Download Health Assessment - 1st Class to Midterm questions with answers and more Exams Personal Health in PDF only on Docsity!
Health |/Assessment |/- |/1st |/Class |/to |/Midterm
|/questions |/with |/answers
Nursing: |/Scope |/and |/Standards |/of |/Nursing |/Practice |/- |/CORRECT |/ANSWERS |/✔✔"the |/protection, |/promotion, |/and |/optimization |/of |/health |/and |/abilities, |/prevention |/of |/illness |/and |/injury, |/alleviation |/of |/suffering |/through |/the |/diagnosis |/and |/treatment |/of |/human |/responses |/and |/advocacy |/in |/the |/care |/of |/individuals, |/families, |/communities, |/and |/populations." Assessment |/- |/CORRECT |/ANSWERS |/✔✔Collecting |/subjective |/and |/objective |/data Diagnosis |/- |/CORRECT |/ANSWERS |/✔✔Analyzing |/subjective |/and |/objective |/data |/to |/make |/a |/professional |/nursing |/judgment |/(nursing |/diagnosis, |/collaborative |/problem, |/or |/referral) Planning |/- |/CORRECT |/ANSWERS |/✔✔Determining |/outcome |/criteria |/and |/developing |/a |/plan Implementation |/- |/CORRECT |/ANSWERS |/✔✔Carrying |/out |/the |/plan
Evaluation |/- |/CORRECT |/ANSWERS |/✔✔Assessing |/whether |/outcome |/criteria |/have |/been |/met |/and |/revising |/the |/plan |/as |/necessary Purpose |/of |/Nursing |/Assessment |/- |/CORRECT |/ANSWERS |/✔✔to |/collect |/holistic |/subjective |/and |/objective |/data |/to |/determine |/a |/client's |/overall |/level |/of |/functioning |/in |/order |/to |/make |/a |/professional |/clinical |/judgment. |/The |/nurse |/collects |/physiologic, |/psychological, |/sociocultural, |/developmental, |/and |/spiritual |/data |/about |/the |/client. |/Thus |/the |/nurse |/performs |/holistic |/data |/collection. The |/four |/basic |/types |/of |/assessment |/are: |/- |/CORRECT |/ANSWERS |/✔✔- Initial |/comprehensive |/assessment -Ongoing |/or |/partial |/assessment -Focused |/or |/problem-oriented |/assessment -Emergency |/assessment -Each |/assessment |/type |/varies |/according |/to |/the |/amount |/and |/type |/of |/data |/collected. Initial |/Comprehensive |/Assessment |/- |/CORRECT |/ANSWERS |/✔✔An |/initial |/comprehensive |/assessment |/involves |/collection |/of |/subjective |/data |/about |/the |/client's |/perception |/of |/his |/or |/her |/health |/of |/all |/body |/parts |/or |/systems, |/past |/health |/history, |/family |/history, |/and |/lifestyle |/and |/health |/practices |/(which |/include |/information |/related |/to |/the |/client's |/overall |/functioning) |/as |/well |/as |/objective |/data |/gathered |/during |/a |/step-by-step |/physical |/examination.
