Nursing Health History and Data Organization Quiz

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What does OLDCART pertain to in the context of health history?

Recognizing assumptions

Identifying gaps in data

Characteristics of the present illness (correct)

Organizing data

Which of the following is NOT included in the biographical data section of the nursing health history?

Occupational history

Caffeine consumption (correct)

Marital status

Religious preference

In the family history section, what information should be included for each individual?

Age at the time of death (correct)

Social habits

Stressors

Economic status

What type of activities are included in Activities of Daily Living (ADL’s)?

Transportation and food prep Signup and view all the answers

What should be covered under psychological data in the nursing health history?

Coping patterns or strategies Signup and view all the answers

What does recognizing assumptions in the context of health history involve?

Identifying underlying beliefs or attitudes Signup and view all the answers

What are the two types of data mentioned in the text?

Primary and secondary Signup and view all the answers

Which method involves using vision, smell, hearing, and touch to gather data?

Observing Signup and view all the answers

What is the purpose of the validation process mentioned in the text?

To double-check and verify the collected data Signup and view all the answers

Which conceptual model/framework is mentioned as being used in clinical nursing care plans?

Betty Neuman Systems Model Signup and view all the answers

In what ways can nursing documentation (charting) be completed according to the text?

Both through paper charting/flowsheets and computerized/electronic methods Signup and view all the answers

What are the two approaches to interviewing mentioned in the text?

Directive and nondirective Signup and view all the answers

What is the purpose of the initial assessment?

To establish the client's baseline on admission Signup and view all the answers

What is the purpose of the problem-focused assessment?

To determine the status of a specific problem Signup and view all the answers

What is the purpose of the emergency assessment?

To identify a life-threatening problem Signup and view all the answers

What method of examination includes visual, olfactory, and auditory assessments?

Inspection Signup and view all the answers

What does percussion involve?

Indirectly striking the client's skin and listening for different types of sounds Signup and view all the answers

What is included in the general survey during physical assessment?

Mental status and vital signs Signup and view all the answers

What should nurses do in preparation for assessment regarding HIPAA?

Ensure patient confidentiality and awareness of HIPAA regulations Signup and view all the answers

What should nurses do to adapt to specific patient situations during physical assessment?

Adapt their assessment based on the patient's inability to move Signup and view all the answers