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 (C)</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 (C)</p> Signup and view all the answers

Which equipment is typically needed to perform a physical examination?

<p>Stethoscope and sphygmomanometer (D)</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 (A)</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 (D)</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 (B)</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 (B)</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 (D)</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 (B)</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 (D)</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) (B)</p> Signup and view all the answers

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

<p>Coping patterns or strategies (C)</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 (C)</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 (C)</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 (D)</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 (A)</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 (B)</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 (C)</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 (A)</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 (D)</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 (A)</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 (C)</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 (B)</p> Signup and view all the answers

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

<p>Appearance &amp; Behavior (D)</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 (A)</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 (B)</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 (C)</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 (D)</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 (A)</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 (C)</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 (A)</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 (A)</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 (B)</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 (A)</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 (A)</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 (B)</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. (C)</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. (B)</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 (C)</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 (C)</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 (A)</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 (A)</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 (B)</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 (B)</p> Signup and view all the answers

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