Nursing Health Assessment Quiz
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Questions and Answers

What is the primary purpose of the pre-interview phase?

  • To summarize important points
  • To obtain patient information
  • To set the stage for a smooth interview (correct)
  • To establish trust with the patient

    • Establishing the agenda for the interview is part of the introduction phase.

    True

    What are the three categories into which a patient's information is organized?

    Past, Present, Family history

    The patient's _________ includes fears or concerns about their health problem.

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

    Match the symptom attributes with their descriptions:

    <p>Onset = When did it start? Location = Where is it? Duration = How long does it last? Characteristics = What is it like?</p> Signup and view all the answers

    Which of the following is NOT one of the seven attributes of a symptom?

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

    The termination phase of the interview involves summarizing important points and discussing the plan of care.

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

    The acronym FIFE stands for the ______ of the patient's perspective.

    <p>feelings, ideas, function, expectations</p> Signup and view all the answers

    Which of the following is NOT one of the '7 facets' of health?

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

    Health is solely defined as the absence of disease.

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

    What are the two main components of a nursing health assessment?

    <p>Health history and physical examination</p> Signup and view all the answers

    The __________ involves systematic data collection to evaluate a person's health status.

    <p>nursing health assessment</p> Signup and view all the answers

    What is the first step of the nursing process?

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

    Match each facet of health with its description:

    <p>Physical health = How the body works and adapts Emotional health = Positive outlook and emotions Social well-being = Supportive relationships with family and friends Cultural Influence = Favorable connections to promote health</p> Signup and view all the answers

    What is the primary purpose of the nursing health assessment?

    <p>To determine a patient’s health status and needs for education</p> Signup and view all the answers

    The nursing diagnosis is formulated solely based on the patient's reported symptoms.

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

    Past medical records are not useful in collecting information during the health history.

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

    What is the purpose of the evaluation step in the nursing process?

    <p>To determine if the goals have been attained.</p> Signup and view all the answers

    A focused assessment primarily gathers information about the patient’s _______.

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

    What should be done with the information obtained during the health assessment?

    <p>Document it in the patient's medical records</p> Signup and view all the answers

    Match the types of health assessments with their definitions:

    <p>Comprehensive assessment = A thorough assessment during admission Focused assessment = Limited assessment addressing a specific problem Follow-up history = Assessing patient after treatment or intervention Emergency history = Rapid assessment focusing on immediate health threats</p> Signup and view all the answers

    During which step of the nursing process do nurses and patients collaborate to set goals?

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

    Health history interviews serve to establish a trusting relationship with the patient.

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

    What are the ABCs when conducting an emergency history?

    <p>Airway, Breathing, Circulation</p> Signup and view all the answers

    What type of data consists of observable and measurable information?

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

    Subjective data includes information obtained through observations and laboratory testing.

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

    What does HPI stand for in a medical history context?

    <p>History of Present Illness</p> Signup and view all the answers

    The acronym OLD CART helps to remember the seven attributes of a symptom: Onset, Location, Duration, ________, Associated Manifestations, Relieving/Exacerbating Factors, and Treatment.

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

    Which of the following is NOT typically included in the Past History section of a medical history?

    <p>Current lifestyle habits</p> Signup and view all the answers

    Match the following components of medical history with their descriptions:

    <p>Allergies = Reactions to medications or environmental factors Medications = Name, dose, route, and frequency of use Childhood illnesses = Previous significant diseases during childhood Adult illnesses = Medical conditions or surgeries occurring after childhood</p> Signup and view all the answers

    The Risk factors are part of the key elements of the History of the Present Illness.

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

    Name one chronic childhood illness that should be included in the Past History.

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

    Which immunization is NOT typically included in health maintenance assessments?

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

    Screening tests should include results and dates of tests performed.

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

    What are some examples of environmental hazards that should be inquired about?

    <p>Mold, asbestos, chemicals, or pollutants in the home or work environment</p> Signup and view all the answers

    The recommended two types of tobacco usage questions should inquire about use and _____.

    <p>age of initiation</p> Signup and view all the answers

    Match the following screening tests with their purpose:

    <p>Tuberculin tests = Detect tuberculosis Cholesterol tests = Assess cholesterol levels Pap smears = Screen for cervical cancer Mammograms = Screen for breast cancer</p> Signup and view all the answers

    What is a common symptom to ask about in a head-to-toe review of systems?

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

    Cultural constructs of mental illness are universally recognized and accepted.

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

    Ask open-ended questions initially to encourage _____ from the patient.

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

    What is the primary purpose of a physical examination?

    <p>To obtain objective data and promote healthy lifestyles</p> Signup and view all the answers

    It is appropriate to interpret your findings during a physical examination.