-Collection |/of |/objective |/data -Validation |/of |/data -Documentation |/of |/data Preparing |/for |/the |/Assessment |/- |/CORRECT |/ANSWERS |/✔✔Knowing |/the |/client's |/basic |/biographical |/data |/(age, |/sex, |/religion, |/educational |/level, |/and |/occupation). Framework |/for |/Health |/Assessment |/in |/Nursing |/- |/CORRECT |/ANSWERS |/✔✔The |/questions |/asked |/in |/each |/physical |/system's |/chapter |/focus |/on |/that |/particular |/body |/system |/and |/are |/broken |/down |/into |/four |/sections: -History |/of |/present |/health |/concern -Personal |/health |/history -Family |/history -Lifestyle |/and |/health |/practices Subjective |/Data |/- |/CORRECT |/ANSWERS |/✔✔Subjective |/data |/are |/sensations |/or |/symptoms |/(e.g., |/pain, |/hunger), |/feelings |/(e.g., |/happiness, |/sadness), |/perceptions, |/desires, |/preferences, |/beliefs, |/ideas, |/values, |/and |/personal |/information |/that |/can |/be |/elicited |/and |/verified |/only |/by |/the |/client
The |/major |/areas |/of |/subjective |/data |/include: |/- |/CORRECT |/ANSWERS |/✔✔-Biographical |/information |/(name, |/age, |/religion, |/occupation) -History |/of |/present |/health |/concern: |/physical |/symptoms |/related |/to |/each |/body |/part |/or |/system |/(e.g., |/eyes |/and |/ears, |/abdomen) -Personal |/health |/history -Family |/history -Health |/and |/lifestyle |/practices |/(e.g., |/health |/practices |/that |/put |/the |/client |/at |/risk, |/nutrition, |/activity, |/relationships, |/cultural |/beliefs |/or |/practices, |/family |/structure |/and |/function, |/community |/environment) -Review |/of |/systems The |/examiner |/directly |/observes |/objective |/data. |/These |/data |/include: |/- |/CORRECT |/ANSWERS |/✔✔-Physical |/characteristics |/(e.g., |/skin |/color, |/posture) -Body |/functions |/(e.g., |/heart |/rate, |/respiratory |/rate) -Appearance |/(e.g., |/dress |/and |/hygiene) -Behavior |/(e.g., |/mood, |/affect) -Measurements |/(e.g., |/blood |/pressure, |/temperature, |/height, |/weight) -Results |/of |/laboratory |/testing |/(e.g., |/platelet |/count, |/x-ray |/findings) Collective |/data |/is |/obtained |/by: |/- |/CORRECT |/ANSWERS |/✔✔Using |/the |/four |/physical |/examination |/techniques: |/inspection, |/palpation, |/percussion, |/and |/auscultation.
Collaborative |/problems |/- |/CORRECT |/ANSWERS |/✔✔Defined |/as |/certain |/"physiological |/complications |/that |/nurses |/monitor |/to |/detect |/their |/onset |/or |/changes |/in |/status" Process |/of |/Data |/Analysis |/- |/CORRECT |/ANSWERS |/✔✔-Identify |/abnormal |/data |/and |/strengths. -Cluster |/the |/data. -Draw |/inferences |/and |/identify |/problems. -Propose |/possible |/nursing |/diagnoses. -Check |/for |/defining |/characteristics |/of |/those |/diagnoses. -Confirm |/or |/rule |/out |/nursing |/diagnoses. -Document |/conclusions. Subjective |/data |/consist |/of: |/- |/CORRECT |/ANSWERS |/✔✔-Sensations |/or |/symptoms -Feelings -Perceptions -Desires -Preferences -Beliefs -Ideas -Values
-Personal |/information The |/nursing |/interview |/is |/a |/communication |/process |/that |/has |/two |/focuses: |/- |/CORRECT |/ANSWERS |/✔✔-Establishing |/rapport |/and |/a |/trusting |/relationship |/with |/the |/client |/to |/elicit |/accurate |/and |/meaningful |/information. -Gathering |/information |/on |/the |/client's |/developmental, |/psychological, |/physiologic, |/sociocultural, |/and |/spiritual |/status |/to |/identify |/deviations |/that |/can |/be |/treated |/with |/nursing |/and |/collaborative |/interventions |/or |/strengths |/that |/can |/be |/enhanced |/through |/nurse-client |/collaboration. Phases |/of |/the |/Interview |/- |/CORRECT |/ANSWERS |/✔✔Four |/basic |/phases: |/preintroductory, |/introductory, |/working, |/and |/summary/closing |/phases. Preintroductory |/Phase |/- |/CORRECT |/ANSWERS |/✔✔The |/nurse |/reviews |/the |/medical |/record |/before |/meeting |/with |/the |/client. |/Knowing |/some |/of |/the |/client's |/already |/documented |/biographical |/information |/may |/assist |/the |/nurse |/with |/conducting |/the |/interview. Introductory |/Phase |/- |/CORRECT |/ANSWERS |/✔✔After |/introducing |/herself |/to |/the |/client, |/the |/nurse |/explains |/the |/purpose |/of |/the |/interview, |/discusses |/the |/types |/of |/questions |/that |/will |/be |/asked, |/explains |/the |/reason |/for |/taking |/notes, |/and |/assures |/the |/client |/that |/confidential |/information |/will |/remain |/confidential.
