing?

Assessment is a part of each activity the nurse does for and with the patient. Signup and view all the answers

Where can obtaining the patient's history and performing physical assessment be carried out?

a. Acute care setting b. Clinic or outpatient office c. School d. Long-term care facility e. Home Signup and view all the answers

What are the cognitive skills required for health assessment?

Critical thinking and clinical decision making - uses knowledge and experience. Signup and view all the answers

What are the problem-solving skills required for health assessment?

Scientific methods, experience, and intuition (with experience). Signup and view all the answers

What type of skills are involved in the psychomotor aspect of health assessment?

Assessment is doing. Signup and view all the answers

What is the role of affective/interpersonal skills in health assessment?

Assessment is feeling trust and mutual respect. Signup and view all the answers

How should the nurse demonstrate ethical skills in health assessment?

By being responsible and accountable for their practice. Signup and view all the answers

What additional aspects should nursing assessment cover apart from the client's physical health?

Client's perceived needs, health problems related experience, health practices values, and lifestyles. Signup and view all the answers

What is the purpose of deep palpation in physical examination?

Allows to feel very deep organs or structures covered by thick muscle Signup and view all the answers

How is bimanual palpation performed?

Use two hands, placing one on each side of the body part being palpated Signup and view all the answers

What is the purpose of percussion in a physical examination?

Eliciting pain, determining location, size, shape, density, and detecting abnormal masses Signup and view all the answers

Describe the types of percussion techniques.

Direct, blunt, indirect/mediate Signup and view all the answers

What is the key aspect to keep in mind during percussion?

Withdraw finger immediately to avoid damping the tone Signup and view all the answers

What is auscultation in physical assessment?

Listening with a stethoscope for heart sounds, blood movement, bowel sounds, and air movement Signup and view all the answers

What are the components of nursing health history?

Biographical data, Chief complaint, Present health concern, Past history, Family history, Review of systems, Patient profile Signup and view all the answers

How has the nurse's role in health assessment evolved over time?

From using senses to assess clients in the past to using communication and physical assessment techniques today. Signup and view all the answers

What is critical thinking in health assessment?

Reasonable reflective thinking focused on deciding what to believe or do. Signup and view all the answers

Define culture and its role in health assessment.

Culture is the totality of socially transmitted patterns, beliefs, and values that guide decision making. It influences beliefs about health & illness. Signup and view all the answers

What are the elements of critical thinking in health assessment?

Keeping an open mind, using rationale for decisions, reflecting on thoughts, and building knowledge from past experiences. Signup and view all the answers

What is the first and most critical phase of the nursing process?

Assessment Signup and view all the answers

What is the purpose of the initial comprehensive assessment?

To collect subjective data about the client's perception of health when they first enter the health care system. Signup and view all the answers

When is a focused or problem-oriented assessment done?

For a patient with a specific problem that needs thorough assessment. Signup and view all the answers

What is the role of the family in health assessment?

The family's beliefs about health and illness can affect each member's behavior and health status. Signup and view all the answers

What are the steps of the health assessment in the nursing process?

Assessment, Diagnosis, Planning, Implementation, Evaluation Signup and view all the answers

What is the purpose of tailoring a care plan to the unique characteristics and preferences of the client?

To meet the specific needs of the client. Signup and view all the answers

In a basic two-part nursing diagnosis statement, what does 'P' stand for?

Problem (client's response). Signup and view all the answers

What is the significance of including collaborative activities in a care plan?

To facilitate coordinated care among healthcare professionals. Signup and view all the answers

What key component is included in a basic three-part nursing diagnosis using the PES format?

Signs and symptoms (S). Signup and view all the answers

According to the ANA Code of Ethics, what is the nurse's duty regarding patient information?

To maintain confidentiality of all patient information. Signup and view all the answers

What is the purpose of a Problem-Oriented Medical Record (POMR)?

To organize data, problem lists, and care plans. Signup and view all the answers

What is the main focus of Focus Charting (FDAR) documentation system?

Client concerns and strengths. Signup and view all the answers

What does KARDEX primarily focus on in terms of organizing client information?

Concise recording of client data and pertinent information. Signup and view all the answers

What is the purpose of using flow sheets in nursing documentation?

To record specific data like intake, output, medication administration, and progress. Signup and view all the answers

Why is legal prudence important when documenting patient care?

To ensure adherence to legal standards and protect patient privacy. Signup and view all the answers