Podcast
Questions and Answers
Which of the following is NOT considered an internal factor influencing psychosocial health?
Which of the following is NOT considered an internal factor influencing psychosocial health?
- Genetics
- Physical Fitness
- Developmental Stage
- Culture (correct)
What is the primary source of data for a health assessment, according to the text?
What is the primary source of data for a health assessment, according to the text?
- The patient's family
- The patient themselves (correct)
- The patient's doctor
- The patient's medical records
Which of the following is NOT a factor to consider in a psychosocial health assessment?
Which of the following is NOT a factor to consider in a psychosocial health assessment?
- Role development
- Ability to manage stress
- Self-concept
- Physical dexterity (correct)
Why is it important to consider the developmental level of a patient when interpreting findings related to their intellectual ability?
Why is it important to consider the developmental level of a patient when interpreting findings related to their intellectual ability?
What is the main point of focus for "psychosocial history"?
What is the main point of focus for "psychosocial history"?
What is the main purpose of a physical examination in a health assessment?
What is the main purpose of a physical examination in a health assessment?
What is the most important thing to consider when assessing the psychosocial health of a patient?
What is the most important thing to consider when assessing the psychosocial health of a patient?
Which of the following is NOT a purpose of a physical assessment?
Which of the following is NOT a purpose of a physical assessment?
What is the primary purpose of a physical assessment in nursing?
What is the primary purpose of a physical assessment in nursing?
Which of these actions is MOST IMPORTANT during the preparatory phase of a physical assessment?
Which of these actions is MOST IMPORTANT during the preparatory phase of a physical assessment?
What is the PRIMARY benefit of using a stethoscope to listen to heart and lung sounds during a physical assessment?
What is the PRIMARY benefit of using a stethoscope to listen to heart and lung sounds during a physical assessment?
Which of these best describes the role of a physical assessment in relation to a client's health history?
Which of these best describes the role of a physical assessment in relation to a client's health history?
Which position is CONTRAINDICATED for an elderly patient due to potential discomfort and fatigue?
Which position is CONTRAINDICATED for an elderly patient due to potential discomfort and fatigue?
Which position is CONTRAINDICATED for a patient with cardiovascular or respiratory problems?
Which position is CONTRAINDICATED for a patient with cardiovascular or respiratory problems?
Which assessment technique is MOST likely to be used to check for temperature and turgor?
Which assessment technique is MOST likely to be used to check for temperature and turgor?
Which position is commonly used to assess the rectal area in both adults and children?
Which position is commonly used to assess the rectal area in both adults and children?
Which assessment technique is used to visually examine the patient's body surfaces?
Which assessment technique is used to visually examine the patient's body surfaces?
Which of the following assessment approaches is ideal for pediatric patients?
Which of the following assessment approaches is ideal for pediatric patients?
What is the primary purpose of light palpation?
What is the primary purpose of light palpation?
What is the MAIN purpose of tangential lighting during the assessment?
What is the MAIN purpose of tangential lighting during the assessment?
During a complete health history, which aspect is emphasized for identifying nursing problems?
During a complete health history, which aspect is emphasized for identifying nursing problems?
When collecting biographical data, why is the client considered the primary source of information?
When collecting biographical data, why is the client considered the primary source of information?
When is using secondary sources for biographical data particularly helpful?
When is using secondary sources for biographical data particularly helpful?
Why should subjective data collection be modified or shortened during a complete health history?
Why should subjective data collection be modified or shortened during a complete health history?
During a complete health history, how can data be used to identify areas of strength and limitation in an individual's lifestyle?
During a complete health history, how can data be used to identify areas of strength and limitation in an individual's lifestyle?
Why is it important to focus on a specific area during a subjective data collection?
Why is it important to focus on a specific area during a subjective data collection?
Which of the following aspects are NOT listed within the provided content as a component of the complete health history interview?
Which of the following aspects are NOT listed within the provided content as a component of the complete health history interview?
What is the maximum depth of palpation typically performed in deep palpation techniques?
What is the maximum depth of palpation typically performed in deep palpation techniques?