Communication |/During |/the |/Interview |/- |/types: |/- |/CORRECT |/ANSWERS |/✔✔The |/client |/interview |/involves |/two |/types |/of |/communication— nonverbal |/and |/verbal. Nonverbal |/Communication |/- |/Appearance |/- |/CORRECT |/ANSWERS |/✔✔First |/take |/care |/to |/ensure |/that |/your |/appearance |/is |/professional. |/The |/client |/is |/expecting |/to |/see |/a |/health |/professional; |/therefore, |/you |/should |/look |/the |/part. |/Wear |/comfortable, |/neat |/clothes |/and |/a |/laboratory |/coat |/or |/a |/uniform. |/Be |/sure |/that |/your |/nametag, |/including |/credentials, |/is |/clearly |/visible. |/Your |/hair |/should |/be |/neat |/and |/pulled |/back |/if |/long. |/Fingernails |/should |/be |/short |/and |/neat; |/jewelry |/should |/be |/minimal. Nonverbal |/Communication |/- |/Demeanor |/- |/CORRECT |/ANSWERS |/✔✔Your |/demeanor |/should |/also |/be |/professional. |/When |/you |/enter |/a |/room |/to |/interview |/a |/client, |/display |/poise. |/Focus |/on |/the |/client |/and |/the |/upcoming |/interview |/and |/assessment. |/Do |/not |/enter |/the |/room |/laughing |/loudly, |/yelling |/to |/a |/coworker, |/or |/muttering |/under |/your |/breath. |/This |/appears |/unprofessional |/to |/the |/client |/and |/will |/have |/an |/effect |/on |/the |/entire |/interview |/process. |/Greet |/the |/client |/calmly, |/by |/name |/and |/not |/with |/references |/such |/as |/honey, |/sweetie, |/or |/sugar. |/Focus |/your |/full |/attention |/on |/the |/client. |/Do |/not |/be |/overwhelmingly |/friendly |/or |/"touchy"; |/many |/clients |/are |/uncomfortable |/with |/this |/type |/of |/behavior. |/It |/is |/best |/to |/maintain |/a |/professional |/distance.
Nonverbal |/Communication |/- |/Facial |/Expression |/- |/CORRECT |/ANSWERS |/✔✔Facial |/expressions |/are |/often |/an |/overlooked |/aspect |/of |/communication. |/Because |/facial |/expressions |/often |/show |/what |/you |/are |/truly |/thinking |/(regardless |/of |/what |/you |/are |/saying), |/monitor |/them |/closely. |/No |/matter |/what |/you |/think |/about |/a |/client |/or |/what |/kind |/of |/day |/you |/are |/having, |/keep |/your |/expression |/neutral |/and |/friendly. |/If |/your |/face |/shows |/anger |/or |/anxiety, |/the |/client |/will |/sense |/it |/and |/may |/think |/it |/is |/directed |/toward |/him |/or |/her. |/If |/you |/cannot |/effectively |/hide |/your |/emotions, |/you |/may |/want |/to |/explain |/briefly |/that |/you |/are |/angry |/or |/upset |/about |/a |/personal |/situation. |/Admitting |/this |/to |/the |/client |/may |/also |/help |/in |/developing |/a |/trusting |/relationship |/and |/genuine |/rapport. Displaying |/a |/neutral |/expression |/does |/not |/mean |/that |/your |/face |/lacks |/expression. |/It |/means |/using |/the |/right |/expression |/at |/the |/right |/time. |/If |/the |/client |/looks |/upset, |/you |/should |/appear |/and |/be |/understanding |/and |/concerned. |/Conversely, |/smiling |/when |/the |/client |/is |/on |/the |/verge |/of |/tears |/will |/cause |/the |/client |/to |/believe |/that |/you |/do |/not |/care |/about |/his |/or |/her |/problem. Nonverbal |/Communication |/- |/Attitude |/- |/CORRECT |/ANSWERS |/✔✔One |/of |/the |/most |/important |/nonverbal |/skills |/to |/develop |/as |/a |/health |/care |/professional |/is |/a |/nonjudgmental |/attitude. |/All |/clients |/should |/be |/accepted, |/regardless |/of |/beliefs, |/ethnicity, |/lifestyle, |/and |/health |/care |/practices. |/Do |/not |/act |/as |/though |/you |/feel |/superior |/to |/the |/client |/or |/appear |/shocked, |/disgusted, |/or |/surprised |/at |/what |/you |/are |/told. |/These |/attitudes |/will |/cause |/the |/client |/to |/feel |/uncomfortable |/about |/opening |/up |/to |/you, |/and |/important |/data |/concerning |/his |/or |/her |/health |/status |/could |/be |/withheld.