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

    List two steps you should take to make the patient comfortable during an examination.

    <p>Close nearby doors and draw the curtains; Wash your hands.</p> Signup and view all the answers

    Before beginning the physical examination, you should ensure that you have checked your ______.

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

    Which of the following should be adjusted to create a comfortable environment for a physical examination?

    <p>The lighting and surroundings</p> Signup and view all the answers

    Match the following actions with their purposes during a physical examination:

    <p>Washing hands = Prevent infection Draping the patient = Maintain privacy Checking vital signs = Monitor health status Adjusting lighting = Improve visibility</p> Signup and view all the answers

    Why is it important to inform the patient about their vital signs during the examination?

    <p>To keep the patient informed and reduce anxiety.</p> Signup and view all the answers

    Most patients view a physical examination with some anxiety.

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

    Study Notes

    Module 1: Definition of Health

    • Health is a relative state, enabling a person to live to their full potential, encompassing seven facets.
    • Physical health: how the body functions and adapts.
    • Emotional health: positive outlook and healthy emotional expression.
    • Social well-being: supportive relationships with family and friends.
    • Cultural influence: favorable connections promoting health.
    • Spiritual influence: peaceful, moral, and ethical living.
    • Environmental influence: favorable conditions promoting health.
    • Developmental level: cognitive abilities, problem-solving, and decision-making.
    • Health isn't just the absence of disease but a combination of these factors.

    Module 1: Health Assessment

    • Nursing health assessment involves a comprehensive history and physical examination.
    • The assessment gathers data from the patient and/or family, using past medical records if necessary.
    • The assessment considers physical, psychological, social, cultural, and spiritual factors to understand their overall health status.
    • A structured head-to-toe physical examination is part of the assessment to detect changes or abnormalities.
    • Results assist in developing a patient care plan.

    Module 1: Nursing Process

    • Nurses use the nursing process (a problem-solving approach) to systematically address patient needs.
    • This process involves assessing problems, setting goals, developing action plans, implementing the plan, and evaluating outcomes.
    • Steps include: Assessment, Diagnosis, Planning, Implementation, and Evaluation.
    • The nurse uses data collected to make diagnoses, formulate goals, and develop plans to address patient concerns.
    • The process is documented in patients' medical records.

    Module 2: Interviewing and Communication

    • A health history interview involves building rapport, gathering information, and providing information.
    • The goal is to create a trusting and supportive relationship while providing pertinent information.
    • A health history format structures information into past, present, and family history categories.
    • The format facilitates easy communication among healthcare providers.
    • Information is gathered in a manner that allows a focused or problem-oriented approach, or a follow-up history.
    • Emergency histories focus on priority needs (ABCs).

    Module 2: Phases of Interview

    • The interview process has pre-interview, working, and termination stages.
    • In the pre-interview, the setting is prepared, and self-reflection assists professional development.
    • During the working stage there is reflection, patient's story gathering, clarification of emotional clues, testing diagnostic hypotheses, agreeing on a plan for evaluation, treatment, counseling, and self-management.
    • The termination phase reviews major points covered in the conversation, plans of care, and follow-up instructions.

    Module 2: Seven Attributes of a Symptom

    • Onset: when the symptom began.
    • Location: specific area of the body where the symptom manifests.
    • Duration: how long the symptom lasts each occurrence.
    • Characteristics: details describing the symptom (severity, pain scale, etc.).
    • Relieving/Exacerbating factors: factors that ease, worsen, or trigger symptoms.
    • Explore the patient's feelings, their understanding of the problem, its impact on their life, and their expectations for care.

    Module 3: Physical Examination

    • Physical examinations use objective data to further assess a patient's health.
    • Steps include appropriate attire, environmental adjustments that create comfort for the patient.
    • Visual inspection, palpation, and auscultation are used to assess body systems.
    • Observation of patient behavior and general appearance are critical parts of the examination.
    • Use standard precautions in a professional manner.
    • Focus on patient's comfort and privacy.

    Types of Data

    • Objective data includes observable and measurable information from observations, physical exams, and laboratory tests.
    • Subjective data comes from the client's perspective, and includes feelings, perceptions, and concerns expressed through interviews.

    History of Present Illness (HPI)

    • A chronological account of the problems causing a patient to seek care.
    • Covers the onset of the issue, where and how it developed, symptoms, and responses to treatment.

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    Related Documents

    NUR 097 1-3 PDF - Health Assessment

    Description

    Test your knowledge on the nursing health assessment process and interview techniques. This quiz covers key concepts such as the pre-interview phase, the organization of patient information, and the attributes of symptoms. Challenge yourself to ensure you understand the fundamental aspects of nursing assessments.

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