Which of the following best describes the technique of bimanual deep palpation?
Which of the following best describes the technique of bimanual deep palpation?
What is the primary purpose of percussion in a physical examination?
What is the primary purpose of percussion in a physical examination?
In direct percussion, how is the body surface typically struck?
In direct percussion, how is the body surface typically struck?
What is the correct position of the nondominant hand during indirect percussion?
What is the correct position of the nondominant hand during indirect percussion?
What is the primary goal of applying a quick, sharp stroke during percussion?
What is the primary goal of applying a quick, sharp stroke during percussion?
During percussion, what is the most important factor to ensure effective sound transmission?
During percussion, what is the most important factor to ensure effective sound transmission?
In which situation is indirect percussion primarily utilized?
In which situation is indirect percussion primarily utilized?
A nurse is assessing a client's social and community activities. Which question would be most appropriate to ask the client?
A nurse is assessing a client's social and community activities. Which question would be most appropriate to ask the client?
When assessing a client's relationships, the nurse is trying to understand the client's family of origin. What is the primary purpose of gathering this information?
When assessing a client's relationships, the nurse is trying to understand the client's family of origin. What is the primary purpose of gathering this information?
A nurse is assessing a client's values and beliefs. What is the most important thing to remember during this part of the assessment?
A nurse is assessing a client's values and beliefs. What is the most important thing to remember during this part of the assessment?
A nurse is assessing a client's education and work history. What information is the nurse trying to gather by asking about the client's work satisfaction?
A nurse is assessing a client's education and work history. What information is the nurse trying to gather by asking about the client's work satisfaction?
When assessing a client's stress level and coping style, which question would be most helpful to ask?
When assessing a client's stress level and coping style, which question would be most helpful to ask?
During the assessment of a client's environment, the nurse should be looking for which of the following?
During the assessment of a client's environment, the nurse should be looking for which of the following?
A nurse asks a client, “What do you do for fun and relaxation?” What aspect of the client's life is the nurse trying to assess?
A nurse asks a client, “What do you do for fun and relaxation?” What aspect of the client's life is the nurse trying to assess?
A nurse asks a client, “Tell me about your experiences in school or about your education.” What aspect of the client's life is the nurse trying to assess?
A nurse asks a client, “Tell me about your experiences in school or about your education.” What aspect of the client's life is the nurse trying to assess?
Which of the following is NOT a common question asked during a client assessment related to their values and beliefs?
Which of the following is NOT a common question asked during a client assessment related to their values and beliefs?
A nurse is assessing a client's relationships. Which of the following questions is LEAST likely to be asked?
A nurse is assessing a client's relationships. Which of the following questions is LEAST likely to be asked?
Flashcards
Health Assessment
Health Assessment
A systematic collection of patient data to identify health needs.
Subjective Data
Subjective Data
Information reported by the patient about their feelings and symptoms.
Biographical Data
Biographical Data
Identifying information about the patient, like name and age.
Primary Source
Primary Source
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Secondary Source
Secondary Source
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Physical Assessment Focus
Physical Assessment Focus
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Health History Importance
Health History Importance
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Validation of Information
Validation of Information
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Social Activities
Social Activities
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Family Relationships
Family Relationships
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Values and Beliefs
Values and Beliefs
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Education and Work
Education and Work
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Stress Level
Stress Level
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Coping Styles
Coping Styles
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Community Involvement
Community Involvement
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Support Systems
Support Systems
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Health Hazards
Health Hazards
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Life Goals
Life Goals
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Controllable Risks
Controllable Risks
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Uncontrollable Risks
Uncontrollable Risks
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Developmental Level
Developmental Level
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Psychosocial History
Psychosocial History
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Internal Factors
Internal Factors
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External Factors
External Factors
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Self-Concept
Self-Concept
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Coping Mechanisms
Coping Mechanisms
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Purpose of Physical Assessment
Purpose of Physical Assessment
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Four Examination Techniques
Four Examination Techniques
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Preparatory Phase
Preparatory Phase
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Client Cooperation
Client Cooperation
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Clinical Judgments
Clinical Judgments
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Deep Palpation
Deep Palpation
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Bimanual Deep Palpation
Bimanual Deep Palpation
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Percussion
Percussion
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Direct Percussion
Direct Percussion
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Indirect Percussion
Indirect Percussion
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Plexor
Plexor
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Pleximeter
Pleximeter
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Percussion Technique
Percussion Technique
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Prone Position
Prone Position
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Lithotomy Position
Lithotomy Position
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Knee Chest Position
Knee Chest Position
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Inspection Technique
Inspection Technique
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Palpation Technique
Palpation Technique
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Light Palpation
Light Palpation
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Cephalocaudal Assessment
Cephalocaudal Assessment
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Pediatric Assessment Approach
Pediatric Assessment Approach
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Study Notes
Course Unit: Health Assessment
- Module: 1
- Course Unit: 2
- Week: 2
- Topic: Collection of Subjective Data Through Interview and Health History, Collection of Objective Data
Unit Expected Outcomes (UEOs)
- Cognitive:
- Discuss the role of nurses in the health assessment process.