- |/Standing Verbal |/Communication |/to |/Avoid |/- |/CORRECT |/ANSWERS |/✔✔- |/Biased |/or |/Leading |/Questions
- |/Rushing |/Through |/the |/Interview
- |/Reading |/the |/Questions Open-ended |/Question |/- |/CORRECT |/ANSWERS |/✔✔Open-ended |/questions |/are |/used |/to |/elicit |/the |/client's |/feelings |/and |/perceptions. |/They |/typically |/begin |/with |/the |/words |/"how" |/or |/"what." |/An |/example |/of |/this |/type |/of |/question |/is: |/"How |/have |/you |/been |/feeling |/lately?" |/These |/types |/of |/questions |/are |/important |/because |/they |/require |/more |/than |/a |/one-word |/response |/from |/the |/client |/and, |/therefore, |/encourage |/description. |/Asking |/open-ended |/questions |/may |/help |/to |/reveal |/significant |/data |/about |/the |/client's |/health |/status. Close-ended |/Question |/- |/CORRECT |/ANSWERS |/✔✔Use |/closed-ended |/questions |/to |/obtain |/facts |/and |/to |/focus |/on |/specific |/information. |/The |/client |/can |/respond |/with |/one |/or |/two |/words. |/Closed-ended |/questions |/typically |/begin |/with |/the |/words |/"when" |/or |/"did." |/An |/example |/of |/this |/type |/of |/question |/is: |/"When |/did |/your |/headache |/start?" |/Closed-ended |/questions |/are |/useful |/in |/keeping |/the |/interview |/on |/course. |/They |/can |/also |/be |/used |/to |/clarify |/or |/obtain |/more |/accurate |/information |/about |/issues |/disclosed |/in |/response |/to |/open-ended |/questions.
Laundry |/List |/- |/CORRECT |/ANSWERS |/✔✔Another |/way |/to |/ask |/questions |/is |/to |/provide |/the |/client |/with |/a |/list |/of |/words |/to |/choose |/from |/in |/describing |/symptoms, |/conditions, |/or |/feelings. |/This |/laundry |/list |/approach |/helps |/you |/to |/obtain |/specific |/answers |/and |/reduces |/the |/likelihood |/of |/the |/client |/perceiving |/or |/providing |/an |/expected |/answer. Rephasing |/- |/CORRECT |/ANSWERS |/✔✔Rephrasing |/information |/the |/client |/has |/provided |/is |/an |/effective |/way |/to |/communicate |/during |/the |/interview. |/This |/technique |/helps |/you |/to |/clarify |/information |/the |/client |/has |/stated; |/it |/also |/enables |/you |/and |/the |/client |/to |/reflect |/on |/what |/was |/said. Well-Placed |/Phrases |/- |/CORRECT |/ANSWERS |/✔✔The |/nurse |/can |/encourage |/client |/verbalization |/by |/using |/well-placed |/phrases. |/For |/example, |/if |/the |/client |/is |/in |/the |/middle |/of |/explaining |/a |/symptom |/or |/feeling |/and |/believes |/that |/you |/are |/not |/paying |/attention, |/you |/may |/fail |/to |/get |/all |/the |/necessary |/information. |/Listen |/closely |/to |/the |/client |/during |/his |/or |/her |/description |/and |/use |/phrases |/such |/as |/"uh-huh," |/"yes," |/or |/"I |/agree" |/to |/encourage |/the |/client |/to |/continue. Inferring |/- |/CORRECT |/ANSWERS |/✔✔Inferring |/information |/from |/what |/the |/client |/tells |/you |/and |/what |/you |/observe |/in |/the |/client's |/behavior |/may |/elicit |/more |/data |/or |/verify |/existing |/data. |/Be |/careful |/not |/to |/lead |/the |/client |/to |/answers |/that |/are |/not |/true
