Nursing Health History Data and Assumptions Quiz
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Questions and Answers

Which term refers to a method of collecting assessment data?

  • COLDSPA
  • SOAP (correct)
  • OLDCART
  • PQRST

    • What does OLDCART stand for in the context of nursing health assessment?

  • Onset, Level, Duration, Cause, Action plan, Results, Treatment
  • Observation, List, Diagnosis, Confirmation, Action, Record, Treatment
  • Objective, List, Diagnosis, Comparison, Analysis, Result, Treatment
  • Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatment (correct)

    • In the context of physical assessment, what is the purpose of the examination?

  • To identify abnormalities and establish baseline data about the patient's functional abilities (correct)
  • To establish a rapport with the patient
  • To assess the patient's emotional state
  • To identify the patient's financial status

    • Which of the following is NOT a component of a nursing health history?

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

    What does the acronym COLDSPA stand for in the context of data collection during a health assessment?

    <p>Characteristics, Onset, Location, Duration, Severity, Pattern, Associated factors</p> Signup and view all the answers

    Which equipment is typically needed to perform a physical examination?

    <p>Stethoscope and sphygmomanometer</p> Signup and view all the answers

    What is the purpose of documenting data collected during a nursing health assessment?

    <p>To communicate information about the patient's condition to other healthcare providers</p> Signup and view all the answers

    What is an expected outcome of the health assessment process?

    <p>To establish a baseline health status for the patient</p> Signup and view all the answers

    When conducting a physical health assessment on patients of different age groups, what is important to consider?

    <p>Adjust assessment techniques based on age-related physical changes and health concerns</p> Signup and view all the answers

    What is the significance of selected physical findings during a health assessment?

    <p>To guide further diagnostic testing and interventions</p> Signup and view all the answers

    What is the OLDCART format used for in nursing health history?

    <p>Documenting the history of present illness</p> Signup and view all the answers

    In the context of nursing health history, what does OLDCART stand for?

    <p>Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments</p> Signup and view all the answers

    What is the purpose of categorizing data according to a framework in nursing health history?

    <p>To systematically classify and analyze the collected information</p> Signup and view all the answers

    Which component is included in the lifestyle section of nursing health history?

    <p>Activities of Daily Living (ADL’s)</p> Signup and view all the answers

    What should be included when documenting psychological data in nursing health history?

    <p>Coping patterns or strategies</p> Signup and view all the answers

    How is the family history of illness documented in nursing health history?

    <p>Include only direct blood relations and their ages</p> Signup and view all the answers

    What is the main focus of the history of present illness section in nursing health history?

    <p>Chief complaint and reason for the visit</p> Signup and view all the answers

    What information is included in the social data section of nursing health history?

    <p>Educational history and occupational history</p> Signup and view all the answers

    Why is recognizing assumptions an important aspect of data collection in nursing health history?

    <p>To avoid bias and misinformation in the collected data</p> Signup and view all the answers

    Which part of nursing health history focuses on the client's use of health care resources?

    <p>Patterns of Health Care</p> Signup and view all the answers

    What is the main purpose of the physical examination approach in nursing health assessment?

    <p>To obtain baseline data and evaluate physiological outcomes</p> Signup and view all the answers

    Which type of physical assessment is conducted to determine the status of a specific problem in a patient?

    <p>Problem-focused assessment</p> Signup and view all the answers

    In the context of physical assessment preparation, what does HIPAA require nurses to do?

    <p>Make sure the patient is aware of the nurse's confidentiality</p> Signup and view all the answers

    Which method of examination involves using the pads of fingers to determine texture, temperature, vibration, and tenderness?

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

    What does percussion involve in the method of examination during a physical assessment?

    <p>Striking the client's skin with the tip of middle finger</p> Signup and view all the answers

    Why is it important for nurses to adapt their physical assessment techniques to specific patient situations?

    <p>To accommodate gerontological differences in assessment findings</p> Signup and view all the answers

    What does the general survey component of physical assessment mainly focus on?

    <p>Appearance &amp; Behavior</p> Signup and view all the answers

    What is the main difference between subjective and objective data in nursing health history?

    <p>Subjective data is described only by the patient, while objective data can be measured or tested</p> Signup and view all the answers

    In the context of data collection methods, what is the main difference between closed questions and open-ended questions?

    <p>Closed questions are directive and seek specific information, while open-ended questions allow for a variety of responses</p> Signup and view all the answers

    Which method of examination involves using a systematic approach including inspection, auscultation, palpation, and percussion?

    <p>Body systems approach</p> Signup and view all the answers

    What is the purpose of validating data in nursing assessment?

    <p>To gather complete and accurate data for writing care plans</p> Signup and view all the answers

    In nursing documentation, what is the main purpose of recording client data during the assessment phase?

    <p>To gather complete and accurate data for legal documentation</p> Signup and view all the answers

    Which method of collecting assessment data involves noticing data using cues and then selecting, organizing, and interpreting it?

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

    What is the primary focus of the general survey component during physical assessment in nursing?

    <p>Assessing overall health status through observation</p> Signup and view all the answers

    When documenting psychological data in nursing health history, what should be included?

    <p>Inferences made by the nurse based on cues</p> Signup and view all the answers

    What does examining through palpation involve in the method of physical assessment?

    <p>Determining texture, temperature, vibration, and tenderness using fingertips</p> Signup and view all the answers

    What is the main focus of categorizing data according to a framework in nursing health history?

    <p>To provide structure and organization for nursing diagnosis and interventions</p> Signup and view all the answers

    What is the purpose of using the OLDCART format in nursing health history?

    <p>To assess the status of a specific problem in a patient</p> Signup and view all the answers

    When conducting a physical assessment, what does percussion involve?

    <p>Tapping the body to produce sounds that can indicate underlying abnormalities</p> Signup and view all the answers

    What is the main difference between subjective and objective data in nursing health history?

    <p>Subjective data is apparent only to the patient, while objective data can be measured or tested.</p> Signup and view all the answers

    In the context of data collection methods, what is the main difference between closed questions and open-ended questions?

    <p>Closed questions focus on specific info, while open-ended questions allow for various responses.</p> Signup and view all the answers

    What is the primary focus of the general survey component during physical assessment in nursing?

    <p>Assessing overall health and well-being</p> Signup and view all the answers

    Why is it important for nurses to adapt their physical assessment techniques to specific patient situations?

    <p>To meet the unique needs and conditions of each patient</p> Signup and view all the answers

    What does examining through palpation involve in the method of physical assessment?

    <p>Using the pads of fingers to determine texture, temperature, vibration, and tenderness</p> Signup and view all the answers

    What is the purpose of documenting client data during the assessment phase in nursing documentation?

    <p>To ensure all data collected is complete, factual, and accurate</p> Signup and view all the answers

    What is an expected outcome of using conceptual models/frameworks in nursing care plans?

    <p>Incorporating intra-, inter-, and extra personal stressors in care plans</p> Signup and view all the answers

    What is the purpose of utilizing the ORCHID system for charting in nursing documentation?

    <p>To provide online real-time centralized health information database</p> Signup and view all the answers

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