- List and explain assessment types, methods, techniques, and components.
- Identify and explain the Physical Assessment process.
- Identify the four physical assessment techniques.
- Understand guidelines involved during physical examination.
- Enumerate the importance of physical assessment techniques.
- Describe the role of nurses in the phases of diagnostic testing.
- Discuss nursing responsibilities in specimen collection.
- Affective:
- Recognize that the assessment phase is crucial in the nursing process for effective care planning.
- Actively participate in class discussions, demonstrating respect for others' ideas.
- Openly and graciously accept feedback from classmates.
- Psychomotor:
- Participate actively in class discussions.
- Express personal thoughts and opinions confidently.
Required Readings
- Weber, J.R., Kelley, J. H., (2018) Health Assessment in Nursing 6th Edition, Philadelphia: Wolters Kluwer
Study Guide
- Assessment: Step One of the Nursing Process
- It is the first and critical phase of the nursing process.
- Thorough data collection ensures correct nursing judgments and affects diagnosis, planning, implementation, and evaluation.
- Assessment is ongoing and continuous throughout all phases of the nursing process.
- Data Collection Methods
- Observation: using the senses (details explained)
- Interviewing: planned communication for information gathering.
- Phases: pre-introductory, introductory, working, summary/closing (details explained)
- Question types: directive (details explained) and non-directive (details explained)
- Factors to consider: time, place, seating, distance, language (details explained)
- Things to avoid: leading the client, bias, multiple questions at once, jargon, personal discomfort (details explained)
Types of Data
- Subjective Data: symptoms or covert data, apparent only to the affected person.
- Objective Data: signs or overt data, measurable by an observer.
Sources of Data
- Client: best source; includes subjective data and support people (family, friends, caregivers)
- Client records: important for younger/unconscious/confused clients.
- Health professionals: verbal reporting, documentation.
- Literature: journals/texts/studies.
Review of Systems
- Each body system is addressed (details listed).
Complete Health History
- It is fundamental for identifying nursing problems, focusing on the physical exam.
- Understanding areas of strength and limitations.
- Includes (details explained) biographical data, reasons for seeking care, history, chief concern, present illness using COLDSPA, past history, family history etc.
Interviewing Techniques
- Methods for collecting relevant information (e.g., asking open-ended questions) (details explained)
- Managing difficult clients/situations (details explained)
Physical Examination Techniques
- Techniques/phases for conducting a thorough physical examination including (details) percussion, palpation, auscultation, and inspection (details explained for each).
Preparation Guidelines
- Ensuring a comfortable, private environment as well as gathering needed materials and equipment (details).
- Positioning the patient appropriately for the examination (details explained).
Diagnostic Tests and Procedures
- Commonly used laboratory tests, basic screenings.
- Includes preparation prior to testing and phases post-test.
Complete Blood Count (CBC)
- Relevant components, normal values, interpretations of abnormalities, and contributing factors.
Serum Electrolytes
- Important normal ranges, clinical implications, and procedures for obtaining blood tests (e.g., venipuncture).
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