-Variation |/in |/use |/and |/meaning |/of |/nonverbal |/communication: |/eye |/contact, |/stance, |/gestures, |/demeanor. -Variation |/in |/disease/illness |/perception: |/culture-specific |/syndromes |/or |/disorders |/are |/accepted |/by |/some |/groups |/(e.g., |/in |/Latin |/America, |/susto |/is |/an |/illness |/caused |/by |/a |/sudden |/shock |/or |/fright). -Variation |/in |/past, |/present, |/or |/future |/time |/orientation |/(e.g., |/the |/dominant |/US |/culture |/is |/future |/oriented; |/other |/cultures |/may |/focus |/more |/on |/the |/past |/or |/present). -Variation |/in |/the |/family's |/role |/in |/the |/decision-making |/process: |/a |/person |/other |/than |/the |/client |/or |/the |/client's |/parent |/may |/be |/the |/major |/decision |/maker |/regarding |/appointments, |/treatments, |/or |/follow-up |/care |/for |/the |/client. You |/may |/have |/to |/interview |/a |/client |/who |/does |/not |/speak |/your |/language. |/To |/perform |/the |/best |/interview |/possible, |/it |/is Emotional |/Variations |/in |/Communication |/- |/CORRECT |/ANSWERS |/✔✔Not |/every |/client |/you |/encounter |/will |/be |/calm, |/friendly, |/and |/eager |/to |/participate |/in |/the |/interview |/process. |/Clients' |/emotions |/vary |/for |/a |/number |/of |/reasons. |/They |/may |/be |/scared |/or |/anxious |/about |/their |/health |/or |/about |/disclosing |/personal |/information, |/angry |/that |/they |/are |/sick |/or |/about |/having |/to |/have |/an |/examination, |/depressed |/about |/their |/health |/or |/other |/life |/events, |/or |/they |/may |/have |/an |/ulterior |/motive |/for |/having |/an |/assessment |/performed |/(they |/are |/trying |/to |/avoid |/work/school). |/Clients |/may |/also |/have |/some |/sensitive |/issues |/with |/which |/they |/are |/grappling |/and |/may |/turn |/to |/you |/for |/help.
COMPLETE |/HEALTH |/HISTORY |/- |/CORRECT |/ANSWERS |/✔✔The |/health |/history |/is |/an |/excellent |/way |/to |/begin |/the |/assessment |/process |/because |/it |/provides |/the |/foundation |/for |/identifying |/nursing |/problems |/and |/provides |/a |/focus |/for |/the |/physical |/examination. |/The |/importance |/of |/the |/health |/history |/lies |/in |/its |/ability |/to |/provide |/information |/that |/will |/assist |/the |/examiner |/in |/identifying |/areas |/of |/strength |/and |/limitation |/in |/the |/individual's |/lifestyle |/and |/current |/health |/status. |/Data |/from |/the |/health |/history |/also |/provide |/the |/examiner |/with |/specific |/cues |/to |/health |/problems |/that |/are |/most |/apparent |/to |/the |/client. Health |/History |/Parts: |/- |/CORRECT |/ANSWERS |/✔✔-Biographical |/data |/ -Reasons |/for |/seeking |/health |/care |/ -History |/of |/present |/health |/concern |/ -Personal |/health |/history |/ -Family |/health |/history |/ROS |/for |/current |/health |/problems |/--Lifestyle |/and |/health |/practices |/profile |/ -Developmental |/level Biographical |/Data |/- |/CORRECT |/ANSWERS |/✔✔Biographical |/data |/usually |/include |/information |/that |/identifies |/the |/client, |/such |/as |/name, |/address, |/phone |/number, |/gender, |/and |/who |/provided |/the |/information —the |/client |/or |/significant |/others. |/The |/client's |/birth |/date, |/social |/security |/number, |/medical |/record |/number, |/health |/insurance |/information, |/or |/similar |/identifying |/data |/may |/be |/included |/in |/the |/biographical |/data |/section.
