Nursing Health History and Data Organization Quiz

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20 Questions

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

Characteristics of the present illness

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

Caffeine consumption

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

Age at the time of death

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

Transportation and food prep

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

Coping patterns or strategies

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

Identifying underlying beliefs or attitudes

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

Primary and secondary

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

Observing

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

To double-check and verify the collected data

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

Betty Neuman Systems Model

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

Both through paper charting/flowsheets and computerized/electronic methods

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

Directive and nondirective

What is the purpose of the initial assessment?

To establish the client's baseline on admission

What is the purpose of the problem-focused assessment?

To determine the status of a specific problem

What is the purpose of the emergency assessment?

To identify a life-threatening problem

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

Inspection

What does percussion involve?

Indirectly striking the client's skin and listening for different types of sounds

What is included in the general survey during physical assessment?

Mental status and vital signs

What should nurses do in preparation for assessment regarding HIPAA?

Ensure patient confidentiality and awareness of HIPAA regulations

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

Adapt their assessment based on the patient's inability to move

Test your knowledge of organizing and categorizing biographical and health data in nursing. Evaluate your understanding of recognizing assumptions and identifying gaps in patient data.

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