|/the |/health |/problem |/and |/asks |/questions |/whose |/answers |/can |/provide |/a |/detailed |/description |/of |/the |/concern. |/First, |/encourage |/the |/client |/to |/explain |/the |/health |/problem |/or |/symptom |/in |/as |/much |/detail |/as |/possible |/by |/focusing |/on |/the |/onset, |/progression, |/and |/duration |/of |/the |/problem; |/signs |/and |/symptoms |/and |/related |/problems; |/and |/what |/the |/client |/perceives |/as |/causing |/the |/problem. Personal |/Health |/History |/- |/CORRECT |/ANSWERS |/✔✔This |/portion |/of |/the |/health |/history |/focuses |/on |/questions |/related |/to |/the |/client's |/personal |/history, |/from |/the |/earliest |/beginnings |/to |/the |/present. |/Ask |/the |/client |/about |/any |/childhood |/illnesses |/and |/immunizations |/to |/date. |/Adult |/illnesses |/(physical, |/emotional, |/and |/mental) |/are |/then |/explored. |/Ask |/the |/client |/to |/recall |/past |/surgeries |/or |/accidents. |/Ask |/the |/client |/to |/describe |/any |/prolonged |/episodes |/of |/pain |/or |/pain |/patterns |/he |/or |/she |/has |/experienced. |/Inquire |/about |/any |/allergies |/(food, |/medicine, |/pollens, |/other) |/and |/use |/of |/prescription |/and |/OTC |/medications. Family |/Health |/History |/- |/CORRECT |/ANSWERS |/✔✔As |/researchers |/discover |/an |/increasing |/number |/of |/health |/problems |/that |/seem |/to |/run |/in |/families |/and |/that |/are |/genetically |/based, |/the |/family |/health |/history |/assumes |/greater |/importance. |/In |/addition |/to |/genetic |/predisposition, |/it |/is |/also |/helpful |/to |/be |/aware |/of |/other |/health |/problems |/that |/may |/have |/affected |/the |/client |/by |/virtue |/of |/having |/grown |/up |/in |/the |/family |/and |/being |/exposed |/to |/these |/problems. Genogram |/- |/CORRECT |/ANSWERS |/✔✔Helps |/to |/organize |/and |/illustrate |/the |/client's |/family |/history.
Lifestyle |/and |/Health |/Practices |/Profile |/- |/CORRECT |/ANSWERS |/✔✔This |/is |/a |/very |/important |/section |/of |/the |/health |/history |/because |/it |/deals |/with |/the |/client's |/human |/responses, |/which |/include |/nutritional |/habits, |/activity |/and |/exercise |/patterns, |/sleep |/and |/rest |/patterns, |/self-concept |/and |/self-care |/activities, |/social |/and |/community |/activities, |/relationships, |/values |/and |/beliefs |/system, |/education |/and |/work, |/stress |/level |/and |/coping |/style, |/and |/environment. Description |/of |/Typical |/Day |/- |/CORRECT |/ANSWERS |/✔✔This |/information |/is |/necessary |/to |/elicit |/an |/overview |/of |/how |/the |/client |/sees |/his |/usual |/pattern |/of |/daily |/activity. Activity |/Level |/and |/Exercise |/- |/CORRECT |/ANSWERS |/✔✔Next, |/assess |/how |/active |/the |/client |/is |/during |/an |/average |/week |/either |/at |/work |/or |/at |/home. |/Inquire |/about |/regular |/exercise. |/Some |/clients |/believe |/that |/if |/they |/do |/heavy |/physical |/work |/at |/their |/job, |/they |/do |/not |/need |/additional |/exercise. |/Make |/it |/a |/point |/to |/distinguish |/between |/activities |/done |/when |/working, |/which |/may |/be |/stressful |/and |/fatiguing, |/and |/exercise, |/which |/is |/designed |/to |/reduce |/stress |/and |/strengthen |/the |/individual. Sleep |/and |/Rest |/- |/CORRECT |/ANSWERS |/✔✔Inquire |/whether |/the |/client |/feels |/he |/is |/getting |/enough |/sleep |/and |/rest. |/Questions |/should |/focus |/on |/specific |/sleep |/patterns, |/such |/as |/how |/many |/hours |/a |/night |/the |/person |/sleeps, |/interruptions, |/whether |/the |/client |/feels |/rested, |/problems |/in |/sleeping |/(e.g., |/insomnia), |/rituals |/the |/client |/uses |/to
